Case Manager Nurse Salary in Nashville, TN

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.At IntegrityM, we offer a culture of opportunity, recognition, collaboration, compassion and supporting our community. We thrive off of these fundamental elements that make IntegrityM a great place to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees' professional development. Large company perks...Small company feel!We are now seeking a Medical Review Manager to join our team. This is a contingent position.RequirementsMinimum three (3) years' experience practicing nursing as a licensed Registered NurseMinimum of three (3) years' experience of supervisory/managerial experience in the health insurance industryBachelor's degree in Nursing is required. Registered Nurse LicensureCertified Professional Coder (CPC) Certification or the ability to obtain this certification or similar coding certification within 12 months of appointment

Pulmonx is seeking an experienced Regional Business Director to join us and lead our high-performing Heartland Region sales team! This region consists of Indiana, Arkansas, Tennessee, Kentucky and West Virginia and to best support the business this individual should live in the Nashville, TN area.This position is responsible for delivering, in their respective region, on our sales and marketing objectives. They will manage the market development and sale of the Pulmonx product line by developing key customer relationships with interventional pulmonologists, pulmonologist, thoracic surgeons, general practitioners/Internal medicine and other key healthcare stakeholders throughout one's respective Area/Region. This includes hiring, directing and managing a direct sales force. This position will also be responsible for developing key customer relationships among physicians, nurses, and hospital administrators in the area.Responsibilities: Identify, hire, train, develop, direct, motivate and retain talented sales professionals and through and with them meet or exceed our specific sales and market objectives. Develop and maintain strong relationships with key thought leaders in the Region and utilize these relationships to expand sales of Pulmonx products, conduct professional education and provide input to new product development. Anticipate open territories and recruit appropriately so as to minimize open territory days. Execute against the monthly, quarterly and annual sales plan for Pulmonx products in the Region. Manage within the financial plan the annual headcount and expense budget necessary to exceed sales quota. Maintain average selling prices (ASP's) at the level of the sales plan. Oversee budget for domestic sales and support personnel. Plan and implement sales activities to meet sales goals set by senior management Responsible for regional field service and support activities. Responsible for an overall Region sales quota attainment based on performance of direct sales resources or headcount. Develop key relationships with key interventional pulmonologists, thoracic surgeons, general practitioners/internists, nurses, and hospital administrators. Train physicians on the proper use the Company's products and assisting them as appropriate during cases. Ensure Territory Managers and other Pulmonx field sales personnel are trained on the proper use of the Company's products and able to assist physicians as appropriate during commercial cases. Provide market intelligence feedback to marketing and senior management on things such as pricing, reimbursement, competitive strategies and tactics, demonstration techniques, customer training needs, etc. Support local meetings and conventions of key target societies or groups. Conduct routine 3-day field visits with Pulmonx Territory Managers and manage their performance with direct support and clear direction; field visit letters; motivational letters and sales rankings; contest participation; and regional team sales meetings.Requirements Bachelor of Arts/Science from an accredited university required 4+ years of documented management success in medical device sales. Direct experience in hiring, managing and developing high-performing field personnel. Experience developing and driving commercialization of new technology. Endoscopy and/or operating room experience and a demonstrated ability to work with interventionalist, clinicians and surgeons is required. Experience with the sales process for interventional pulmonology products is a plus. Excellent interpersonal and communication skills A passion for the customer, patient and product supported by strong relationships and closing skills Knowledge of target pulmonary intervention procedures and how to use professional education for training purposes. Strong work ethic, high energy/drive and personal integrity based on a strong value system. Mature, good business judgment skills, flexible, self-motivated, team oriented, charismatic, and strong leadership skills.Extensive travel required. Up to 70% travel.Compensation: Base + Variable compensation $265K at planPlease note that an application and resume must be completed and submitted for consideration for this opportunity.Pulmonx Corporation is an Equal Opportunity Employer and embraces diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any characteristic protected by applicable law.#LI-SH1PDN-9bd374b6-2750-4f07-a5dd-ef94797c0072

Description The Whole Health & Health Equity Director is responsible providing direction and oversight for the health plans efforts to improve the health and well-being of the Health Plan's membership. Location: This is a hybrid position and will require 1-2 days per week in the Nashville office. How you will make an impact: Establishing, informing, monitoring, and accomplishing the health plan's integrated whole health strategy under the direction of the State Plan President. Championing integration and articulating the goals and value of our comprehensive whole health model to leadership, associates, and key stakeholders. Employing and implementing core concepts of whole health improvement such as social determinants of health, health services research, epidemiology, and statistics to guide the health plans strategic vision. Building, preserving, and prioritizing collaborative, sustainable relationships with public health, social services, local governmental agencies, and community-based organizations. Utilizing social needs screening tools, risk modeling, and community needs assessments to leverage relevant internal and external data sources to understand the markets population served and translate data into actionable evidence to inform strategic planning, policy, and partnership. Overseeing annual program description, whole health analysis and program evaluation documents. Minimum Requirements: Requires a BA/BS in a relevant discipline, or other degrees such as, but not limited to, master's level social work, public health, health services research, health policy, epidemiology, psychology, or another relevant field, or licensure as a registered nurse. Minimum 5 years of experience in community health improvement, public health or closely related relevant field such as whole health, service coordination, ambulatory care, case, or care management and or coordinating care within multiple settings and with multiple provider types. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] assistance.

