Current Job Openings for Healthcare Professionals

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Clinical Product Manager


Clinical Product Manager
 
The Clinical Product Manager serves as the subject matter expert for the business units for the clinical software solutions supporting the business operations. The product manager’s familiarity with the solution and functionality from a clinical and strategic perspective helps teams determine how to leverage the system for their business operations. Participate in the evaluation and enhancement requests to determine potential impacts to the business units, driving operational efficiencies and impactful decisions across all clinical users. The product owner engages closely with the clinical teams to define requirements and ensure effective implementation and works collaboratively with the internal and external teams on the technical requirements. This Product owner is responsible for analyzing the business objective and collaboratively with both the vendor and the internal teams to implement successfully the vision.
Essential Functions
Primary Responsibilities:
  • Actively engage in training and system demonstrations to ensure fully understand of all the system modules both for current state and future state operations.
  • Identify business objectives and process improvement opportunities leveraging technology solutions.
  • Meet with business leads to understand their needs to be able to translate these into system enhancements that can support their visions.
  • Identify clinical business requirements for new state requirements, new lines of business, including timeline for implementation.
  • Collaborate across departments with all levels of management and technical leaders to develop a strategic vision for the product.
  • Engage stakeholders (users, business owners, product owners, etc.) to define the user requirements and ensure implementation is seamless across systems used by the clinical business and provides feedback on any impacts that should be considered.
  • Gather feedback from operations teams and research industry trends to improve business systems processes.
  • Work collaboratively to write and capture user stories and acceptance criteria communicate clear product objectives and requirements for technical development.
  • Collaborate with delivery teams to ensure features are clearly understood, estimated and prioritized in alignment with business needs.
  • Assist in simulation and test process systems improvements considering usability and end-user experience prior to implementation
  • Approve each feature and continuously communicate with technical and business teams to ensure adherence to product vision and to proactively evaluate risks.
  • Work collaboratively to communicate changes to business teams, including identification of any needed training for both internal and/or external users.
Qualifications
Knowledge, Skills, and Abilities:
  • Ability to gather business requirements, create, execute and control tools to improve the overall operational efficiency of a business
  • Computer software applications such as Microsoft Office, Care Management Systems, SharePoint
  • Present reports, forecasts, trends and recommendations to the team and senior management in a clear, concise, and actionable manner
  • Ability to work effectively and meet deadlines in a rapidly changing environment, while handling multiple projects at a time whether individually or working with a team
  • Exceptional interpersonal, organizational, leadership, and decision-making skills
  • Career-oriented with a positive, energetic attitude strong analytical, organizational and communication skills
  • Ability to apply Change Management approaches to understand impacts of decisions and inform implementation strategies
Education and Work Experience
Education and Experience:
  • Bachelor’s degree in HealthCare Operations or related experience (Master’s Degree preferred)
  • 5 years’ experience in Managed Care setting and understanding clinical operations such as Utilization Management, Care Management, Population Health, Quality Management, Medical Management
  • 3-5 years’ experience implementing and testing software applications (support in healthcare operations is a plus)
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Administrative Support Professional


Administrative Support Professional

6 Month Contract
 
This employee serves as a valuable member of the team, providing needed support to ensure smooth day-to-day operations and reporting.  Employee must be able to demonstrate flexibility and adaptability to change and improvement of processes.  This employee and the work tasks completed play a critical role in ensuring accountability, require that this employee be dynamic, and demonstrate autonomy and accountability.  This employee must be familiar with the goals and objectives of the program supported and consistently carry through with established program practices with minimal daily instruction. Administrative support employees are strong communicators with excellent time management and organizational skills and the ability to make decisions with minimal supervision.
Essential Functions
Responsibilities and Duties
The Administrative Support Professional is responsible for (though not limited to):
  • Organizational Support – Provides comprehensive support to assigned individuals and the organization as a whole, by being detail-oriented and resourceful in completing projects as assigned.  Incumbent will be able to multi-task effectively and utilize organizational knowledge to ensure that projects are being completed in a manner consistent with established objectives.
  • Data Management – Thoroughly and accurately, enter and maintain data in all applicable systems and/or databases as per established practices, processes, and protocols.  It is essential that all record keeping and data sharing be timely and well documented to ensure that all information based upon this data supports the organizational needs for daily operations and reporting requirements.  Need a good understanding of programs like Microsoft Excel
  • Communications and Customer Service - Demonstrates courteous, cooperative and collaborative behavior in all interactions with internal and external customers.  Presents a positive image and represents the organization in a professional manner during all communications.  Incumbent should have excellent communicators with strong interpersonal and organizational skills and the ability to manage their time efficiently.

