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The Customer Advocacy Specialist incumbent serves as a critical subject matter expert (SME) role in driving resolution for internal or external issues or complaints. He or she will be able to de-escalate and resolve issues with a high level of independence. This role assists the Supervisor/Manager with coaching, on-the-job training, monitoring work, mentoring new associates and driving results. This position may also serve as a back-up in production. Candidate to work \cross-functionally to identify areas of opportunity/performance improvement and recommend solutions.
Location– 100% Remote
Start Date– Monday, May 6th 2024
Training & Nesting Period– 4 to 6 Weeks
Training & Nesting Hours– Monday – Friday 9:00am – 5:30pm EST
Available Shift After Training & Nesting: Monday - Friday 11:30am-8:00pm EST
Associate Contract Managers are key part of the ongoing management of the CareCentrix provider network and are involved in contracting activities and managing network providers for multiple payers. In this role, you will prepare, analyze, negotiate and maintain contracts for the provider network for the services that CareCentrix provides on behalf of its clients. You will be responsible for the development/fostering of relationships with providers and colleagues to ensure high levels of client interaction and satisfaction. You will also be responsible for participating in the development of the network management strategy which includes aspects of, value-based care, market growth, compliance, and provider experience.
Are you passionate about technology and thrive in a fast-paced environment? CareCentrix is committed to making the home the center of patient care.
As a Lead Database Administrator, you will administer and control the organization's data resources using Relational Database Management Systems and/or other DBMS tools. You will work closely with Application Developers, Data Analysts, and Data Architect teams to ensure data integrity and security, eliminate redundancy and identify ways to improve database performance. In addition, you will be responsible for advising, making recommendations and implementing processes and procedure improvements for our database infrastructure environment.
Come join a dynamic, growing team in an innovative, game-changing, healthcare organization. CareCentrix is committed to making the home the center of patient care.
As a Staff Accountant, you will perform moderately complex accounting activities relating to the maintenance of a complete and accurate general ledger and the resultant managerial reports and financial statements. Assist in P&L research during monthly closings. Reconcile various G&L accounts. Work under moderate supervision.
As a Business Transformation Analyst, you will be responsible for tracking, separating and combining task into efficient work flows to provide Management with analysis to facilitate decisions regarding best practices and subsequent effectiveness of process changes which will ultimately support smooth and effective business operations.
ABOUT CARECENTRIX
At CareCentrix, we are passionate about our SEED (Students Engaged in Excellence and Development) Internship Program and providing a meaningful learning experience. To us, the program represents our long-term success. All assignments add value both to our company and to your development while enabling you to establish a professional network.
CareCentrix is uniquely positioned in the hottest area of healthcare, providing healthcare plans and providers with a one-stop solution that coordinates all our patient’s home healthcare needs, including skilled nursing services, home infusion therapies, physical therapy, and durable medical equipment. CareCentrix is committed to making the home the center of patient care.
We are looking for students with a sense of purpose who are passionate about information security and healthcare and possess the curiosity to experiment and learn.
ABOUT CARECENTRIX
At CareCentrix, we are passionate about our SEED (Students Engaged in Excellence and Development) Internship Program and providing a meaningful learning experience. To us, the program represents our long-term success. All assignments add value both to our company and to your development while enabling you to establish a professional network.
CareCentrix is uniquely positioned in the hottest area of healthcare, providing Healthcare Plans and Providers with a one-stop solution that coordinates all our patient’s home healthcare needs, including skilled nursing services, home infusion therapies, physical therapy, and durable medical equipment. CareCentrix is committed to making the home the center of patient care.
We are looking for students with a sense of purpose, passionate about healthcare, and the curiosity to experiment and learn.
As a Senior Data Analyst you will develop, update, and maintain all operational tools used to standardize work. You will be responsible for tracking, separating and combining tasks into efficient work flows to provide Management with analysis to facilitate decisions regarding best practices and effectiveness of process changes.
The Senior data analyst must be able to understand the logic associates must use to make a decision (often based on client-specific contracts, reimbursement policy, or medical coverage guidelines), embed these directions into easy to use excel or access based tools, and maintain work-product upon changes in requirements. The Senior Data Analyst is an associate who is responsible for tracking, separating and combining tasks into efficient work flows to provide Management with analysis to facilitate decisions regarding best practices and subsequent effectiveness of process changes which will ultimately support smooth and effective business operations.
Come join a dynamic, growing team in an innovative, game-changing, healthcare organization. CareCentrix is committed to making the home the center of patient care.
