Overview of Data Operations & Architecture Department

Recognising the efficacy of big data and artificial intelligence in optimising sharper insights and outcomes for public health, the Data Operations and Architecture Department will take a proactive role to drive the design of a 360-view citizen-centric data architecture and the implementation of data operations to support and facilitate an evidence-based, data-driven approach to programme delivery. The department will set up and implement data architecture and structuring, cleaning and validation of big data from diverse HPB and partners’ data sources (e.g. food transaction data, sports attendance data, screening and sensor data) to facilitate data feature engineering use cases pivotal to downstream data exploitation. The department will also be involved in strategic collaborations with partners (e.g. public healthcare and data science institutions, academics and technology players) to bring in their data and expertise onto the data operations to benefit citizens.

We are looking for dynamic and enthusiastic individuals, with strong data engineering and data science skills and project delivery experience, to join us on this pioneering journey to build a more data-driven HPB. You will be pivotal in helping to set up and implement a robust data engineering pipeline that can integrate the vast wealth of data HPB has through its numerous data sources. A robust data pipeline ensures that changes from the data sources does not impact the timely delivery of high quality data to our business users.

Given the diversity of data collected from our lifestyle programmes, data science approaches such as machine learning will also be deployed to support the data engineering process. For example, we have build and included machine learning ops to help with standardising event names.

Responsibilities

• Design optimal data structures for strategic datasets and drive data engineering processes related to data ingestion, data imputation, data transformation and integration to facilitate data science and analytics use cases
• Build optimised, test driven codes to achieve the above mentioned
• Translate research and analytics questions into data features to facilitate dashboarding, model training, analytics, and data science applications
• Build test case on code to ensure that all codes are built to perfection
• Project manage and be the overall lead for engagement to bring together HPB vendors, partners, IT and business teams to plan, set timelines and drive processes that enable timely delivery of the data engineering pipeline guided by business needs
• Lead internal cross-functional teams to integrate, process and engineer disparate datasets into structured and meaningful variables to facilitate machine learning and data science use cases
• Lead the preparation of materials to update senior management periodically on progress of the project and surface issues and challenges for collective deliberation and decision-making

Qualifications and skillsets

• Bachelor/Masters degree in Computer Science, Engineering or Information Systems with major / project experience in data science and/or business analytics from a recognised university. Professional certifications in data engineering from accredited professional bodies will be highly desirable.
• Minimum 3-5 years of relevant project management and delivery experience. Experience in end-to-end deployment of data engineering projects in production environment preferred.
• Proficiency in the use of Python and/or Power BI
• Experience working on data engineering, and/or database architectural work
• Experience working on a few of the following component in the data pipeline: data ETL, data cleaning, data modelling, and feature engineering.
• Able to work in a fast-paced matrix environment, overseeing multiple projects at the same time
• Good communication skills and able to communicate and express complex data/concepts in a clear and simple-to-understand manner
• Have the drive, commitment, and perseverance to do well and have strong intellectual curiosity to learn and seek continuous improvements in the work assigned
• Experience in Big Data technologies e.g. Hadoop and Spark Ecosystems will be desirable
• Experience with test-driven development will be desirable
• Take an interest in digital health and healthcare

Job Description:

Seeking Emergency Department Case Manager! 

If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!

Baptist Health is an Equal Employment Opportunity employer.

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Weekly Scheduled Hours

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CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

Job Description:

Seeking Case Manager! 

If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!

Baptist Health is an Equal Employment Opportunity employer.

Job Description:

Full Time 40 weekly hours, day shift

Job Summary:

The manager is responsible for the overall development and management of the Cooperative Care Program.

Principal Duties and Responsibilities:

The following is a summary of the major functions of this individual's job. He or she may perform other duties, both major and minor, which are not mentioned below, and specific functions may change from time to time.

Develops and continuously evaluates the Cooperative Care Program for cost-effective, quality outcomes. Implements changes as needed.

2. Maintains knowledge of current and future trends in the health care environment, including a working knowledge of payer’s policies and requirements.