Knowledge, Skills and Abilities
  • A demonstrated knowledge of department program practices/processes and ability to apply knowledge to resolve problems/inquiries, to process information and complete assigned tasks. 
  • This position requires exceptional interpersonal skills, highly effective communication ability, and the propensity to make prompt independent decisions based upon relevant facts and established processes. 
  • Problem-solving, negotiation and conflict resolution skills are essential to balance the needs of both internal and external customers.
  • The employee must be detail oriented, able to independently organize multiple tasks and priorities, and to effectively manage workload under pressure of deadlines.  
  • The ideal candidate should have excellent oral and written communication skills and be able to organize their work using tools, like MS Excel and office equipment, and be proficient in Microsoft Office products (such as Word, Excel, Outlook, etc) is required.
  • Proven experience as an administrative assistant, virtual assistant or office admin assistant.
  • Knowledge of office management systems and procedures
  • Working knowledge of office equipment, like printers and fax machines
  • Proficiency in MS Office (MS Excel and MS PowerPoint, in particular)
  • Excellent time management skills and the ability to prioritize work
  • Attention to detail and problem-solving skills
  • Excellent written and verbal communication skills
  • Strong organizational skills with the ability to multi-task
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and Work Experience
Education:
High school diploma or equivalent; Business Associates or related field is preferred. . Additionally, the incumbent must possess a minimum of two years experience performing administrative duties in an office setting. Position requires basic knowledge and proficiency in Microsoft Office products (such as Word, Excel, Outlook, PowerPoint, SharePoint, etc.).
Experience:
  • Possess a minimum of two years experience performing administrative duties in an office setting. 
  • Experience may be substituted for education on a case-by-case basis and only during exceptional circumstances.
  • Position requires intermediate knowledge and proficiency in Microsoft Office products (such as Word, Excel, Outlook, PowerPoint, etc.)
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Director of Value Based Contracting


Director of Value-Based Contracting
 
The Director of Value-Based Contracting & Network Development will report to the Vice President of Network Management and will oversee the contracting activities. The position has direct reports, who collaboratively produce work aimed at supporting and strengthening our mission.

The Director of Development & Contracting will lead all aspects of provider network strategy, overseeing the development and execution of strategies that position client, its leadership and business favorably. To do this, this position is responsible for daily decision-making, anticipating challenges and future needs.

The position must be able to understand our goals and desired outcomes in relation to the contracting & network development functions. As such, the ideal candidate for this role has proven experience leading cross-functional initiatives, managing a multi-discipline workforce.
Essential Functions
  • Lead all aspects of provider network strategy and contracting activities, including access analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management.
  • Oversee the coordination and negotiation for contracting, safeguarding contract and credentialing compliance.
  • Establish the department's strategic vision objectives and policies & procedures.
  • Develop and implement a departmental strategy focused on production and quality standards for contracting in order to meet organizational objectives.
  • Oversee the network development staff in the development of provider networks.
  • Perform periodic analyses of the provider network from a cost, coverage, and growth perspective.
  • Negotiate competitive and complex, value-based contractual relationships with providers according to pre-determined internal guidelines and financial standards.
  • Build relationships with value-based contracting groups and their associated teams.
  • Lead efforts and accept responsibility for the financial and quality of performance of value-based contract.
  • Collaborate with value-based contracting provider groups to achieve the quality performance benchmarks established in the contract.
  • Lead change management to ensure a successful practice performance under value-based contracts.
  • Design, deploy, and provide ongoing monitoring that addresses provider performance gaps for quality metrics and benchmarks related to value-based care initiatives.
  • Establish oversight, monitoring and management processes aimed at optimizing results, including defining the underlying metrics of value-based programs and alternative payments models.
  • Expand value-based contracted provider network, exclusivity arrangements and network opportunities, while maintaining relationships with providers and external partners / resources.
  • Provide leadership in evaluating opportunities to expand, enhance or change the alternative network payment model to meet company goals and manage networks costs & provider contracts.
  • Oversee analysis of claim trend data and/or market information to derive conclusions to support contract negotiations.
  • Conduct periodic review of alternative payment models and value-based provider contracting rates to ensure strategic focus is on target with overall company strategy.
  • Oversee network development staff and external consultants in the development of provider networks across counties.
  • Partner with leadership to ensure process change needs are identified and developed, and that related ongoing training is available.
  • Provide training, ongoing mentoring and consultation to department members, providers, and internal staff on Cardinal Innovation’s applicable policies and procedures.
  • Assist Vice President of Network Management and/or COO with key network development strategies.


