Melanie Williams

Weekly Margin: $307 - $344 Job Post: https://recruiting.paylocity.com/recruiting/jobs/Details/4167609/Centers-for-Advanced-Urology/Clinical-Manager *Keystone Urology is a part of MidLantic Urology which is a part of Solaris Health. Large company, great benefits. The common person will know this facility as Keystone Urology. *We have direct contact with the Regional Director. They arent getting any internal traction. Positions: 2 are true RTH and 1 is temp for about 14 weeks. There is a possibility that 3rd position would convert perm but no guarantee. They are VERY busy and short staffed right now so it would depend on the volume in a few months. Still need to sell the last one as contract. Job Duties:

• From the Director: floor nurse, rooming patients, GI procedures in office, catheter changes, administering bladder installations, clinical trials, vitals (height, weight, manual BP), medication reconciliation/verify changes to meds
• Assessment and Documentation of New and Established Patient/Consult: Review patient history, including prior medical/surgical and urological history.
• Requires thorough documentation and assessment in an appropriate time frame.
• Review available information obtained by other health care team members, internal and external.
• Requires performance of nursing skills present in the urological clinic and knowledge of laboratory services and their requirements.
• Recognition of recent and prior diagnostic test results having relevance to patient current urological health history is needed.
• Collaborates with surgical scheduling department regarding patient preparation, required clearances, review and reporting of abnormal pretesting results and complex questions issues relating to surgical procedure for office surgical procedures and hospital procedures.
• Provides direct surgical assistance with urological office procedures.
• Provides delegation and oversight to direct and indirect care delivery of physician team.
• Provide urological educational requirements to the urological patient.
• Assists physician with patient examination as needed.
• Reviews physician's orders, lab requests, or follow-up needs with patient.
• Performs any treatments per physician orders, including, but not limited to, administration of medications, dressing changes and catheterizations.
• Observes patients and reports adverse reactions to medication or treatment to medical personnel in charge.
• Performs blood draws.
• Uses proper handling and disposal of all medications, chemical substances, needles, syringes, etc. used in the course of patient treatment. Sterilizes equipment and supplies as needed.
• Responds to patient telephone inquiries by evaluating and responding to the patient's problems and questions; screens for same day add on to daily schedule as needed.
• Follows up with patients on lab results, including the scheduling of any additional tests.

Schedule: Mon - Fri 7:30am - 4:30/5:00pm depending on the last patient Estimated Start Date: ASAP but will work with a notice if needed. Possibly will start pending BGC, no DT required! Interview Process and Manager Availability: Onsite with Truong Le, Manager. Leslie Lopez, Regional Director, will also be on via Teams. Minimum Requirements:

• BLS certification
• Clear and active LPN license with no disciplines
• 1+ years experience as a clinic nurse
• Need to be okay in a chaotic environment. They are short staffed so everyone is jumping in where needed. If you find someone who needs a solid 4 weeks training with a schedule, please do not submit.

Preferred Requirements:

• ACLS

Onboarding note for recruiters: 

• Able docs, BGC and Pennsylvania fingerprints (much easier of a process than AHCA). They only have to complete them, provide the receipt to onboarding and we can start them pending results. No DT for this client!

Submittal Requirements:

• HCS letterhead with no contact info
• No RTR needed

Senior Claims Auditing Manager HealthCare Support is seeking a Senior Claims Auditing Manager to be part of a physician-centric, technology-powered healthcare management company in Monterey Park, CA!   Compensation:

• $125K - $140K annually (depending on experience)

Shift: Monday through Friday, standard business hours (PST)  Benefits:

• Medical, dental, and vision coverage
• Complimentary access health plan option to employees
• Paid time off
• 401(k) match
• Employee Stock Purchase Plan

Daily Responsibilities:

• The Senior Claims Manager, Claims Delegation Oversight, is responsible for leading and overseeing all delegated claims audit activities, including audits conducted by external health plan partners and regulatory agencies. This role drives the development and execution of departmental strategies, manages the overall audit program, and focuses on optimizing audit processes. They will leverage data and technology to enhance claims quality while reducing operational costs.

Qualifications:

• Bachelor’s degree (BA/BS) or equivalent combination of education and experience
• 3+ years of claims administration experience within an IPA or MSO environment
• 3+ years of experience supporting or overseeing delegation audits
• 3+ years of people leadership experience, including coaching and performance management
• Hands-on claims auditing experience, including root cause analysis and corrective action management
• Have advanced knowledge of CMS, DHCS, DMHC, Medicare, and Medicaid regulations impacting claims adjudication
• Strong understanding of claims payment methodologies (e.g., RBRVS, DRG/AP-DRG, APC, Medicare/Medicaid fee schedules)

Interested in this opportunity? Click Apply Now for immediate consideration, or reach out to our Recruiter, Melanie Williams with any questions:  

• Call: (407) 346-0844
• Email: [email protected]

Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law. #LI-Hybrid #LI-MW1