Description :

CAN Community Health, one of the nation's largest providers of HIV Services, has an exciting opportunity for a Medical Case Manager for our South Beach, FL clinic.

Bilingual English and Spanish preferred.

We are looking for someone who is passionate about serving the needs of individuals impacted by HIV and other infectious diseases.

You will become part of our professional team that drives home our Company's Mission and Values. We offer a good quality of life with an excellent schedule, competitive pay with a bonus plan, premiere benefits package with a retirement plan with a generous company matching contribution.

We have received recognition in 2023, 2022, 2021, 2019, & 2018 NPT's Best Non-Profit to Work for Award.

CAN is a Drug-Free Workplace. All potential hires will be required to take and clear a pre-employment drug screen upon job offer.

Starting Rate : $49,000 K based upon education level, background, and experience.

You can find out more about us by visiting our website at cancommunityhealth.org. Apply Today!

Statement of Purpose : Provides outpatient HIV medical case management services and patient advocacy through education, counseling, advocacy, benefits assessment and enrollment, and coordination of services.

Ensures patient access to essential medications, medical care and support services.

Primary Tasks : Medical Case Manager

• Screen all clients for program eligibility, completes biannual reassessments for eligibility enrollment.
• Verifies insurance coverage and coordinates the necessary pre-authorizations.
• Develops, coordinates and implements individual plans of care biannually.
• Provide referrals, linkage and coordination of services to community partners in accordance with local, state and federal program guidelines.
• Responsible for Ryan White, HOPWA and ADAP Premium Plus case management and all other case management assignments.
• Provides access to case management services in a variety of confidential locations including the clinic and patients' home.
• Ensures the integrity of case management records through the audit review process.
• Accurately document all client encounters within software applications.
• Submit timely and accurate monthly billing documentation and maintains client case management files.
• Processing needed paperwork for Patient Assistance Program.
• Complies with all program requirements as well as up to date with all changes of the programs.
• Collaborates with clinic team members to coordinate patient services.
• Processes documentation required by state and local funding sources as required.
• Maintains confidentiality regarding patient and / or family in accordance with professional standards and applicable laws.
• Promotes and practices CAN Community Health, Inc.'s mission and values, and follows its policies and procedures.
• Ensures confidentiality is maintained by case management team regarding patient / client information in accordance with HIPAA, professional and departmental standards.

Secondary Tasks : Medical Case Manager

• Cross trains for effective team participation.
• Develops and fosters networking relationships with community and support resources.
• Practices safety, environmental and / or infection control methods.
• Continues professional training and education to advance knowledge and skills of HIV / AIDS.
• Participates in continuous quality improvement of services rendered to CAN clients.
• Utilizes resources and supplies in a cost-effective manner.
• Demonstrates courtesy and respect in all interpersonal relationships with CAN clients, staff and visitors.
• Maintains professional manner in all aspects of job tasks.
• Performs all other duties assigned.

Reports To : Director of Case Management

Requirements :

Knowledge, Skills and Abilities Required : Medical Case Manager

• Effective communication and interpersonal skills with patients, visitors and staff members.
• Ability to utilize problem-solving techniques, a self-starter, work effectively, organized and perform multiple tasks simultaneously.
• Ability to read, understand, follow and enforce safety procedures.
• Demonstrates appropriate organizational skills.
• Willingness to utilize computer software programs
• Accurately coordinate several tasks at one time.
• Able to work with minimal direct supervision.
• Must be able to travel to conferences, training sessions, meetings, etc.
• Bilingual English & Spanish preferred but not required.

Education / Professional : Medical Case Manager

• Bachelor's degree from an accredited school or equivalent experience in social services.
• HIV prevention and intervention experience.

Physical Demands : Medical Case Manager

• Neat, professional appearance.
• Exerts up to 10 lbs. of force frequently, and / or a negligible amount of force constantly in lift, carry, push, pull, or otherwise move objects, including the human body.

Involves sitting most of the time but may involve walking or standing for brief periods of time.

Requires expressing or exchanging ideas by means of spoken word, visual and auditory acuity.

Work Environment : Medical Case Manager

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers and various software programs, teles, photocopiers, filing cabinets and fax machines.

Position Type / Expected Hours of Work : Medical Case Manager

This position may require overtime during peak periods.

Other Duties : Medical Case Manager

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of an employee of this job.

Duties, responsibilities and activities may change at any time with or without notice.

CAN is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

PI223643921

HCA Florida Mercy Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues.