Position SummaryThe Home Health Licensed Practical/Vocational Nurse is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Home Health Licensed Practical/Vocational Nurse administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Home Health Registered Nurse Case Manager. S/he services are furnished in accordance with agency policies.Position Specific ResponsibilitiesImplements/follows the nursing care plan for each patient.Provides nursing services, treatments, and diagnostic and preventive procedures as assigned.Initiates preventive and rehabilitative nursing procedures as appropriate.Observes signs and symptoms and reports to the physician and Registered Nurse Case Manager (RNCM) reactions to treatments, including drugs and changes in the patient's physical or emotional condition.Teaches and counsels the patient and family/significant others regarding the nursing care needs and other related problems of the patient at home.Evaluates with the Home Health RNCM the effectiveness of the LP/VN's nursing service to the patient and family under the guidance of the RNCM.Maintains accurate and complete records of observation, treatments, and care of patients.Participates in medical record audits as assigned.Attends staff meetings, patient care conferences, and in-services as scheduled.Is responsible for submitting any changes in schedule to the Director of Clinical Services/Clinical Supervisor on a daily basis; participating in patient care conferences to discuss the need for involvement of other members of the health team, such as physical and speech therapists.Prepares clinical and progress notes and submits them within 24 hours of visit.Assists the physician and Home Health RNCM in performing specialized procedures.Prepares equipment and materials for treatments.Observes aseptic techniques as required.Assists in patient learning and appropriate self-care techniques.Ensures that all care is provided with respect for patient rights.Reports all grievances and complaints made by patients or families to the appropriate persons.Reports all allegations of patient abuse and/or misappropriation of patient's property as appropriate.Follows standard precautions and infection control procedures.Reports all accidents and incidents observed.Identifies and responds appropriately to emergency situations.Observes the safety needs of the patients.Provides documentation of patient's visit on the clinical record accurately, timely, and appropriately per agency policies.Develops treatment appropriate to patients' disease progression in conjunction with the Home Health RNCM.Addresses patients' care needs with families and significant others as appropriate.Maintains confidentiality of necessary information.Maintains proper documentation for billing per policy.Interfaces with patients, families, and staff to ensure customer satisfaction.Communicates effectively with patients, families, and other healthcare providers.Regular attendance is an essential function.Performs other duties as assigned.Education And/or ExperienceCertificate of an accredited program of Practical or Vocational Nursing as approved by the state required.Two (2) years of experience as an LPN in a clinical care setting preferred.Experience in skilled nursing, preferably in hospice, home health care, oncology or emergency care preferred.SkillsMathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy.Certifications, Licenses, and RegistrationsActive and unencumbered Licensed Practical Nurse or Licensed Vocational Nurse in the state(s) of employment required.Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization.At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Cigna Medicare Part C Appeals Reviewer: Appeals Processing AnalystWe will depend on you to communicate some of our most critical information to the correct individuals regarding Medicare appeals and related issues, implications and decisions.The Case Management Analyst reports to the Supervisor/Manager of Appeals and will coordinate and perform all appeal related duties in a Medicare Advantage Plan. These appeals will include requests for decisions regarding denials of medical services as well as Part B drugs. The Case Management Analyst will be responsible for analyzing and responding appropriately to appeals from members, member representatives and providers regarding denials for services and denials of payment via oral and written communication; researching and applying pertinent Medicare and Medicaid regulations to determine the outcome of the appeal; provide oversight and assistance to Medical Management staff with resolution of appeal by interpreting Medicare and Medicaid regulations; reviewing documentation to ensure that all aspects of the appeal have been addressed properly and accurately; e) prepare case files for submission to Independent Review Entity, which also include writing required case summary on behalf of the plan to support appeal resolution.This position is full-time (40 hours/week) with the scheduled core business hours generally 7:00 am - 6:00 pm CST - Thursday through Sunday with occasional holiday coverage. The position requires 4 ten hour shifts per week. Job Requirements include, but not limited to: Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part CAbility to differentiate different types of requests Appeals, Grievances, coverage determination and Organization Determinations in order to ensure the correct processing of the appeal.Excellent prioritization and organizational skills; effectively manage competing priorities and multiple deadlines.Review, research and understand how request for plan services and claims submitted by consumers (members) and physicians/providers was processed and determine why it was deniedIdentify and obtain all additional information (relevant medical records, contract language and