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Collection Manager Salary in Vancouver, WA

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Assistant Property Manager, Multifamily
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Job Title Assistant Property Manager, MultifamilyArnada Pointe (https://www.arnadapointe.com/) Job Description Summary The Assistant Property Manager is responsible for maintaining our communities to a market-ready standard, ensuring a high-level of service, at all times. Assistant Property Managers are also responsible for building and motivating high performing teams to maximize the performance of the property. Job Description ESSENTIAL JOB DUTIES:Ensuring the smooth running of our community in a fast-paced environment.Assist the Property Manager with the overall operations including maintenance, capital improvements, lease administration, budgeting, forecasting, reporting, collections, evictions, vacancy anticipation, marketing, lease renewals, service contracts, expense control, audits, etc.Assist the Property Manager with providing superior customer service and communication to our residents and prospects to enhance customer satisfaction and increase renewals, revenue, reputation, and profitability.Complete lease/renewal paperwork to ensure completion to company standards.Track and evaluate advertising, and all client traffic.Assist the team by maintaining and modeling the Cushman & Wakefield mission to be the best national management company.Assist the Property Manager with the day-to-day operations of entire on-site team, ensuring that all Cushman & Wakefield policies and procedures are being followed.Maintain effective on-site staff through interviewing, hiring, and coaching team as necessary.Maintain residents' files in accordance with company standards.Maintain a positive living environment for community residents through prompt conflict resolution and consistent follow-up.Manage and maintain all aspects of overall community budget and finances.Work with leasing staff to ensure that leasing/marketing goals are being met.COMPETENCIES: Effective communication and customer service skills.Computer literate, including Microsoft Office Suite and internet navigation skills.General office, bookkeeping and sales skills and excellent oral and written communication skillsDetermine leasing opportunities of staff and work on goal setting - improving the performance of each staff member.Supervise day-to-day operations of the team, ensuring that all C&W policies and procedures are being followed.Work with leasing staff to ensure that leasing/marketing goals are being met.Be able to manage a team.Perform any other related duties as required or assigned.IMPORTANT EDUCATION Bachelor's Degree preferredHigh School Diploma, GED, Technical or Vocational school requiredIMPORTANT EXPERIENCE 3+ years of Property Management experience1+ years of Management experienceWORK ENVIRONMENTThis job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Regularly required to travel outside between properties in varying weather conditions.PHYSICAL DEMANDSThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee may need to stand and walk for extended or continuous periods of time. They must be able to ascend and descend staircases, ladders, and/or step stools and may be required to travel outside between buildings in varying outdoor weather conditions. The employee may also be regularly required to remain in a stationary position (sit or stand) for 85% of the time; regularly use office machinery. The employee must be able to travel up to 15% of the time. Travel may vary in frequency and duration. The employee must demonstrate the ability to exert up to 25 pounds occasionally, and/or up to 25 pounds frequently, and/or up to 25 pounds of force constantly to lift, carry, push, pull, or move objects.OTHER DUTIESThis job description is not designed to cover or contain a comprehensive list of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.Cushman & Wakefield also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health, vision, and dental insurance, flexible spending accounts, health savings accounts, retirement savings plans, life, and disability insurance programs, and paid and unpaid time away from work. 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Supervisor-Medical Billing Customer Service / Collections
Vancouver Clinic, Vancouver
Vancouver Clinic is seeking a Supervisor for our Customer Service / Collections team within the Patient Financial Services department. Responsible for the supervision, development, and work production for patient accounts receivable and customer service. The Supervisor participates in program development and department performance improvement, quality standards, customer service and productivity.SKILLS AND ABILITIES: Proficient in Microsoft Office applications. Technical proficiency with electronic health records and billing software. Medical Billing - in-depth understanding of medical billing procedures, coding systems, and insurance regulations. Supervisory skills - ability to lead, motivate, and mentor a team ensuring productivity and quality of work. Communication and Customer Service Skills - clear and effective communication with team and external customers. Problem-solving skills - analytical mindset to identify and resolve billing issues efficiently Regulatory Compliance - knowledge of healthcare laws, regulations and insurance policies to ensure compliance and mitigate risks. Adaptability - adapt to changes in healthcare policies, technology, and billing processes. SUPERVISORY RESPONSIBILITIES:Supervises Patient Account Representatives.Training and development of team.Conflict resolution.Implementation of quality assurance and compliance.EDUCATION AND EXPERIENCE:Minimum of an Associate's Degree or equivalent experience in healthcare billing and collections requiredPrevious supervisory experience or healthcare leadership experience required.Experience in insurance billing regulations and requirements required.Experience in a medical business environment required.Experience with patient collections and customer service required.Pay Range: $26.15 - $36.61The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job.We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, with employer contributions after your first year of employment. Benefits-eligible employees accrue PTO and Personal Time based on hours worked and State worked, totaling 120 hours in the first year for full time staff and 200 hours in the first year for full time supervisors and above, increasing in subsequent years. PTO and Personal Time accruals are pro-rated by FTE/hours worked. Non-benefits eligible employees will accrue Personal Time based on hours worked and State worked. Employees will also enjoy up to six paid holidays per year, depending on schedule. Contact your recruiter for more information. Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of background screen and immunization requirements.
