Job Description

Location: Novato

Employment Status: Full Time

Position Summary

The Quality Department Coordinator is responsible for the following:

Coordinate, schedule and arrange internal and provider meetings as needed, including reserving locations, coordinating and disseminating handouts and other printed/electronic meeting materials for director of care management, the Risk Adjustment Medical Director and the UM Medical Director.

Department administrative duties:

• Maintain meeting minutes and records
• Work with the Quality Manager to plan and schedule staff meetings
• Mailings and data entry for special projects.
• Appeals- work with the Utilization Review care management team to complete appeals
• Grievances- work with the director of care management and senior medical director to review and track grievances for quality reporting
• Assist any member of the Care Management department staff as needed

Principal Accountabilities

• Respects patients by recognizing their rights; maintaining confidentiality
• Treats all patients with dignity and respect
• Contributes to the team effort by accomplishing delegated tasks on time
• Understanding of different divisions under the care management department
• Administrative duties as assigned
• Understanding of completion of appeals and grievances

Go to application

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Job Requirements

Qualifications

• Bachelor’s degree in healthcare related field preferred, or equivalent combination of healthcare related work experience and education.
• 1 year of customer service experience in a front or back medical office/organization environment preferred.
• 1 year of patient care experience, Medicare or senior patients’ population preferred.

Skills and Requirements:

• Highly organized with proven effectiveness at time management.
• Skilled in the use of computers and multiple software systems.
• Detail oriented and systems-thinking.
• Clinical knowledge like medical terminology, and experience with electronic health records.
• Excellent team communication skills.
• Ability to follow through with tasks as assigned.
• Work experience in a health care setting preferred.
• Bachelor’s Degree in a health-related field a plus.

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Job Description

Location: Novato

Employment Status: Full-Time

General Statement of Duties

Prepares consolidated financial statements including balance sheets, income statements, and cash flow statements. Reviews and analyzes account balances, verifies accuracy, prepares reconciliations and other supporting schedules, investigates issues and makes recommendations for corrections. Develops and enhances accounting/finance applications and reports based on management needs for performance measurement. Provides guidance, assistance and back-up to other accounting and support staff as required/assigned, including revenue, accounts receivable/payable, payroll, and provider compensation.

Essential Job Responsibilities                                                                            

• Supports month-end and year-end close processes and prepares accurate, timely financial statements in accordance with established schedule
• Performs regular general ledger updates and maintenance using Microsoft Dynamics GP accounting software
• Conducts monthly and quarterly account balance reconciliations to ensure accurate reporting
• Analyzes financial statements for discrepancies and other issues that should be brought to the CFO’s attention
• Participates in budgeting processes and prepares budget variance reports and analysis
• Assists CFO with preparation for annual audits
• Develops and documents policies and procedures to maintain and strengthen department processes and internal controls
• Conducts other finance-related analysis and prepares reports to support management objectives
• Assists with the training of department staff, cross-trains to provide back-up for other finance department processes
• Adheres to required GAAP standards

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Job Requirements

Education, Experience and Qualifications

• Bachelor’s degree in accounting or a combination of experience and education.
• Minimum 5 years of current professional hands-on accounting experience, health care organization or managed care environment preferred. Additional experience with accounts payable and payroll is a bonus.
• Ability to work at an advanced level with Excel and accounting applications (Microsoft Dynamics Great Plains or similar). ADP Payroll experience a plus
• Ability to perform mathematical computations and compute ratios and percentages.
• Skill in defining problems, collecting data, interpreting financial material.
• Skill in preparing statistical and narrative accounting and auditing reports
• Ability to communicate clearly and to maintain effective working relationships.

 

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Job Description

Location: Novato

Employment Status: Full-Time - Benefits Eligible

General Summary
This position coordinates utilization review and case management activities for commercial and Medicare enrollees. The Utilization Review Nurse is knowledgeable about the Nurse Practice Act, NCQA, Millman Care Guides, and the Center for Medicare and Medicaid, HMO timeliness rules and pertinent state and federal regulations.

Principle Accountabilities

• Review routine referral/service requests on assigned patients in accordance with NCQA timeliness standards and health plan benefit structure.
• Prepares and presents cases for medical director review in a concise, objective and organized manner.
• Assists with identifying patterns and trends and develops and implements corrective actions when necessary.
• Educates and supports members in accessing care using their HMO and Medicare Advantage benefits as needed.
• Identifies and refers patients to disease management, wellness programs and community resources whenever relevant.
• Assesses members’ physical, psychological, social, environmental, financial and functional status as necessary and informs the patient’s treating physician of clinically relevant findings.
• Collaborates with the oncurrent review.

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Job Requirements

Education:
• Current California RN License with no restrictions
• BSN Preferred

Experience:
• Minimum five years of clinical experience.
• Experience strongly preferred in one or more of the following: HMO, Health plan, Medicare, Utilization Management, Case Management

Knowledge, Skills, and Competencies
• Ability to understand and facilitate communication among team members, patients, families, physicians and medical office staff.
• Ability to communicate effectively with contracted health plans and meet required turn around times
• Good clinical judgment, critical thinking skills and independent problem resolution
• Ability to organize and prioritize workload
• Good working knowledge of Microsoft Office, Outlook, EHR, prior Health Care Management/authorization software.

We invite you to view “our benefits” link on the Careers home page.

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Job Description

Location: Core PT-San Rafael

Employment Status: Per Diem

General Summary
This administrative physical therapy staff position is a combined position that incorporates both “front” office and “back” office (P.T. Aide) roles and responsibilities. Prior PT office experience is preferred but we are willing to train the right candidate.
• Greet patients, check them in for appointments, answer general questions, issue paperwork and assist with completion if indicated; notify physical therapists of each patient’s arrival.
• Answer phones, log all patient issues into electronic documentation system as they occur.
• Verify insurance eligibility and independently clarify questions/obtain answers from insurance plan representatives.
• Determine and collect correct co-payment amounts. Enter billing charges into system.
• Schedule new patient and follow up appointments.
• Enter authorization requests for continued physical therapy

Physical Therapy Aide Duties
• Help maintain lobby, and treatment areas.
• Change linens in rooms between patients as therapists don’t use sheets with every patient.
• Assist patients with set up and on/off gym equipment as directed by physical therapist.
• Perform ultrasound, light therapy treatments as directed by physical therapist.
• Set up/remove patients from other modalities. Set timers and check on patients as needed.
• Set up treatment rooms in preparation for specific patients.
• Act as a stand-by assist for physical therapist during client treatments as needed.
• Monitor treatment timers.
• Other duties as required.

Go to application

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Job Requirements

Qualifications
• Prior work experience as a Receptionist, Medical Office or similar role
• Working knowledge of medical office software/EHR. Proficiency in Microsoft Office Suite with accurate keyboarding skills
• Hands-on experience with office equipment (e.g. fax machines and printers)
• Professional attitude and appearance
• Solid written and verbal communication skills
• Ability to be resourceful and proactive when issues arise
• Excellent organizational skills
• Multitasking and time-management skills, with the ability to prioritize tasks
• Customer service attitude

Per Diem employees are eligible to participate in 401k with employer match, Employee Assistance Program and receive 3 days of Paid Sick Leave.

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