3. Responsible for the utilization management activities of the department.

4. Develops effective relationships with physicians, corporate leadership and all other parties who routinely interact with the case management department.

5. Attends designated medical staff meetings.

6. Ensures accuracy of all data gathered and analyzed in the department.

7. Serves as a hospital liaison to third party payers.

8. Identifies practice patterns that can lead to quality and utilization improvement in conjunction with physician advisor and medical director.

9. Facilitates compliance with regulatory agency standards.

10. Assists with preparation and compliance of annual capital, expense and FTE budgets.

11. Participates in recruitment/retention efforts; interviewing/hiring of new staff and evaluating performance of Cooperative Care Program staff.

12. Responsible for supporting and utilizing the concepts of quality performance improvement.

13. Provides leadership and serves as a professional resource to ensure development of excellence within the department.

14. Develops staff and patient education and orientation programs related to CCP functions.

15. Exhibits creativity to devise new approaches for complex, novel or previously unsolved problems.

16. Demonstrates diplomatic interactions with internal and external customers.

17. Facilitates good communication with employees.

18. Completes administrative function in the absence of the director.

19. Maintains confidentiality of patient and physician related information.

Minimum Education, Training and Experience Required:

A. Active Kentucky RN license required.

B. Minimum of five years clinical experience and five years of case management experience.

C. CCM required.

D. Previous management experience required.

If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!

Baptist Health is an Equal Employment Opportunity employer.

Job Description:

Full Time 40 weekly hours, 2nd shift - rotating weekends and holidays

If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!

Baptist Health is an Equal Employment Opportunity employer.

Are you looking for a career that will make an impact?

The Performance and Readiness Division under the Leidos Health & Civil Sector has a unique opportunity for a Laboratory Manager to support the Warfighter Performance Department within the Operational Readiness Directorate at the Naval Health Research Center (NHRC) in San Diego, CA. The Warfighter Performance Department’s research mission is to optimize human performance, recovery, resilience, and injury prevention. The Laboratory Manager will work closely with NHRC leadership, Government Principal Investigators, and government and contractor project leads to provide lead management support for the NHRC’s Warfighter Performance Department in the management, operation, and maintenance of the NHRC Warfighter Performance Laboratory.

Are you ready for unique and exciting work?

The Warfighter Performance Laboratory includes but is not limited to a Thermal Physiology Laboratory, a Sleep Research Laboratory, a Large Scale Immersive Virtual Reality Laboratory, a Body Composition Laboratory, as well as supplies and equipment to create modifiable, transportable, field-based Warfighter Performance laboratories.

Primary Responsibilities

• Create and maintain inventory records of research equipment and supplies, and ensure records and items are available for turnover to government at any time requested by the government or Leidos management

• Maintain laboratory equipment and develop standard operating procedures pertaining to appropriate handling and storage of equipment. Provide trainings to staff on proper handling and storage of equipment as needed.

• Communicate with the command safety officer to ensure the department is in compliance with command safety standards, this includes keeping trainings up to date, providing monthly briefs, and attending zone inspections.

• Using subject matter expertise, work with government staff, principal investigators, and contract team members to determine solutions to difficult research equipment and logistics problems/questions

• Work effectively with military, government, and contract leadership to determine needs related to laboratory and equipment concerns and determine solutions to resolve any such concerns

• Troubleshoot human performance laboratory equipment and determine solutions for repair using subject matter expertise. Equipment includes but is not limited to: environmental chamber, body composition machines, immersive virtual environments, exercise equipment, and office equipment.