Patient Access Representative Lead
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Legacy HealthPatient Access Representative LeadEqual Opportunity Employer/Vet/DisabledUS-WA-VANCOUVERJob ID: 24-37650Type: Regular Full-TimeSalmon Creek Medical Ctr campusOverviewYou are the first face that patients see, and you set the tone for a personable, positive experience. In short, you are the face of Legacy. As we strive to fulfill our mission of making life better for others, we need caring and capable individuals to assist patients in every aspect of their health care journey. As a Patient Access Representative, you will use your strong communication and interpersonal skills to collect insurance and other information from patients, help patients and families determine financial responsibilities, collect co-payments, and obtain required legal documentation for state and federal compliance regulations. Your ability to create accurate medical and financial records will benefit patients as well as medical professionals and staff. Legacy Salmon Creek Medical Center is Southwest Washington’s most modern hospital, offering the latest technology in a setting designed for comfort and care for the whole family. We feature innovations in joint replacement, robotic surgery, pelvic health for women, cancer care, intensive care for newborns, neurosurgery, medical care for children and more.ResponsibilitiesCoordinates the day-to-day operations of the Patient Access staff at a designated site and/or department while also performing the duties of a Patient Access Representative. Responsibilities include directing workflow, solving problems and creating staff schedules. Participates as a member of the health care team in cooperation with and under the direction of the department manager. The Patient Access Representative is the primary non-clinical contact for all hospital-based patient visits. Greets, registers, checks-in and admits patients depending on scope and service line. 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Care Management Nurse - Hybrid
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Care Management Nurse - Hybrid WA or OR - Vancouver ClinicPrimary Job PurposeThe Care Management Nurse provides clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Oversees a collaborative process with the member and those involved in the member's care to assess, plan, implement, coordinate, monitor and evaluate care as needed. General Functions and OutcomesResponsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring and evaluation. Assessment: collection of in-depth information about a member's situation and functioning to identify individual needs. Planning: identification of specific objectives, goals, and actions designed to meet the member's needs as identified in the assessment.Implementation: execution of the specific case management activities that will lead to accomplishing the goals set forth in the plan.Coordination: organization, securing, integrating and modifying resources. Monitoring: gathering sufficient information to determine the plan's effectiveness and the evaluation phase should determine the effectiveness of reaching the desired outcomes. Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care. Utilizes evidence-based criteria that incorporates current and validated clinical research findings. Practices within the scope of their license.Consults with physician advisors to ensure clinically appropriate determinations.Serves as a resource to internal and external customers.Collaborates with other departments to resolve claims, quality of care, member or provider issues. Identifies problems or needed changes, recommends resolution, and participates in quality improvement efforts.Responds in writing or by phone to members, providers and regulatory organizations in a professional manner while protecting confidentiality of sensitive documents and issues.Provides consistent and accurate documentation.Plans, organizes and prioritizes assignments to comply with performance standards, corporate goals, and established timelines.Minimum RequirementsPalliative care experience preferredKnowledge of health insurance industry trends, technology and contractual arrangements.General computer skills (including use of Microsoft Office, Outlook, internet search). Familiarity with health care documentation systems.Strong oral, written and interpersonal communication and customer service skills.Ability to interpret policies and procedures, make decisions, and communicate complex topics effectively.Strong organization and time management skills with the ability to manage workload independently.Ability to think critically and make decision within individual role and responsibility.Normally to be proficient in the competencies listed above Care Management Nurse would have a/an Associate or Bachelor's Degree in Nursing or related field and 3 years of case management, utilization management, disease management, or behavioral health case management experience or equivalent combination of education and experience. 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The bonus target for this position is 10%. The current full salary range for this role is $33.80 - $55.00 an hour. Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.