The available plans and programs include :

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

What you will do in this role :

• You will lead clinical performance expectations that support the goals of consistent clinical performance and practice standards across the facility to ensure superior clinical outcomes and unparalleled patient experience
• You will work with Hospital Chief Medical Officers, Chief Executive Offers, medical staff, and Boards of Directors to improve the functionality and effectiveness of the hospital medical staff organization
• You will partners with medical staffs and hospital management teams, facilitating teamwork and shared goals. Represents medical staff viewpoints to management and relays management viewpoints to medical staff by establishing and maintaining mutually beneficial relationships between HCA leadership and community and / or employed physicians.
• You will provide clinical support and consultation regarding cost-effective clinical resource management in the facilities by sharing reports and recommendations regarding how to reduce the variable cost per case while maintaining and enhancing clinical effectiveness
• You will create a data-driven environment of quality and cost improvement, and develops systems to review utilization of resources and objectively measure outcomes of care in the inpatient and outpatient settings
• You will serve as a direct liaison between HCA-affiliated physicians and facility / corporate clinical services functions
• You will establish and maintain an ongoing program to orient and develop management expertise for Hospital Chiefs of Staff, Medical Executive Committees, and other medical staff leaders by providing oversight and leadership for all medical education programs
• You will lead educational sessions and provides ongoing in-service programs to facility medical staff regarding clinical resource management, appropriate documents standards, utilization and quality issues, and quality improvement activities, in collaboration with the Chief of Staff or other clinical leadership in the facility
• You will assemble regional physician advisory panels to provide ongoing feedback to HCA senior management, and serves as a liaison between committees and facility / corporate leadership, as well as to affiliated physicians
• You will serve as spokesperson to HCA hospitals and affiliated physicians to explain and obtain buy in for corporate-, group-, and facility-sponsored clinical initiatives
• You will collaborate daily with other facility and corporate CMOs
• You will educate physicians on HCA clinical technologies
• You will collaborate with HPG and Supply Chain on formulary and supply opportunities
• You will develop, implement, and monitor disruptive physician and impaired physician policies, and develops monitoring and intervention programs in the region
• You will provide recommendations in the development and / or revision of hospital policies and procedures pertinent to the medical staff and medical staff affairs
• You will serve as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization, and quality profiling.

Serves as a member of hospital's peer review committees as requested

• You will evaluates clinical appropriateness of new medical technologies and programs, and makes recommendations concerning the relevance of such technologies and programs to HCA hospitals
• You will serve as a resource and consultant to the Vice President Physician Services Group and / or Vice President Business Development in physician recruitment, clinical program development, and overall hospital strategy
• You will provide medical director services to facility-level physician credentialing, business development, and provider relations in contracting issues
• You will provide medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, discharge planning, case management, and utilization review / management
• You will consult with facility-level staff regarding delegated utilization management and disease management operations under managed care contracts.

You will meet all regulatory / contractual / accreditation requirements associated with these functions

• You will serve as a clinical resource and consultant to hospital case managers and hospital staff in the reduction of payer denials and in the denial and appeals process, as requested by the Case Management Department and Patient Accounting Services
• You will attend corporate, group, division, and national meetings sponsored by HCA corporate to train and support quality improvement, risk management, patient safety, case management, medical staff affairs, and physician relations activities
• You will promote consistent, positive patient interactions that advance the agenda of unparalleled patient service
• You will serve as a spokesperson for evidence-based clinical practice, patient safety, and clinical loss prevention to facility leadership and clinicians
• You will explain and promotes quality initiatives to HCA-affiliated medical staffs and physicians
• You will foster an environment of collaboration and partnership in the patient care enterprise
• You will serve as a key leader of the facility management team
• You will ensure clinical excellence is recognized and affirmed through quantifiable metrics in performance
• You will facilitate measurable improvement in physician and patient satisfaction
• You will perform other duties as assigned

What qualifications you will need :

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) required
• Master's degree in Business Administration, Healthcare Administration, or related field preferred
• 10+ years of experience in clinical practice required
• Experience as a CMO (or equivalent) in a large, complex hospital or regional health system preferred
• Current and clear medical licensure in any US state required
• Current or past Board Certification required

HCA Florida Mercy Hospital is a 488 bed facility which has been serving the healthcare needs of South Florida for over 50 years.

As a comprehensive healthcare facility, Mercy offers a full range of services to the residents of Miami-Dade county and surrounding communities.

Job Description & Requirements*Medical Director of Neonatology in FloridaStartDate : ASAPNicklaus Children's Hospital (NCH) seeks a Neonatology Medical Director to work at its 19-bed NCH Naples Hospital with a Level II NICU in highly desirable Naples, Florida.

NCH's future plans call for the development of a Level III NICU. The incoming medical director will also help with the expansion of the level and meet the final requirements for Level III designation under the new Florida guidelines.

NCH-Naples has a growing delivery service of approximately 3,500 deliveries per year.*About Nicklaus Children's Health System*Nicklaus Children's Hospital is renowned for excellence in all aspects of pediatric medicine and was ranked the #1 children's hospital in Florida by US News & World Report in its 2022-2023 Best Children's Hospitals ranking.