Responds to patient/financial responsible party calls effectively and provides exemplary customer service. Identify callers' needs; educate them on CareCentrix role in their care. Determines the acceptance of patient’s financial responsibility through claim research, plans, eligibility, notes, etc.; goal to resolve patient’s account. Identifies and escalates patient issues and concerns to the appropriate senior.
As a Sr. iSeries RPG Developer you will work directly with Business Technology project teams, business users and development teams to apply technical solutions in support of identified business problems. You will be responsible for monitoring systems, interfacing with business owners, triaging issues, and developing solutions. You will work under limited supervision and provide after-hours system support as needed.
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?
As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.
The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.
As a Senior Analyst of the Product Performance and Reporting team, you will perform the analytical reporting and analysis supporting CareCentrix operational and strategic needs. You will analyze extensive health-care clinical and operational data and develop insights that directly support the business decisions and growth goals.
Be part of something bigger—make an impact in a growing organization! CareCentrix is committed to making the home the center of patient care.
Clinical Reviewers are responsible for the Utilization Management and review of clinical information for service requests received and to render a medical necessity approval or recommended denial to the Medical Director. As part of this process, you will evaluate information concerning patient care and match those needs with available care options, consistent with CareCentrix guidelines and specific plan payer criteria.
CareCentrix builds software solutions for innovative home health solutions that produce better outcomes and reduce overall costs through partnerships with providers and payors. The Universal Data Hub (UDH) engineering team builds next generation of software integration components leverage NoSQL DBs, Streaming data, and Microservices. We are looking for a Lead Software Developer to help us drive our UDH team and be the technical backstop for the team.
Leveraging your experience in Big Data, Stream processing, Real-time and Batch processing, Application Development and Analytics, you will join a product team that is building a new platform for CareCentrix. We want you to bring your talent and expertise to drive the change needed within the healthcare industry.
As Lead Software Developer, you will have responsibility for leading day to day development of software integration components. You will work with CareCentrix Business Technology associates, as well as vendor partners and consultants in a fast paced, dynamic agile environment. You must be a hands-on technical resource comfortable ‘rolling up his/her sleeves’ to help the team design, develop, and test integration software. The UDH Platform initiative will include a completely new approach to developing software within CareCentrix, using the latest design approaches, technologies, and processes.
Post-Acute Care is an end-to-end post-acute offering that manages up to 90-day episodes of care, beginning prior to the patient’s discharge from the hospital, or for elective surgical cases, outreach begins prior to hospitalization. The program optimizes our home-based network, identifies the likely best site-of-care for the patient, manages length of stay (LOS) if a Skilled Nursing Facility (SNF) is appropriate, and reduces hospital readmissions. Our program also coordinates all of the services required for a patient to transition to their home faster and safer, via our network of home health, durable medical equipment and home infusion providers, all of whom are supported by our CareCentrix care coordination team.
This position provides strategic leadership and clinical operational oversight of the Post-Acute Care Readmission Management Program. In addition, this position provides product development and sales support for new readmission management programs and business expansion efforts within CareCentrix. Works alongside CareCentrix leadership teams for Product Development, Sales, Account and Clinical Management to establish and implement new programs and products to support CareCentrix position as an industry leader in post-acute care.
As a Senior Analyst of the Product Performance and Reporting team, you will analyze complex and varied health-care data to develop insights that influence business decisions and track the financial success of our product.
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?
As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.
The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?
As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.
The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.
The Post-Acute Care Program assists with reducing hospital readmissions of clinically complex patients. The program couples patient education/coaching with Home Health interventions to assist a patient’s transition home after a hospital stay. Staff works directly with patients in transitioning from hospital to home with a focus on short term self-recovery in the home and long term ongoing care management of their healthcare. Assess patients care needs through assessments that are completed in home and/or telephonically, treatment plan creation to mitigate care gaps, facilitate in home health care services to accomplish the treatment plan patient goals, patient education/coaching along with adherence/compliance monitoring.
This position functions as the Supervisor of the Post-Acute Care team and primary point of contact for day to day clinical questions, concerns from internal and external clients and provides team leadership and guidance regarding patient centered interventions. Assists in development of Post-Acute Care training, job aids and tools and desk level procedures. Provides clinical oversight for nurses
The PAC Nurse is a telephonic position responsible for managing the length of stay (LOS) for Long Term Acute Hospital (LTACH), Skilled Nursing Facility (SNF), and Institutional Rehab Facility (IRF) for their assigned post-acute care facilities through collaboration PAC Nurse will also collaborate with key facility personnel as well as with CareCentrix internal Medical Directors, Market Engagement Directors and Nurse Managers to develop and maintain a timely discharge plan.