Assistant Property Manager, Multifamily
Cushman & Wakefield, VANCOUVER
Job Title Assistant Property Manager, MultifamilyArnada Pointe (https://www.arnadapointe.com/) Job Description Summary The Assistant Property Manager is responsible for maintaining our communities to a market-ready standard, ensuring a high-level of service, at all times. Assistant Property Managers are also responsible for building and motivating high performing teams to maximize the performance of the property. 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This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Regularly required to travel outside between properties in varying weather conditions.PHYSICAL DEMANDSThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee may need to stand and walk for extended or continuous periods of time. They must be able to ascend and descend staircases, ladders, and/or step stools and may be required to travel outside between buildings in varying outdoor weather conditions. The employee may also be regularly required to remain in a stationary position (sit or stand) for 85% of the time; regularly use office machinery. The employee must be able to travel up to 15% of the time. Travel may vary in frequency and duration. The employee must demonstrate the ability to exert up to 25 pounds occasionally, and/or up to 25 pounds frequently, and/or up to 25 pounds of force constantly to lift, carry, push, pull, or move objects.OTHER DUTIESThis job description is not designed to cover or contain a comprehensive list of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.Cushman & Wakefield also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health, vision, and dental insurance, flexible spending accounts, health savings accounts, retirement savings plans, life, and disability insurance programs, and paid and unpaid time away from work. In addition to a comprehensive benefits package, Cushman and Wakefield provide eligible employees with competitive pay, which may vary depending on eligibility factors such as geographic location, date of hire, total hours worked, job type, business line, and applicability of collective bargaining agreements.The compensation that will be offered to the successful candidate will depend on factors such as whether the position is covered by a collective bargaining agreement, the geographic area in which the work will be performed, market pay rates in that area, and the candidate's experience and qualifications.The company will not pay less than minimum wage for this role.The compensation for the position is: $21.25 - $25.00Cushman & Wakefield provides equal employment opportunity. Discrimination of any type will not be tolerated. Cushman & Wakefield is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, protected veteran status or any other characteristic protected by state, federal, or local law.In compliance with the Americans with Disabilities Act Amendments Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a position at Cushman & Wakefield, please call the ADA line at 1-888-365-5406 or email [email protected] . Please refer to the job title and job location when you contact us.
Supervisor-Medical Billing Customer Service / Collections
Vancouver Clinic, VANCOUVER
Vancouver Clinic is seeking a Supervisor for our Customer Service / Collections team within the Patient Financial Services department. Responsible for the supervision, development, and work production for patient accounts receivable and customer service. The Supervisor participates in program development and department performance improvement, quality standards, customer service and productivity.SKILLS AND ABILITIES: Proficient in Microsoft Office applications. Technical proficiency with electronic health records and billing software. Medical Billing - in-depth understanding of medical billing procedures, coding systems, and insurance regulations. Supervisory skills - ability to lead, motivate, and mentor a team ensuring productivity and quality of work. Communication and Customer Service Skills - clear and effective communication with team and external customers. Problem-solving skills - analytical mindset to identify and resolve billing issues efficiently Regulatory Compliance - knowledge of healthcare laws, regulations and insurance policies to ensure compliance and mitigate risks. Adaptability - adapt to changes in healthcare policies, technology, and billing processes. SUPERVISORY RESPONSIBILITIES:Supervises Patient Account Representatives.Training and development of team.Conflict resolution.Implementation of quality assurance and compliance.EDUCATION AND EXPERIENCE:Minimum of an Associate's Degree or equivalent experience in healthcare billing and collections requiredPrevious supervisory experience or healthcare leadership experience required.Experience in insurance billing regulations and requirements required.Experience in a medical business environment required.Experience with patient collections and customer service required.Pay Range: $26.15 - $36.61The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job.We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, with employer contributions after your first year of employment. Benefits-eligible employees accrue PTO and Personal Time based on hours worked and State worked, totaling 120 hours in the first year for full time staff and 200 hours in the first year for full time supervisors and above, increasing in subsequent years. PTO and Personal Time accruals are pro-rated by FTE/hours worked. Non-benefits eligible employees will accrue Personal Time based on hours worked and State worked. Employees will also enjoy up to six paid holidays per year, depending on schedule. Contact your recruiter for more information. Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of background screen and immunization requirements.