• Create statements of work for laboratory and equipment contract and subcontract needs, working with the government customer and contract teams leads to determine appropriate needs

• Communicate with vendors for maintenance and repair of laboratory equipment, and ensure all agreements and procurement of services is requested through the government and Leidos approved procedures

• Determine required supplies, equipment, and maintenance contracts, route for approval from government and Leidos

• Serve as a Purchase Card holder to make purchases for department and directorate

• Serve as a Purchase Requestor and Goods Recipient as needed for purchases

• Serve as a Technical Point-of-Contact for laboratory and equipment related subcontracts and purchase orders

• Serve as a custodian for equipment and supplies

• Serve as a Building Monitor, working with the government customer to ensure laboratory spaces are meeting federal requirements; attend building walk-throughs with government staff

• Regularly complete status reports as needed for command and Leidos requirements; present status updates at meetings as required

• Attend meetings with customer and customer representatives

• Perform other duties and responsibilities as required for the customer research mission.

• Comply with all required Leidos and Government requirements and complete required certifications and trainings.

• Lead and support tours and inspections of laboratory spaces

• Travel as needed for customer related meetings and data collection sessions

• Support Leidos business development efforts such as contributing subject matter expertise.

• Model Leidos Values at all times.

If this sounds like an environment where you can thrive, keep reading for the keys to success!

Required Education, Knowledge, Skills and Abilities

• High School Diploma plus 8 years or more of relevant laboratory equipment experience, operating, maintaining, and managing equipment and systems like those listed above.

• Excellent critical thinking with problem-solving skills and an ability to work cooperatively in a team setting.

• Proven flexibility and performance success in responding to changing demands, timelines, and priorities.

• Must be able to work on the military customer site at Naval Health Research Center full time, as well as collaborating local military bases within 50 miles of Naval Health Research Center (such as Marine Corps Air Station Miramar, Naval Air Station North Island, Marine Corps Recruit Depot, and others)

• Must be able to travel (locations greater than 50 miles from Naval Health Research Center) as needed for meetings and data collection efforts (approximately 10% time)

• Must be willing to work overnight, on weekends, and on holidays as needed for urgent research data collection laboratory needs

• US Citizenship required.  Must be able to obtain and maintain a SECRET government security clearance.

Preferred Qualifications

• At least 10 years of experience working in a human performance laboratory

• Active Duty military experience

• Experience working with military populations and in a military setting

• Active Secret Clearance

Naval Health West - NHW

Original Posting Date:

While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above.

Pay Range:

The Leidos pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

Current Employees:

If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Job Summary

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Assists with the leadership of the department by effectively managing and supervising personnel, promoting a positive, professional attitude and high quality care.
• Consistently serves as a resource person for nursing staff, ancillary personnel, and/or community, as evidenced by observation and feedback.
• Demonstrates a clear understanding of the organization's financial practices relevant to the department operations.
• Evaluates and adjusts staffing requirements to maintain identified standards and to promote safe patient care as evidenced by observation and feedback. Participates in the provision of appropriate scheduling activities utilizing age specific growth and development guidelines.
• Responsible for coordinating and assisting with the day-to-day operation of the organization/department to promote the delivery of quality services according to established policies.
• Assists with the development of strategies that promote regulatory compliance, best practices, and positive survey outcomes.
• Demonstrates effective fiscal management through cost containment measures while ensuring high quality, cost effective care is being provided to patients.
• Performs data compilation and monitors and analyzes quality, safety, and financial data to evaluate quality of care/performance achieved. Identifies trends and patterns, recommends opportunities for improvement, and communicates performance outcomes information to appropriate boards, committees, organizations, departments, and personnel. Collaborates with staff who collect data and perform data queries to ensure complete, accurate data is available for review and analysis.
• Collaborates with providers, directors, and other disciplines in the development of long range plans.
• Supplies and equipment are maintained to support current unit practices.
• All other duties as assigned.

Additional Requirements

Required:
Certification - Registered Nurse (RN) - South Dakota Board of Nursing

Education - Bachelors degree in Nursing

Experience - 6+ months of Dialysis Experience

Preferred:
Experience - 1+ years of Dialysis Experience; 1+ years of Healthcare Experience; 1+ years of Management Experience; 1+ years of Registered Nurse Experience

Job Category

Job Family

Department

Scheduled Weekly Hours

Shift

Employee Type

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Responsibilities include work scheduling, evaluating employee performance and managing employee relations. In addition, the nurse manager is responsible for the quality of work, staff productivity, team morale, nursing unit budget, physician collaboration, and employee adherence to facility and departmental policies, procedures, and guidelines. Assist with resident care as needed in the absence of regular staff, to include but not limited to pushing medication cart, passing medications to residents. Nurse Managers are also required to carry and respond to the on-call phone for increments of 7 days every 4 weeks or as needed.