It's home to the largest pediatric teaching program in the southeastern United States. *Opportunity Highlights Join the region's only healthcare system exclusively for children * Work for the only hospital in the county offering labor and delivery services and 24-hour pediatric emergency care* Serving the county for over 60 years, NCH Naples provides inpatient and outpatient care for more than 30,000 children annually* Work 2-week blocks per month* Responsibilities include but are not limited to the scheduling of providers, policies / procedures and best practices, and other administrative duties*Community Information - Spectacular Quality of Life*Located on the desirable Gulf Coast, Naples, Florida, is an inviting community full of opportunity and adventure.

With breathtaking scenery all around and incredible weather throughout the year, this city offers an ideal quality of life for families and individuals alike.

Ranked the No. 12 Best Place to Live in the Country, the No. 1 Safest Place to Live, and the No. 6 Best Place to Retire (US News & World Report)* Overall grade of A and named one of the best places to live in Florida (Niche)* Reside where other people vacation* No state income tax* Safe communities with short commutes* A variety of housing options, including family-friendly neighborhoods and oceanfront homes* Excellent school system + incredible shops, restaurants, and cultural attractions* Picture-perfect white-sand beaches and serene ocean views* An abundance of outdoor recreation, including golfing on pristine courses and a variety of beach activities* Convenient access to an international airport* Less than 2 hours from MiamiPreferred QualificationsCandidates with at least 5 years of experience*Job Benefits About the Company*Merritt Hawkins, an AMN Healthcare company, is a permanent physician placement service that fills more physician jobs than any other firm.

In addition to being the nation s leader in physician employment search and consulting services, Merritt Hawkins also recruits and places select allied health professionals.

AMN Healthcare is an EEO / AA / Disability / Protected Veteran Employer. We encourage minority and female applicants to apply.

Neonatology, Neonatologist, Perinatal Medicine, Perinatal, Neonatal-Perinatal, Nicu, Intensive Care, Pediatrician, Pediatrics, Pediatric Care, Child Care, Internal Medicine, Internal Care, Physician, Healthcare, Health Care, Patient Care, Hospital, Medical

Current Employees :

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process.

To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.

LOCATION : UHEALTH TOWER

SHIFT SCHEDULE : 6 : 00PM - 6 : 30AM (12 Hour Shifts; Including Alternating Weekends)

The University of Miami Hospital has an exciting opportunity for a Full Time Patient Courier (U)(Transportation). The Patient Courier (U)(Transportation) is responsible for transporting patients safely and efficiently to and from all departments as coordinated.

CORE JOB FUNCTIONS :

• Transports patients efficiently and in a timely manner to and from the Department in accordance with department time standards as evidenced by random activity log audits.
• Responsible for performing various aide activities under the direction of a radiologic technologist, such as putting the patient on the exam table.
• Coordinates work to achieve maximum productivity and efficiency during the assigned shift.
• Accurately notes all patients' names by identifying them by their name and medical record number as evidenced by random observation by supervisor.
• Properly documents required information on floor log sheet for each transport perform ancillary department as monitored by random audits of logs.
• Check with patient's Nurse prior to the start of any activity / transport. Only transports patients with identification bracelets and following clearance from the patients' nurse
• Correctly stores all contrast media within the department
• Maintains patient's privacy during transport, utilizing sheets / blankets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS :

• High school diploma or equivalent
• BLS Certification
• Minimum of six months' experience as a courier in a hospital setting preferred

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine.

As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year.

Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination.

Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females / Minorities / Protected Veterans / Individuals with Disabilities are encouraged to apply.

Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status : Full time

Full time

Employee Type : Staff

Staff

Pay Grade :

Current Employees :

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click to log in to Workday to use the internal application process.

To learn how to apply for a faculty or staff position using the Career worklet, please review this .

LOCATION : UHEALTH TOWER

The University of Miami Hospital has an exciting opportunity for a Full Time Patient Courier (U)(Transportation). The Patient Courier (U)(Transportation) is responsible for transporting patients safely and efficiently to and from all departments as coordinated.

CORE JOB FUNCTIONS :

Transports patients efficiently and in a timely manner to and from the Department in accordance with department time standards as evidenced by random activity log audits.

Responsible for performing various aide activities under the direction of a radiologic technologist, such as putting the patient on the exam table.

Coordinates work to achieve maximum productivity and efficiency during the assigned shift.

Accurately notes all patients’ names by identifying them by their name and medical record number as evidenced by random observation by supervisor.

Properly documents required information on floor log sheet for each transport perform ancillary department as monitored by random audits of logs.

Check with patient's Nurse prior to the start of any activity / transport. Only transports patients with identification bracelets and following clearance from the patients’ nurse

Correctly stores all contrast media within the department

Maintains patient’s privacy during transport, utilizing sheets / blankets.

CORE QUALIFICATIONS :

High school diploma or equivalent

BLS Certification

Minimum of six months’ experience as a courier in a hospital setting preferred

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine.

As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year.

Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination.

Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females / Minorities / Protected Veterans / Individuals with Disabilities are encouraged to apply.

Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click for additional information.

Job Status : Full time

Full time

Employee Type : Staff

Staff

Pay Grade :