Patient Access Representative Lead
Legacy Health, VANCOUVER
Legacy HealthPatient Access Representative LeadEqual Opportunity Employer/Vet/DisabledUS-WA-VANCOUVERJob ID: 24-37650Type: Regular Full-TimeSalmon Creek Medical Ctr campusOverviewYou are the first face that patients see, and you set the tone for a personable, positive experience. In short, you are the face of Legacy. As we strive to fulfill our mission of making life better for others, we need caring and capable individuals to assist patients in every aspect of their health care journey. As a Patient Access Representative, you will use your strong communication and interpersonal skills to collect insurance and other information from patients, help patients and families determine financial responsibilities, collect co-payments, and obtain required legal documentation for state and federal compliance regulations. Your ability to create accurate medical and financial records will benefit patients as well as medical professionals and staff. Legacy Salmon Creek Medical Center is Southwest Washington’s most modern hospital, offering the latest technology in a setting designed for comfort and care for the whole family. We feature innovations in joint replacement, robotic surgery, pelvic health for women, cancer care, intensive care for newborns, neurosurgery, medical care for children and more.ResponsibilitiesCoordinates the day-to-day operations of the Patient Access staff at a designated site and/or department while also performing the duties of a Patient Access Representative. Responsibilities include directing workflow, solving problems and creating staff schedules. Participates as a member of the health care team in cooperation with and under the direction of the department manager. The Patient Access Representative is the primary non-clinical contact for all hospital-based patient visits. Greets, registers, checks-in and admits patients depending on scope and service line. Key duties include the collection of demographics, medical providers involved in the patient’s care, medical decision makers, the verification of insurance/benefits, and determination of financial responsibilities. Assists patients and their families in determining active insurance coverage and provides information on accessing financial and insurance resources. Offers self-pay information and discounts as appropriate. Collects appropriate copayments, co-insurances, deposits and payments. Works in collaboration with most Revenue Cycle departments and each hospital’s units/departments to create accurate medical and financial records. Collects and provides required legal documentation to meet State and Federal compliance regulations.QualificationsEducation:High School diploma or equivalent required. A minimum of two years college education including satisfactory completion of college level Health Records coursework preferred. Experience:One year of hospital patient access experience preferred; prior Legacy Health experience preferred. A minimum of one year of healthcare experience or equivalent education in at least one of the following areas required: Patient Access, Medical Records/Health Information or applicable clerical support experience. Six months customer service experience required. Previous registrar and third-party payor experience preferred. An understanding of health plan and benefit structures preferred. Skills:Effective written and verbal communication skills.Critical thinking and problem-solving skills required.Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines.Demonstrated effective interpersonal skills which promote cooperation and teamwork.Ability to withstand varying job pressures and organize/prioritize related job tasks.Ability to perform multiple tasks at the same time.Excellent public relations skills and demonstrated ability to communicate in calm, succinct, business-like manner.Ability to deal with people in emergent and/or stressful situations.Ability to identify alternative means of communication as needed.Ability to adapt to change.Keyboard skills and ability to navigate electronic systems applicable to job functions.Ability to maneuver through several applications including electronic medical records, Microsoft Office applications, different software, website, and databases. Demonstrated understanding of complex collection issues.Demonstrated knowledge of multi-payor systems, and understanding and applying e-coverage results preferred. Demonstrated knowledge of billing/collection, past balances, deposits and knowing State and Federal rules and regulations preferred.Ability to understand and adhere to EMTALA (Emergency Medical Treatment and Labor Act) guidelines.Able to communicate patient financial communication, offer financial aid services, educating patients on eligibility and in and out of network status. Ability to enroll patients into Presumptive Medicaid services – which entails a detailed questionnaire with the patient to determine eligibility Knowledge of medical terminology. LEGACY’S VALUES IN ACTION: Follows guidelines set forth in Legacy’s Values in Action. PI239599360
STR MGMT/e-COMMERCE SUPERVISOR
The Kroger Co., VANCOUVER
Manage the overall day-to-day operations of the store s e-Commerce department to achieve desired sales objectives, goals and budgets. Responsible for staffing the department and developing associates to achieve desire results. Demonstrate the company s core values of respect, honesty, integrity, diversity, inclusion and safety.Based in Portland, Oregon, Fred Meyer merged with The Kroger Company in 1998. Today, we're proudly serving Fred Meyer customers in over 120 stores throughout Oregon, Washington, Idaho and Alaska.As part of the Kroger family of companies, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit. With a history of innovation, we work tirelessly to create amazing experiences for our customers, communities AND each other, with food at the heart of it all.Here, people matter. That's why we strive to provide the ingredients you need to create your own recipe for success at work and in life. We help feed your future by providing the value and care you need to grow. If you're caring, purpose-driven and hungry to learn, your potential is unlimited.Whether you're seeking a part-time position or a new career path, we've got a fresh opportunity for you. Apply today to become part of our Fred Meyer family! Minimum - High School Diploma or GED - Any prior experience in the selection and hiring