This position is eligible for a sign on bonus of up to $5,500 and relocation assistance of up to $5,000!

What you will do

• Assures the comprehensive care plan is maintained in conjunction with other disciplines by coordinating with other services such as rehabilitation, social services, activities, dietary, pharmacy, consulting physicians etc.
• Expense are routinely controlled and range between 0-5% of total monthly budget for department.
• Ensures the implementation of an effective and ongoing quality assurance program to monitor, evaluate, and improve operations and services.
• Follows facility policy and procedures designed to promote resident and employee safety and reduce health care related injuries. Promotes employee compliance with these policies and procedures.
• Responsible for the on boarding, orientation and supervision of the nursing staff to ensure safe work practices.
• Ensures the compliance to regulatory statutes, standards of care, and job performance and competency standards.
• Overtime hours as a percentage of total paid hours for areas managed by this Supervisor will be 2% or less.
• Participates in professional activities, in-service programs, and committee assignments to enhance personal, professional, and institutional advancement.

Qualifications

Education

• Program Graduate, Professional Nurse (Required)
• Bachelors Degree, Professional Nurse (Preferred)

Experience

• 2 years RN or LPN Experience (Required)
• 2 years Supervisory experience (Preferred)

Licenses and Certifications

• Registered Nurse (RN) - State Department of Health Professions Upon Hire(Required)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

To read and review this privacy notice click here

We are hiring for:

Type:

If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!  

Pay: $15.00-$22.00

Location: Alexander County

Required Education/Experience:

Education- High School Diploma or equivalent; Must be at least 18 years of age

Experience- Must meet at least one of the following requirements:

o Be a person with lived experience with an I/DD or a TBI with demonstrated knowledge of and direct personal experience navigating the North Carolina Medicaid delivery system.*

OR

o Be a person with lived experience with a behavioral health condition and a Certified Peer Support Specialists.

OR

o  Be a parent or guardian of an individual with an I/DD or a TBI or a behavioral health condition and has at least two years of direct experience providing care for and navigating the Medicaid delivery system on behalf of that individual (parent/guardian cannot serve as an extender for their family member).*

OR

Have two (2) years of paid experience performing the following types of functions, with at least one year of paid experience working directly with the Tailored Care Management eligible population: 

• Performing general outreach, engagement, and follow-up with members 
• Coordinating services/appointments (e.g., appointment/wellness reminders, arranging transportation) 
• Engaging in health promotion activities (as defined in the Tailored Care Management Provider Manual) and knowledge sharing 
• Sharing information with the care manager and other members of the care team on the member’s circumstances 
• Providing and tracking referrals and providing information and assistance in obtaining and maintaining community-based resources and social support services 
• Participating in case conferences 
• Support the care manager in assessing and addressing unmet health-related resource needs 

License:

• Must have Valid Driver's License

Essential Job Related Responsibilities

• Care Management Service Delivery –  Performs general outreach, engagement, and follow-up with members; coordinates services/appointments (e.g., appointment/wellness reminders, arranging transportation); Engages in health promotion activities (as defined in the Tailored Care Management Provider Manual) and knowledge sharing; shares information with the care manager and other members of the care team on the member’s circumstances; Provides and tracks referrals and providing information and assistance in obtaining and maintaining community-based resources and social support services; Participates in case conferences; supports the care manager in assessing and addressing unmet health-related resource needs. Implements workflows, policies and procedures, and documentation standards that promote whole person care.. Maintains a positive and professional image in the work setting and community.  Follows policies and procedures to ensure accountability of service delivery.
• Best Practices – Demonstrates a passion for positive change by continuously improving and defining innovative care management interventions.  Stays up to date with current best practices and keeps the team continuously informed about best practice innovations.
• Cross-functional Collaboration - Collaborates cross-functionally with other Integrated Care Team members, community organizations and RHA departments to ensure success of Care Management implementation.
• Person-Centered Approach – Maintains a person-centered philosophy focusing on an individual’s strengths, needs, and preferences that promote health, wellness, and safety.  Fosters a person-centered culture with Care Management Teams to optimize individual education around self-management, disease management, and integrated healthcare planning. 
• Quality Assurance and Use Of Data - Implements the strategic use of data to support delivery of effective, integrated, and well-coordinated care management services..  Ensures individual data sharing and storage consistent with state and company policies.
• Maintains a Safe and Healthy Environment- Implements all organization health and safety policies and procedures. 
• Financial Performance -   responsible for documenting services provided in a timely manner in order to be appropriately accounted for reimbursement purposes
• Ensures proactive and effective communication - Establishes and maintains frequent and regular communication with persons supported, family members, other team members and colleagues.  Fosters open communication and feedback. Helps maintain focus on care planning goals and outcomes. Establishes and maintains strong external relationships, to include providers, community organizations, and Clinically Integrated Networks (CIN). 
• Ethics & Compliance – Supports and participates in an ethical culture in conjunction with the RHA Code of Conduct and Ethics and Compliance Program, emphasizing confidentiality and no retaliation policies.  Directs the confidential and immediate investigation into allegations of abuse, neglect, exploitation, theft, fraud, waste, misconduct, and violations of ethics and compliance practices according to company policy. Ensures protections of individuals served during investigations.  Ensures all external reporting requirements are followed.  Ensures adequate follow- through on recommendations from investigation reports. Participates as assigned as designated members  to Quality Improvement Committee, Quality Assurance Committee, Quality Management Team, Safety, Task Force and Human Rights Committee meetings.

#caremanagement

#indcare

Pre-employment screening:

• Complete criminal background
• Name checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities)
• Drug testing
• Education verification and other credentialing based on position requirements.
• Proof of employment history or references (if required)
• Positions that require driving Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals.

We offer the following benefits to employees:

• Payactiv: early access to the money you’ve earned from hours you’ve already worked, before payday!
• Employee perks and discount program: to help you save money!
• Paid Time Off (full-time employees only)
• Health/Insurance (full-time employees only)
• 401(k) retirement savings program
• Wellbeing Programs: Physical, Emotional and Financial
• Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
• Training: Free CPR, first aid, and job-specific training opportunities

*contract/contingent workers and interns do not qualify for any of the above benefits

EEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.

About RHA:

At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes.

For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey.

If you are ready to make a difference in the lives of people we serve and support apply to join the team today.

We are hiring for:

Type:

If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!  

Pay: $15.00-$22.00

Location: Mitchell and McDowell County

Required Education/Experience:

Education- High School Diploma or equivalent; Must be at least 18 years of age

Experience- Must meet at least one of the following requirements:

o Be a person with lived experience with an I/DD or a TBI with demonstrated knowledge of and direct personal experience navigating the North Carolina Medicaid delivery system.*

OR

o Be a person with lived experience with a behavioral health condition and a Certified Peer Support Specialists.

OR

o  Be a parent or guardian of an individual with an I/DD or a TBI or a behavioral health condition and has at least two years of direct experience providing care for and navigating the Medicaid delivery system on behalf of that individual (parent/guardian cannot serve as an extender for their family member).*

OR

Have two (2) years of paid experience performing the following types of functions, with at least one year of paid experience working directly with the Tailored Care Management eligible population: 

• Performing general outreach, engagement, and follow-up with members 
• Coordinating services/appointments (e.g., appointment/wellness reminders, arranging transportation) 
• Engaging in health promotion activities (as defined in the Tailored Care Management Provider Manual) and knowledge sharing 
• Sharing information with the care manager and other members of the care team on the member’s circumstances 
• Providing and tracking referrals and providing information and assistance in obtaining and maintaining community-based resources and social support services 
• Participating in case conferences 
• Support the care manager in assessing and addressing unmet health-related resource needs 