Knowledge, Skills and Abilities:  
  • Able to read and comprehend complex written materials as well as spoken information. 
  • Able to establish and maintain effective working relationships with internal and external customers, as well as ensure direct reports are doing the same.
  • Demonstrated skills and experience in collaborative, strategic and analytical thinking.
  • Proven experience uncovering obstacles and implementing an innovative troubleshooting approach.
  • Strong interpersonal skills and demonstrated ability to take leadership simultaneously on multiple projects.
  • Proven ability to manage large-scale projects in a fast-paced, deadline-driven, and highly collaborative environment.
  • Expected to work well in a technically complex environment.
  • Display willingness to make timely decisions; exhibits sound, accurate and independent judgment.
  • Ability to travel.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and Work Experience
Education:
  • Bachelor’s Degree or equivalent work experience in Business Administration, Healthcare Administration or related field. Advanced degree ideal.
  • Advanced proficiency with Healthcare, Managed Care Organization, or Managed Behavioral Healthcare.
Experience:
  • 10+ years of experience in managed care network development and provider relations/contracting management in a health care and/or managed care environment.
  • At least 5 years of experience managing a staff of direct reports, including responsibilities for hiring, training, assigning work and managing performance of staff.
  • Proficient with MS Office suite (Word, Excel, PowerPoint).
  • Entrepreneurial spirit with a demonstrated ability to work collaboratively and influence others.
  • Effectively communicate at all levels of the organization both internal and external. 
  • Experience in strategic positioning, developing, executing and adhering to business plans.
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Diversion Team Healthcare Coordinator RN


Diversion Team Healthcare Coordinator RN
The primary purpose of this position is to assure the State’s Diversion Referral and Screening (DRS) project is implemented successfully to increase the probability of “direct” diversions for the Transitions to Community Living Initiative (TCLI) for those members at risk for entry into Adult Care Homes (ACH).  The DRS project will allow Local Management Entities/Managed Care Organizations (LME/MCOs) to interact with individuals at risk for entry into ACHs earlier on in the admission/discharge process.  The Healthcare Coordinator serves as the central medical resource on the Diversion Team and is responsible for liaising behavioral care with medical care for members referred the Diversion Team.  This role is essential for bringing together a comprehensive view of whole person care, particularly as it relates to Cardinal members with complex behavioral and medical healthcare needs.  In addition, the Healthcare Coordinator will work collaboratively with the internal Clinical and Medical Departments to develop and implement Cardinal’s interface with community stakeholders.  The Transition Healthcare Coordinator will collaborate regularly with TCL partners to develop more successful outcomes for TCL members. This position spends a considerable amount of time in the field and completes required documentation/paperwork at an office location or in the employee’s home (as applicable).
Essential Functions
The Healthcare Coordinator is responsible for (though not limited to):
  • Reviews Diversion Screenings and other clinical documentation for medical items of concern/importance and convey orally or in writing these concerns to the Diversion Team
  • Facilitates and provides oversight of clinical and medical case reviews in compliance with accepted standards of member care and industry best practices
  • Reviews Clinical Assessments and other clinical documents to assure that medical and integrated care needs are addressed
  • Participates in multidisciplinary case conferences to provide direction and clinical recommendations to front line staff managing complex and high risk cases
  • Provides clinical administrative support as well as clinical expertise to meet member and staff needs
  • Functions as the liaison for Personal Care Services (PCS) with physician practices and hospital case management / other referral sources as needed
  • Identifies medical and/or behavioral barriers to situation/complaint resolution and follows-up with the appropriate resources or leadership to address timely and effectively
  • Evaluates progress toward attainment of outcomes through documentation review, interdisciplinary team meetings and/or case conference
  • Facilitates the integration of physical and behavioral healthcare, including: detection of service needs, linkage to primary care and collaboration with CCNC and in-home nursing (and other entities) as appropriate
  • Provides customized, evidence-based member/teammate education as needed in a variety of areas including but not limited to: chronic disease management, chronic comorbidities, and physical health integration
  • Develops relationships with community stakeholders in an attempt to streamline service provision to members
  • Collaborates with Care Coordination leadership, Quality Management, Corporate Training, and Data Sciences in determining methods for improving comprehensive member care (including physical, emotional, social, and economic factors) in an effort to improve Transition Healthcare Coordination service offerings to TCL members
  • Provides behavioral-specialized clinical knowledge to the physical health setting to support the primary care and other providers
  • Creates, implements and supports TCL Team with medical trainings to share critical research findings and best practices
  • Collaborates directly and frequently with TCL Leadership Team and participates in TCL Leadership Team Meetings as needed
  • Develop collaborative working relationships with Transition Care Coordinators and Team Leads
  • Provide direct assistance and/or participate in consumer home visits when requested.