process/procedures) needed to make an appropriate determination of the appeal.Make an appropriate administrative determinations as to whether a claim should be approved or denied based on the available information and as well as research and provide a written detailed clinical summary for the Plan Medical Director. Determine whether additional pre service, appeal or grievance reviews are required and/or whether additional appeal rights are applicable and then if necessary, route to the proper area/department for their review and decision/responseComplete necessary documentation of final documentation of final determination of the appeals using the appropriate system applications, templates, communication process, etc.Communicate appeal information to members or providers with the required timeframes well as to all appropriate internal or external parties (regulatory agencies, plan administrators, etc.)Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction and attendanceAdhere to department workflows, desktop procedures, and policies.Work with all matrix partners to ensure accurate and timely processing of Medicare Appeals.Read Medicare guidance documents report and summarize required changes to all levels department management and staff.Support the implementation of new process as needed.Based on case work and departmental reporting, ability to identify and report trends and/or areas of opportunities to department management and peers. .Understand and investigate billing issues, claims and other plan benefit information. .Assist with monitoring, inquiries, and audit activities as needed.Additional duties as assigned.QualificationsEducation: Licensed Practical Nurse (LPN) or Registered Nurse (RN)3-5 years' experience in Medicare Advantage Health Plans or related experience in a healthcare setting handling complex inquiries and requests for serviceWorking knowledge of Medicare Advantage, Original Medicare and or Medicaid appeal regulations. Understanding of Local Coverage Determinations, National Coverage Determinations, Medicare claim process and plan rules along with working with of ICD9, ICD10Superb written and oral communication skills with particular emphasis on verbally presenting case summary and decisions.Must have the ability to work objectively and provide fact based answers with clear and concise documentation.Proficient in Microsoft Office products (Access, Excel, Power Point, Word).Prioritizes workflow on a consistent basis, applies key HIPAA and CMS guidelines in daily workflow, and meets turnaround times for assigned cases.Ability to multi-task and meet multiple competing deadlines.Ability to work independently and under pressure.Attention to detail and critical thinking skills..Learning and Applying QuicklyA relentless and versatile learnerOpen to changeAnalyzes both successes and failures for clues to improvementExperiments and will try anything to find solutionsEnjoys the challenge of unfamiliar tasksQuickly grasps the essence and the underlying structure of anythingWritten CommunicationsIs able to write clearly and succinctly in a variety of communication settings and stylesCan get messages across that have the desired effectFunctional/Technical SkillsClinical and Non Clinical functional or technical proficiencyAppropriate judgment and decision making becauseKnowledge of applicable policy and business requirementsComputer skills and ability to work in various system applications.Detail oriented and Has the functional and technical knowledge and skills to do the job at a high level of accomplishmentTime ManagementSpends his/her time on what's importantQuickly zeros in on the critical few and puts the trivial many asideCan quickly sense what will help or hinder accomplishing a goalEliminates roadblocksUses his/her time effectively and efficientlyConcentrates his/her efforts on the more important prioritiesGets more done in less time than othersCan attend to a broader range of activitiesProblem SolvingUses rigorous logic and methods to solve difficult problems with effective solutionsProbes all fruitful sources for answersCan see hidden problemsLooks beyond the obvious and doesn't stop at the first answersIs excellent at honest analysisIf you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Cigna Medicare Part C Appeals Reviewer: Appeals Processing AnalystWe will depend on you to communicate some of our most critical information to the correct individuals regarding Medicare appeals and related issues, implications and decisions.The Appeals Processing Analyst reports to the Supervisor/Manager of Appeals and will coordinate and perform all appeal related duties in a Medicare Advantage Plan. These appeals will include requests for decisions regarding denials of medical services as well as Part B drugs. The Case Management Analyst will be responsible for analyzing and responding appropriately to appeals from members, member representatives and providers regarding denials for services and denials of payment via oral and written communication; researching and applying pertinent Medicare and Medicaid regulations to determine the outcome of the appeal; provide oversight and assistance to Medical Management staff with resolution of appeal by interpreting Medicare and Medicaid regulations; reviewing documentation to ensure that all aspects of the appeal have been addressed properly and accurately; e) prepare case files for submission to Independent Review Entity, which also include writing required case summary on behalf of the plan to support appeal resolution.This position is full-time (40 hours/week) with the scheduled core business hours generally 8:00 am - 5:00 pm CST - Monday through Friday with occasional weekend and holiday coverage. The position requires 5 eight hour shifts per week. Job Requirements include, but not limited