License:

• Must have Valid Driver's License

Essential Job Related Responsibilities

• Care Management Service Delivery –  Performs general outreach, engagement, and follow-up with members; coordinates services/appointments (e.g., appointment/wellness reminders, arranging transportation); Engages in health promotion activities (as defined in the Tailored Care Management Provider Manual) and knowledge sharing; shares information with the care manager and other members of the care team on the member’s circumstances; Provides and tracks referrals and providing information and assistance in obtaining and maintaining community-based resources and social support services; Participates in case conferences; supports the care manager in assessing and addressing unmet health-related resource needs. Implements workflows, policies and procedures, and documentation standards that promote whole person care.. Maintains a positive and professional image in the work setting and community.  Follows policies and procedures to ensure accountability of service delivery.
• Best Practices – Demonstrates a passion for positive change by continuously improving and defining innovative care management interventions.  Stays up to date with current best practices and keeps the team continuously informed about best practice innovations.
• Cross-functional Collaboration - Collaborates cross-functionally with other Integrated Care Team members, community organizations and RHA departments to ensure success of Care Management implementation.
• Person-Centered Approach – Maintains a person-centered philosophy focusing on an individual’s strengths, needs, and preferences that promote health, wellness, and safety.  Fosters a person-centered culture with Care Management Teams to optimize individual education around self-management, disease management, and integrated healthcare planning. 
• Quality Assurance and Use Of Data - Implements the strategic use of data to support delivery of effective, integrated, and well-coordinated care management services..  Ensures individual data sharing and storage consistent with state and company policies.
• Maintains a Safe and Healthy Environment- Implements all organization health and safety policies and procedures. 
• Financial Performance -   responsible for documenting services provided in a timely manner in order to be appropriately accounted for reimbursement purposes
• Ensures proactive and effective communication - Establishes and maintains frequent and regular communication with persons supported, family members, other team members and colleagues.  Fosters open communication and feedback. Helps maintain focus on care planning goals and outcomes. Establishes and maintains strong external relationships, to include providers, community organizations, and Clinically Integrated Networks (CIN). 
• Ethics & Compliance – Supports and participates in an ethical culture in conjunction with the RHA Code of Conduct and Ethics and Compliance Program, emphasizing confidentiality and no retaliation policies.  Directs the confidential and immediate investigation into allegations of abuse, neglect, exploitation, theft, fraud, waste, misconduct, and violations of ethics and compliance practices according to company policy. Ensures protections of individuals served during investigations.  Ensures all external reporting requirements are followed.  Ensures adequate follow- through on recommendations from investigation reports. Participates as assigned as designated members  to Quality Improvement Committee, Quality Assurance Committee, Quality Management Team, Safety, Task Force and Human Rights Committee meetings.

#caremanagement

#indcare

Pre-employment screening:

• Complete criminal background
• Name checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities)
• Drug testing
• Education verification and other credentialing based on position requirements.
• Proof of employment history or references (if required)
• Positions that require driving Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals.

We offer the following benefits to employees:

• Payactiv: early access to the money you’ve earned from hours you’ve already worked, before payday!
• Employee perks and discount program: to help you save money!
• Paid Time Off (full-time employees only)
• Health/Insurance (full-time employees only)
• 401(k) retirement savings program
• Wellbeing Programs: Physical, Emotional and Financial
• Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
• Training: Free CPR, first aid, and job-specific training opportunities

*contract/contingent workers and interns do not qualify for any of the above benefits

EEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.

About RHA:

At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes.

For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey.

If you are ready to make a difference in the lives of people we serve and support apply to join the team today.