Knowledge, Skills and Abilities:  
  • Employee must be able to analyze data across factors and time periods to identify and report trends/patterns
  • Knowledge of and ability to effectively facilitate quality enhancement efforts, particularly as it relates to clinical outcomes
  • Ability to establish and maintain positive and effective working relationships with others both within the company and community stakeholders.
  • Demonstrates initiative and problem-solving capabilities, ability to work independently and use sound clinical judgement.
  • Functional computer skills, experience with Microsoft Suite of applications
  • Excellent written and verbal communication skills.
  • Telephonic clinical management experience and/or managed care experience preferred.
  • Project management or program management preferred.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and Work Experience
Education:
  • Nursing Degree (RN) and have two years post-licensure experience in a primary healthcare setting
  • Requires a current and active North Carolina Nursing License
Experience:
  • Experience working in the behavioral health field preferred
Valid Driver’s License Required: Yes Travel Type: None Required Percentage:   None
Language: Read Write Speak
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Operating Room Technician


Operating Room Technician

No Nights, No Weekends, No Call, No Holidays!
  • POSITION PURPOSE: 
    • Assists with the surgical care of the patient in the operating room. Duties include, but are not exclusive of stocking, pulling cases for the next day, pulling instruments, cleaning OR after cases, replenishing and preparation of surgical supplies, instruments, and equipment. Functions as a member of the surgical team by assisting and anticipating needs of the surgeon. Maintains current education in aseptic technique, routine operating room procedures, and all other duties as assigned.
  • ESSENTIAL JOB FUNCTIONS:
    • Scrub person functions with working knowledge of aseptic technique and AORN Standards.
    • Checks all items for proper packaging, processing, moisture, seal and packaging integrity, sterile indicator if present, and expiration dates.
    • Maintains sterile integrity of all items and fluids introduced onto the field.
    • Monitors sterile field for events that may contaminate field and corrective action initiated.
    • When moving within or around a sterile field does so in a manner to maintain the integrity of the sterile field.
    • Prior to use, all equipment is visually checked for fraying of cords and plugs or other damage.
    • When turning on machine, confirms self test pattern as necessary.
    • Anticipates need for equipment and supplies as evidenced by no delays in procedures.
    • Knows the order in use of material and supplies.
    • Reports changes in temperature of room to appropriate person.
    • Perceptive to patient’s sensory environment.
    • Monitors, evaluates and revised preference cards.
    • Contributes to the individualized, ongoing delivery of care with in the scope of practice.
    • Maintains flexibility and appropriate response to changes in priorities, established plans, goals or time frames.
    • Supports the decisions and actions of the Manager or Charge Nurse. Respects others.
    • Participates in departmental QI program including confidential occurrence reporting.
    • Perform other duties as assigned. Must be HIPAA compliant.
  •  
  • MINIMUM QUALIFICATIONS: 
    • Experience:
      • Preferred, one year of Operating Room experience working as an OR technician in a hospital setting.
    • License(s):
      • Active within the State of Colorado Surgical Technologist Registry
    • Certification(s):
      • Certification from ASTI (Association of Surgical Technologists, Inc.) preferred.
        Basic Life Support (BLS) by American Heart Association.
    • Computer / Typing:
      • Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
    • Must have working knowledge of the English language, including reading, writing, and speaking English.
    • Education:
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