to: Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part CAbility to differentiate different types of requests Appeals, Grievances, coverage determination and Organization Determinations in order to ensure the correct processing of the appeal.Excellent prioritization and organizational skills; effectively manage competing priorities and multiple deadlines.Review, research and understand how request for plan services and claims submitted by consumers (members) and physicians/providers was processed and determine why it was deniedIdentify and obtain all additional information (relevant medical records, contract language and process/procedures) needed to make an appropriate determination of the appeal.Make an appropriate administrative determinations as to whether a claim should be approved or denied based on the available information and as well as research and provide a written detailed clinical summary for the Plan Medical Director. Determine whether additional pre service, appeal or grievance reviews are required and/or whether additional appeal rights are applicable and then if necessary, route to the proper area/department for their review and decision/responseComplete necessary documentation of final documentation of final determination of the appeals using the appropriate system applications, templates, communication process, etc.Communicate appeal information to members or providers with the required timeframes well as to all appropriate internal or external parties (regulatory agencies, plan administrators, etc.)Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction and attendanceAdhere to department workflows, desktop procedures, and policies.Work with all matrix partners to ensure accurate and timely processing of Medicare Appeals.Read Medicare guidance documents report and summarize required changes to all levels department management and staff.Support the implementation of new process as needed.Based on case work and departmental reporting, ability to identify and report trends and/or areas of opportunities to department management and peers. .Understand and investigate billing issues, claims and other plan benefit information. .Assist with monitoring, inquiries, and audit activities as needed.Additional duties as assigned.QualificationsEducation: Licensed Practical Nurse (LPN) or Registered Nurse (RN)3-5 years' experience in Medicare Advantage Health Plans or related experience in a healthcare setting handling complex inquiries and requests for serviceWorking knowledge of Medicare Advantage, Original Medicare and or Medicaid appeal regulations. Understanding of Local Coverage Determinations, National Coverage Determinations, Medicare claim process and plan rules along with working with of ICD9, ICD10Superb written and oral communication skills with particular emphasis on verbally presenting case summary and decisions.Must have the ability to work objectively and provide fact based answers with clear and concise documentation.Proficient in Microsoft Office products (Access, Excel, Power Point, Word).Prioritizes workflow on a consistent basis, applies key HIPAA and CMS guidelines in daily workflow, and meets turnaround times for assigned cases.Ability to multi-task and meet multiple competing deadlines.Ability to work independently and under pressure.Attention to detail and critical thinking skills..Learning and Applying QuicklyA relentless and versatile learnerOpen to changeAnalyzes both successes and failures for clues to improvementExperiments and will try anything to find solutionsEnjoys the challenge of unfamiliar tasksQuickly grasps the essence and the underlying structure of anythingWritten CommunicationsIs able to write clearly and succinctly in a variety of communication settings and stylesCan get messages across that have the desired effectFunctional/Technical SkillsClinical and Non Clinical functional or technical proficiencyAppropriate judgment and decision making becauseKnowledge of applicable policy and business requirementsComputer skills and ability to work in various system applications.Detail oriented and Has the functional and technical knowledge and skills to do the job at a high level of accomplishmentTime ManagementSpends his/her time on what's importantQuickly zeros in on the critical few and puts the trivial many asideCan quickly sense what will help or hinder accomplishing a goalEliminates roadblocksUses his/her time effectively and efficientlyConcentrates his/her efforts on the more important prioritiesGets more done in less time than othersCan attend to a broader range of activitiesProblem SolvingUses rigorous logic and methods to solve difficult problems with effective solutionsProbes all fruitful sources for answersCan see hidden problemsLooks beyond the obvious and doesn't stop at the first answersIs excellent at honest analysisIf you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Sleep Management, LLC dba ViemedRespiratory Sales RepresentativeJob Category: SalesRequisition Number: RESPI002003Full-TimeVieMed Healthcare is the largest independent specialized provider of non-invasive ventilation (NIV) in the US home respiratory health care industry. We specialize in treating the most challenging respiratory patients inside the home by pairing the best-in-class technology & equipment with the clinical care of a full-time Respiratory Therapist. We are always aiming to be the leading provider in post-acute in-home care with the implementation of palliative services. Our Disease Management program has earned national attention, making us the number one independent ventilation provider in the United States. In recent random studies of our patient population, we have shown a 30-day COPD re-admission rate of 5.7% compared to the industry average of 20-22%*. Over 93% of our patients share that they actually “Breathe Better” on our treatment