process- Any proven supervisory experience - Must be able to lift up to 25 pounds frequently and up to 50 pounds several throughout the day- Strong leadership skills- Excellent oral/written communication skills- Proficient in Microsoft Office- Strong organization skills- Ability to stoop, kneel, or crouch several times per hour- Must be able to stand for extended periods of time and/or walk constantly Desired - Bachelor's Degree - Any experience with and knowledge of Point of Sale (POS)- Ensure that the store e-Commerce department meets/exceeds customer expectations for ease of shopping, variety, freshness and cleanliness- Interview, select and hire candidates to staff the on-line shopping department- Meet the demands of product flow and create schedules according to guidelines- Develop associates to meet the productivity standards and certify associates once they meet or exceed goals- Confirm that associates are following local, state, and federal laws in addition to all food safety procedures and company guidelines- Train associates on all functions and duties of the order selector and customer attendant roles- Lead team in the planning, implementation and execution of e-Commerce s initiatives- Achieve/exceed weekly, period, annual sales, wage budgets, and other targeted goals including customer satisfaction leading to repeat sales- Assist in the analysis and response to the competitive landscape- Ensure orders are filled with products requested or comparable substitute in a timely and effective manner- Execute best practices to determine appropriate substitutions in the event of an out of stock- Follow processes for streamlining collection of orders, products, checkouts and delivery- Report inventory issues such as out of stock items to department heads in a timely manner- Troubleshoot equipment and devices for e-Commence department- Provide feedback to store management team, district manager, field specialist, coordinators and division e-Commerce manager on the effectiveness of operational plans/programs- Report all issues with item shelf allocation to division KOMPASS team- Monitor and control expenses for the department- Ensure preventative maintenance is being performed on all equipment in the department- Supervise and coach direct reports in the performance of their duties; complete performance reviews and provide feedback to direct reports- Must be able to perform the essential job functions of this position with or without reasonable accommodation
Care Management Nurse - Hybrid
Cambia Health, VANCOUVER
Care Management Nurse - Hybrid WA or OR - Vancouver ClinicPrimary Job PurposeThe Care Management Nurse provides clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Oversees a collaborative process with the member and those involved in the member's care to assess, plan, implement, coordinate, monitor and evaluate care as needed. General Functions and OutcomesResponsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring and evaluation. Assessment: collection of in-depth information about a member's situation and functioning to identify individual needs. Planning: identification of specific objectives, goals, and actions designed to meet the member's needs as identified in the assessment.Implementation: execution of the specific case management activities that will lead to accomplishing the goals set forth in the plan.Coordination: organization, securing, integrating and modifying resources. Monitoring: gathering sufficient information to determine the plan's effectiveness and the evaluation phase should determine the effectiveness of reaching the desired outcomes. Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care. Utilizes evidence-based criteria that incorporates current and validated clinical research findings. Practices within the scope of their license.Consults with physician advisors to ensure clinically appropriate determinations.Serves as a resource to internal and external customers.Collaborates with other departments to resolve claims, quality of care, member or provider issues. Identifies problems or needed changes, recommends resolution, and participates in quality improvement efforts.Responds in writing or by phone to members, providers and regulatory organizations in a professional manner while protecting confidentiality of sensitive documents and issues.Provides consistent and accurate documentation.Plans, organizes and prioritizes assignments to comply with performance standards, corporate goals, and established timelines.Minimum RequirementsPalliative care experience preferredKnowledge of health insurance industry trends, technology and contractual arrangements.General computer skills (including use of Microsoft Office, Outlook, internet search). Familiarity with health care documentation systems.Strong oral, written and interpersonal communication and customer service skills.Ability to interpret policies and procedures, make decisions, and communicate complex topics effectively.Strong organization and time management skills with the ability to manage workload independently.Ability to think critically and make decision within individual role and responsibility.Normally to be proficient in the competencies listed above Care Management Nurse would have a/an Associate or Bachelor's Degree in Nursing or related field and 3 years of case management, utilization management, disease management, or behavioral health case management experience or equivalent combination of education and experience. Required Licenses, Certifications, Registration, Etc.Must have licensure or certification, in a state or territory of the United States, in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice for the discipline (e.g. medical vs. behavioral health) and at least 3 years (or full time equivalent) of direct clinical careMust have at least one of the following: Certification as a case manager from the URAC-approved list of certifications; or Bachelor's degree (or higher) in a health or human services-related field (psychiatric RN or Master's degree in Behavioral Health preferred for behavioral health care management); or Registered nurse (RN) license (must have a current unrestricted RN license for medical care management)Work EnvironmentDuties performed at home and in Vancouver ClinicThe expected hiring range for a Care Management Nurse is $36.00 - $48.60 an hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $33.80 - $55.00 an hour. Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.