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As Technical Lead, UM Platform Integration, you will have responsibility for leading day to day development of APIs, batch extracts, and other 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. This lead must be a hands on technical resource comfortable ‘rolling up his/her sleeves’ to help the team design, develop, and test integration software. The UM Platform initiative will include a completely new approach to developing software within CareCentrix, using the latest design approaches, technologies, and processes.
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The Business Planning Workforce Management Analyst position is an individual contributor role that works as part of a team generating forecasts and schedules and performing analytics on results. This is a job that requires a strong aptitude in mathematics and the ability to break down complex analytics into understandable and relatable terms to a wide variety of people. Through data preparation, tracking and analysis this position provides guidance and direction on workforce strategies across multiple departments to enhance performance and productivity while reducing costs.
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Post-Acute Care (PAC) Program 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.
POSITION SUMMARY
The Nurse Liaison is responsible for an assigned caseload at acute and post-acute care facilities. The Nurse Liaison will conduct in person, on site initial face to face outreach with patients to introduce the Post Acute program, gather patient demographics and collaborate with hospital clinicians, patient and family to develop a discharge path of care. The Nurse Liaison 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.
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The Instructional Designer is responsible for the assessment, design, development, implementation, and evaluation of clinical, non-clinical, new hire orientation, systems, Health Plan and gap training initiatives at the course level. Responsible for integrating identified quality improvement activities into curriculum and training delivery. Works closely with company leaders to promote and drive organizational effectiveness efforts and is responsible for supporting Organizational Development projects related to organizational analysis, culture and change initiatives, and employee learning.
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Are you an experienced Registered Nurse with a passion for shaping the future of healthcare? Our Post-Acute Care team at CareCentrix is committed to making the home the center of patient care.
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. Responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site initial face to face outreach with patients to introduce the Post-Acute program, gather patient demographics and collaborate with hospital clinicians, patient and family to develop a discharge path of care. You 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.
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This is an excellent opportunity to help shape the future of healthcare and drive innovation throughout the industry. CareCentrix is committed to making the home the center of patient care. As the AVP, Managed Care you will be responsible for the successful management of the CareCentrix network of providers focused on driving value through rate negotiations, provider partnerships and alternative payment models. This would include both our rendering Providers (Home Health Agencies) and referring providers (Hospitals, Physician Groups). The position will identify and assist in prioritization of scalable, provider-based strategies that meet the needs of internal and external stakeholders.
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CareCentrix aims to transform health and wellness via products that enable consumer engagement and a best-in-class experience. CareCentrix is looking for a Product Owner with experience working in fast-paced, startup like environment. As the Product Owner working with Business and Technology teams, you will help implement our UM platform and ecosystem. Partner with other product managers/owners, vendors and leadership to execute the strategic vision and ensure it exceeds the expectations of our customers and users. Grow your skill set and knowledge base by working alongside talented and passionate teammates from diverse backgrounds. Help drive the team to success by working across groups to drive discussion & engagement, create & track user stories in an agile software development life cycle. Investigate ways, partnerships, technologies to drive user engagement and satisfaction. Ensure internal product stakeholders needs /expectations are met and promote transparency by helping communicate through SAFe/SCRUM practices.
This team is responsible for driving the implementation of CareCentrix’s next generation UM platform; as well as the development road map and execution of the roadmap. This effort will include a completely new approach to developing software within CareCentrix, using the latest design approaches, technologies, and processes. This program will be using the Agile framework and part of a larger SAFe program.
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As a Clinical Reviewer, you will be responsible for the review of clinical information for service requests received and render a medical necessity approval or recommended denial to the Medical Director. You will evaluate information concerning patient care and match those needs with available care options, consistent with CareCentrix guidelines and specific plan payer criteria. You will review referrals for medical necessity and determine approval or elevation to the Medical Director. You will own the case from point of referral to the recommendation for denial, or approval decision. If a request is to be denied, you will complete the denial process in collaboration with the Medical Director; if a request is to be authorized, it will then be sent onto the staffing department for completion when appropriate.
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The Area Vice President of BT Delivery will serve as the bridge between the Business Technology (BT) and all business functions. Through the gathering of detailed business requirements at the start through the validation that these have been correctly implemented, they will make sure the business goals are appropriately met as well as adherence to technical standards and processes. Maintaining a complete view of all delivery priorities this role will assure the quality and predictability of client implementations, operational enhancements, compliance mandates, and technology changes throughout the delivery lifecycle. They are a leader who has expertise and judgement in working across multiple functional areas within an organization, and has previous experience in successfully bringing new guidelines to a technical organization.
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As the AVP of Process Excellence, you will be developing and executing strategic plans for the Quality, Training, Process Documentation and Lean Programs to support operational and clinical excellence in a growth oriented healthcare company. You will lead these teams to innovate current processes and support implementations of new products. Your role is critical to maintain high quality outcomes for clients, patients and team members.