program!While our Respiratory Therapists provide the highest level of clinical care and support for our patients, our Sales Representatives work in conjunction with healthcare decision-makers to ensure a comfortable transition for the patient from the hospital to their home. This achieves better management of the length of stay and re-admission rates to hospitals, which reduces costs for patients and brings personalized clinical care directly to the patient from the comfort of their own home. Our mission is to educate, nurture, and inspire our patients to lead better lives.Position Summary: This position is a field-based, business development, hands-on clinical sales position that requires a candidate with the drive and skill to be a patient advocate, and positive representative of VieMed. This position is responsible for identifying & initiating one-on-one dialog with new potential referral sources and maintaining positive relationships with existing referral sources. They will leverage their clinical and sales expertise to design/develop cutting edge sales strategies to drive VieMed’s disease management program and respiratory products to new market potential to grow the business within the assigned territory.The candidate will spend most of their time (80% or more) in the field: networking, building relationships, and educating referral sources* within the hospital on all the benefits of VieMed’s disease management program will improve the lives of their patients with Chronic Respiratory Failure. Hospital Referral Sources: Pulmonologist, Hospitalist, Critical Care Physicians, Case Managers, and Social Workers. Essential Sales Duties and Responsibilities:Market VieMed’s disease management program to potential and existing referral sourcesDevelop sales territory action plans and call strategies to maintain ongoing business with current accounts and apply working knowledge of clinical, consultative, and strategic selling skills to drive new market potential to grow the business within assigned territoryCoordinate and provide educational presentations and in-services for healthcare providersResponsible for account activity, sales documentation, reports, and territory managementPartners with all clinical, managerial, sales staff, and other internal departments within to promote and market our home respiratory therapy services to all referral sources to drive sales growthWorks with the office staff to ensure prompt and accurate billing and documentation of services, including providing adequate information to satisfy third-party payor guidelines for coverageRequired to provide availability for patient contact and response to patient needsMaintain a level of performance that meets or exceeds the sales quotasOther duties/projects as assignedCompetencies:Demonstrated ability to build and maintain solid working relationships with internal and external referral sources geographically located within assigned territoryExhibits effective oral and written communication with physicians, location staff, patients, and all referral sources to ensure questions and concerns are processed promptlyAbility to plan, implement, and execute strategies independently to achieve sales goals effectivelyExhibit a sense of urgency for goal achievement with a strong commitment to resultsBuilds relationships with referral sources, patients, and caregiversStrong organizational, prioritizing, and territory management skillsBe flexible, self-driven, accountable for results, autonomous, yet supportive of team effortsRequirements:The qualified candidate:Must be a resourceful problem solver who thrives in a fast-paced environment.Must be well-connected and have established relationships with the Pulmonary, Critical Care, & Hospitalist physicians within the territory (required)Must be able to provide three informal letters of recommendation from Pulmonologist (required)Must have a current, valid, active state driver’s license with a clean driving record and own reliable transportation is requiredSales Experience:A proven track record of successful sales experience in a health care setting, and experience working with physicians, nursing management, discharge planners, case managers, and social workersTwo or more years demonstrated full life cycle healthcare sales experience from lead generation, educating the referral source, persistent follow-up, and follow through on all leads, issues, and success storiesTwo or more years of experience as a Clinical Liaison, preferably within the LTACH level of carePrevious marketing and/or LTACH marketing experiencePrevious clinical/clinical liaison experience preferred with demonstrated skills in clinical patient assessmentFormal sales training preferred Preferred Licensure & Education:The preferred applicant would be a Respiratory Therapist or Nurse with Adult Critical Care experience with business development/physician marketing experience or have a proven sales record in the local Home Medical Equipment marketClinical Licensure Preferred (RT, RRT, CRT, RCP, RN, LPN)Work Environment:Sales: This job operates in the field by calling on, marketing to both existing and potential referral sources: i.e., Pulmonologist, Hospitalist, Critical Care Physicians, Hospitals, Case Managers, Social Workers, etc. VieMed Offers:Competitive Base SalaryUncapped CommissionsExcellent Orientation ProgramHealth, Dental, & Vision InsurancePTO401K Retirement PlanMonthly Cell Phone AllowanceMarketing AllowanceLife InsuranceAnd Much More!You will be expected to work during regular business hours, Monday through Friday, 8:00 a.m. – 5:00 p.m. Please note this job description is not designed to cover and/or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties and responsibilities may change at any time with or without notice.Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)PI240018640