Current Employees:

If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Starting Pay Rate Range

to

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Coordination of services for hospitalized patients whose care needs range from observation level of care to emergent/urgent higher level of care transitions to include facilitation of payer authorization and transportation. 
• Patient triage for hospitalized patients to ensure transitions to other appropriate settings which range from post-acute care to acute care transitions. 
• Uses critical thinking skills to assist providers in establishing plan of care recommendations for hospitalized patients.
• Partners with providers and Physician Advisors/Medical Directors to escalate cases for review on complex cases in compliance with Conditions or Participation and Escalation standards.
• Optimize care coordination with hospital, ER, nursing homes, assisted living facilities, physicians and community resources as necessary.   Facilitates planning for patient/family needs to ensure a smooth transition for the patient across the continuum of care.
• Coordinates the provider aspect of federal/state organization functions as detailed in the Conditions of Participation and other appropriate regulations.
• Supports the Medical Staff Quality Review process by identification of issues related to quality indicators set forth by the Medical Staff.
• Creates and updates the Plan of Care (POC) to include patient/family-centered goals with interventions that reflect the changing needs of the patient/family unit and is consistent with their current needs and desires.
• Maintains a working knowledge and relationship with community resources and payer benefits that link the individual with the most appropriate resources. Assists by maintaining expertise on benefits, reimbursement and contract/regulation changes per payer guidelines, Medicare and Medicaid to facilitate appropriate reimbursement, education and guidance to assist the Healthcare team and patient/family in decision making.
• Facilitates planning for patient/family needs to ensure a smooth transition for the patient across the continuum of care to include offering guidance to patients / families regarding applications for funding, guardianship and charity care programs as needed.
• Evaluates current treatment plan to identify barriers, determine realistic goals and objectives, and seek potential alternatives in conjunction with the medical staff. Coordinates team efforts with support services departments to ensure appropriate care and smooth discharge transition.
• Is a visible resource on the unit and coordinates interdisciplinary team huddles/communication, identifying and communicating the patient’s Healthcare needs based on the best practice standards to ensure care and communication needs are met in relation to both internal and external providers/services, ancillary department services, core measures, compliance with internal policies/regulatory guidelines and True North metrics.
• All other duties as assigned.

Additional Requirements

Required:
Education - Completion of a nursing education program that is approved by a board of nursing

Certification - Registered Nurse (RN) - South Dakota Board of Nursing

Preferred:
Education - Bachelors in Nursing

Experience - 5+ years of Acute Experience; 5+ years of Registered Nurse Experience
Certification - Commission for Case Management Certification (CCMC) - Accredited University or accredited training professionals

Job Category

Job Family

Department

Scheduled Weekly Hours

Shift

Employee Type

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Starting Pay Rate Range

to

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Applies up-to-date information related to reimbursement procedures, managed care contracts and patient status in facilitating/collaborating in the plan of care.
• Coordinates the provider aspect of federal/state organization functions as detailed in the Conditions of Participation and other appropriate regulations.
• Supports compliance with Utilization Review and regulatory guidelines. Identify trends related to compliance of regulations and collaborates with appropriate hospital personnel and external agencies to ensure appropriate process changes are implemented.
• Supports the Medical Staff Quality Review process by identification of issues related to quality indicators set forth by the Medical Staff.
• Creates and updates the Plan of Care (POC) to include patient/family-centered goals with interventions that reflect the changing needs of the patient/family unit and is consistent with their current needs and desires.
• Maintains a working knowledge and relationship with community resources and payer benefits that link the individual with the most appropriate resources. Assists by maintaining expertise on benefits, reimbursement and contract/regulation changes per payer guidelines, Medicare and Medicaid to facilitate appropriate reimbursement, education and guidance to assist the healthcare team and patient/family in decision making.
• Facilitates planning for patient/family needs to ensure a smooth transition for the patient across the continuum of care.
• Evaluates current treatment plan to identify barriers, determine realistic goals and objectives, and seek potential alternatives in conjunction with the medical staff. Coordinates team efforts with support services departments to ensure appropriate care and smooth discharge transition.
• Is a visible resource on the unit and coordinates interdisciplinary team huddles/communication, identifying and communicating the patient’s health care needs based on the best practice standards to ensure care and communication needs are met in relation to both internal and external providers/services, ancillary department services, core measures, compliance with internal policies/regulatory guidelines and True North metrics.
• All other duties as assigned.