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Are you an experienced Registered Nurse with a passion for shaping the future of healthcare? Our Post-Acute Care team at CareCentrix is committed to making the home the center of patient care.
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. Responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site initial face to face outreach with patients to introduce the Post-Acute program, gather patient demographics and collaborate with hospital clinicians, patient and family to develop a discharge path of care. You 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.
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The Manager – Business Intelligence role requires strengths in key management competencies including leadership, sense of urgency, a commitment to delivering high quality solutions and extensive knowledge in reporting and analytics. This individual will work collaboratively with business and IT teams and be responsible for detailing deliverables, estimating timelines, resource requirements, reviewing Business and Functional requirements, providing level of efforts for the projects they have been assigned and attending the core team meetings as the Information Management representative for those projects.
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This leadership position will develop and manage market specific relationships with acute and post-acute facilities, home health agencies, physician groups, accountable care organizations (ACOs) and integrated delivery networks (IDNs). As the Director of Market Engagement you will evaluate the market dynamics, communicate with market leadership and collaborate with hospitals, skilled nursing facilities, home health agencies and at risk providers to influence key value drivers and improve the delivery of post-acute care. The Director monitors key metrics and supports acute and post-acute initiatives that will improve outcomes, enhance provider and patient satisfaction and achieve overall program performance targets. You will also assist in identifying strategic relationships and solutions, alternative PAC delivery models, and other activities focused on creating value for the CareCentrix payor and provider community.
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This leadership position will develop and manage market specific relationships with acute and post-acute facilities, home health agencies, physician groups, accountable care organizations (ACOs) and integrated delivery networks (IDNs). As the Director of Market Engagement you will evaluate the market dynamics, communicate with market leadership and collaborate with hospitals, skilled nursing facilities, home health agencies and at risk providers to influence key value drivers and improve the delivery of post-acute care. The Director monitors key metrics and supports acute and post-acute initiatives that will improve outcomes, enhance provider and patient satisfaction and achieve overall program performance targets. You will also assist in identifying strategic relationships and solutions, alternative PAC delivery models, and other activities focused on creating value for the CareCentrix payor and provider community.
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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 Business Intelligence Developer, you will be responsible for pulling and aggregating data from multiple disparate systems, building and supporting enterprise level BI and Analytic solutions that will enable business users to make informed business decisions and help foster a data driven culture. The individual will work closely with business stakeholders to gather requirements, consulting as the data subject matter expert, design and develop reports and dashboards, create and execute ad-hoc queries against CareCentrix’s data warehouse and operational systems. This individual is specifically being brought on to help with enhancements, new reports, and functionalities, as well as issues and requests received in the form of tickets. In this role, you should have a background in data and analytics, be an excellent communicator and be passionate about what you do.
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Post-Acute Care (PAC) Program 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.
POSITION SUMMARY
The Nurse Liaison is responsible for an assigned caseload at acute and post-acute care facilities. The Nurse Liaison will conduct in person, on site initial face to face outreach with patients to introduce the Post Acute program, gather patient demographics and collaborate with hospital clinicians, patient and family to develop a discharge path of care. The Nurse Liaison 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.
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As the Director of Utilization Management you will provide leadership and oversight of clinical and utilization management (UM) activities for programs in accordance with company policies and procedures. Works with the CareCentrix corporate UM department and the operations management team to develop, implement and manage effective UM initiatives designed to position CareCentrix as an industry leader for excellent clinical outcomes by obtaining optimal financial results for CareCentrix and their customers.
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Are you an experienced Registered Nurse with a passion for shaping the future of healthcare? Our Post-Acute Care team at CareCentrix is committed to making the home the center of patient care.
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. Responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site initial face to face outreach with patients to introduce the Post-Acute program, gather patient demographics and collaborate with hospital clinicians, patient and family to develop a discharge path of care. You 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.
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The AVP will manage assigned CareCentrix accounts as the primary client manager and point of contact and establish a positive working relationship with multiple-level-managers within the account. The AVP is accountable for the overall service and delivery for all assigned clients and will coordinate with relevant external and internal functional areas to ensure that the needs of the client are being met. The AVP will ensure that all Client performance standards and all contractual commitments are met or exceeded and will escalate critical client concerns to VP for resolution or consultation. This position will manage retention, upselling, and renewal activity of assigned accounts and is responsible for meeting specific revenue and growth targets as assigned for each account.
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Are you an experienced Registered Nurse with a passion for shaping the future of healthcare? Our Post-Acute Care team at CareCentrix is committed to making the home the center of patient care.
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. Responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site initial face to face outreach with patients to introduce the Post-Acute program, gather patient demographics and collaborate with hospital clinicians, patient and family to develop a discharge path of care. You 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.