Additional Requirements

Job Category

Job Family

Department

Scheduled Weekly Hours

Shift

Employee Type

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

We are hiring for:

Type:

If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!  

** This positions requires the candidate to have a Bachelors degree and qualify as a Qualified Professional in NC along with Peer Support Certification / eligible for Certification **

Not sure if you qualify as a Peer Support?

Visit: https://pss.unc.edu/

*Compensation for Peer Support Certification available if eligible

Salary: $40,000

Responsibilities: 

• Directly supervise a team of up to 5 Certified Peer Support Specialists.
• Works closely with paraprofessional and clinical/professional staff to maintain communication and provide feedback, standardize procedures and expedite PCP implementation.
• Participates in a first responder on-call system available to consumers and/or his/her natural support network on a 24/7/365 basis; coordinates “first response” resources according to consumer need and the PCP.
• Provides employees with individual-specific training and training in the knowledge, skills, and abilities required by the population and age to be served.
• Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and applying corrective action to employees; addressing complaints and resolving problems.
• Completes Service Authorization Requests as needed and ensure that current service authorization is in place prior to the provision of any service
• Provides clinical supervision to all employees
• Minimizes the negative effects of psychiatric symptoms or substance dependence that interfere with the recipient’s daily living and personal development.
• Completes documentation of services including a daily full service note that includes the name of the person supported, Medicaid identification number, date of service, purpose of contact, describes the interventions, includes the time spent performing the interventions, effectiveness of the intervention, the signature and credentials of the staff providing the service.

Requirements:

• Certified Peer Support Specialist in NC or PA

May be required to be a Qualified Professional as defined by the service definition requirements.  Qualified Professional is defined as an individual who is:

• (a) an individual who holds a license, provisional license, certificate, registration or permit issued by the governing board regulating a human service profession, except a registered nurse who is licensed to practice in the State of North Carolina by the North Carolina Board of Nursing who also has four years of full-time accumulated experience in MH/DD/SA with the population served; the QP function may be completed by a Certified Clinical Addiction Specialist (CCAS) or Certified Clinical Supervisor (CCS);
• or (b) a graduate of a college or university with a Master’s degree in a human service field and has one year of full-time post-graduate degree accumulated MH/DD/SA experience with the population served;
• or (c) a graduate of a college or university with a bachelor’s degree in a human service field with two years of full-time, post-bachelor’s degree accumulated MH/DD/SA experience with the population served; or
• (d) A graduate of a college or university with a bachelor’s degree in a field other than human services with four years of full-time, post-bachelor’s degree accumulated MH/DD/SA experience with the population served. Must meet the education, experience, licensure/certification requirements specified by the service definition of the service being provided
• General working knowledge of the human services delivery system in North Carolina
• Valid driver’s license, auto insurance,. 
• Employee supervisory experience preferred
• Experience with Electronic Medical Records (EMR) preferred

#INDBH

Pre-employment screening:

• Complete criminal background
• Name checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities)
• Drug testing
• Education verification and other credentialing based on position requirements.
• Proof of employment history or references (if required)
• Positions that require driving Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals.

We offer the following benefits to employees:

• Payactiv: early access to the money you’ve earned from hours you’ve already worked, before payday!
• Employee perks and discount program: to help you save money!
• Paid Time Off (full-time employees only)
• Health/Insurance (full-time employees only)
• 401(k) retirement savings program
• Wellbeing Programs: Physical, Emotional and Financial
• Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
• Training: Free CPR, first aid, and job-specific training opportunities

*contract/contingent workers and interns do not qualify for any of the above benefits

EEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.

About RHA:

At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes.

For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey.

If you are ready to make a difference in the lives of people we serve and support apply to join the team today.