Role Description We are currently looking for a reliable and detail-oriented Remote Medical Scribe to support a healthcare practice based in the United States. The ideal candidate will assist providers by documenting patient encounters, updating medical records, and ensuring accurate and timely charting while working remotely. - Document patient encounters in real time or from recorded sessions - Accurately enter clinical notes, diagnoses, and treatment plans into the EMR - Review and update patient charts for accuracy and completeness - Assist providers by organizing clinical documentation and records - Ensure compliance with documentation standards and clinic protocols - Provide general administrative support related to clinical documentation as needed Qualifications - Previous medical scribe or medical virtual assistant experience preferred - Strong English communication and listening skills - Experience with EMR systems - Strong attention to detail and documentation accuracy - Reliable internet connection and quiet work environment - Ability to work during U.S. Central Time hours Requirements - Your most updated Curriculum Vitae (CV) - A 1-minute introduction video discussing your previous work experience in the U.S. healthcare field - A valid ID - A list of EMR systems you have used Benefits - Rate: $5/hour for the first 3 months, increasing to $6/hour thereafter - Payment Method: Wise - Payment Cycle: Biweekly How to Apply Send your application through www.vitalvirtuals.com . We look forward to hearing from you.

Pay Range: $73,600.00 - $110,400.00 Please email HR_Talent_AcquisitionTeam@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resource is our people. We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do—not just for our members, but for our employees as well. We recognize that to do your best work, you have to be your best self. It’s why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees. Our culture is one of belonging. We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you’re at in the organization, you’re an integral part of our team and your input, thoughts, and ideas are valued. Join others who value a workplace for all. We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders. We’re dedicated to serving Rhode Islanders. Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer. What you will do: - Manage members through evidence-based care, promoting access to the healthcare system, and assessing needs to identify appropriate interventions and support services as well as reduce barriers to evidence-based care. Member management includes, but is not limited to, conducting health assessments (telephonic and face-to-face) to identify high-risk or emerging risk members for education and intervention; evaluating and modifying action plans by working with members and collaborating with providers. - Evaluate member services to ensure appropriate levels and coordination of care, including pre-authorization, concurrent review, quality-of-care screening, and discharge planning. Ensure member and provider satisfaction by demonstrating knowledge of member plan benefits and community resources. - Identify opportunities to moderate claims costs for employer group and individual members. Promote and monitor use of wraparound service programs for optimal member experience while managing chronic and acute care needs. - Facilitate communication between members, providers, and stakeholders to coordinate and implement action plans for improving members’ total health. Provide continuity and consistency of care by building positive relationships between members, families, providers, care coordinators, social support partners, and the health plan. - Engage in team operations including supervision, team huddles, staff meetings, case rounds, metric management, training opportunities, department initiatives, and projects. Work collaboratively to develop and implement solutions, identify barriers, and exemplify corporate values through accountability, collaboration, integrity, and respect. - Perform other duties as assigned What you’ll need to succeed: - Unrestricted Rhode Island Nursing License - Unrestricted Massachusetts Nursing License - Three years’ experience in a medical/clinical environment or managed health plan - Must obtain Certified Case Manager (CCM) certification within three years of employment The extras: - Bachelor’s degree in nursing - Certified Case Manager (CCM) - Reside in Rhode Island or other Nurse Licensure Compact state (NLC) - Bilingual Spanish, Portuguese - Experience working in a managed care/health maintenance organization - Experience implementing and upholding Quality, CMS, NCQA requirements - Knowledge of utilization management and/or coordination of care - Knowledge of population health and chronic condition management principles, aligning with corporate initiatives such as specialty within high-risk maternity and rising risk conditions such as diabetes, hypertension, COPD, etc. - Understanding of health care delivery system access points and services - Demonstration of successful (member) engagement via application of Motivational Interviewing techniques and health coaching - Ability to navigate the healthcare delivery system - Understanding of evidence-based care programs and approaches - Strategic and critical thinking skills - Strong analytical skills - Strong business acumen - Strong presentation negotiation, problem-solving, and decision-making skills - Strong written and verbal communication skills - Ability to work effectively with a wide variety of people in individual and group settings - Strong organizing skills, with the ability to prioritize and respond to shifting deadlines - Strong time management skills Location: BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role: - In-office: onsite 5 days per week - Hybrid: onsite 2-4 days per week - Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today’s healthcare industry. BCBSRI is an equal opportunity employer. The law requires an employer to post notices describing the Federal laws. Please visit  www.eeoc.gov/know-your-rights-workplace-discrimination-illegal to view the "Know Your Rights" poster.

Role Description The University of Iowa Health Care, Department of Ophthalmology & Visual Sciences, is seeking a 10-50% PRN Iowa KidSight Pediatric Vision Screening Specialist – Orthoptist (PK80; 75) to interpret photo screening images for Iowa KidSight using the iScreen Client Portal, record findings for patient follow-up, and recognize subtle indicators of vision issues. This position requires making informed decisions based on clinical data, staying updated on advancements in pediatric vision screening, and maintaining patient confidentiality while performing independent, high volume, time sensitive work for the Iowa KidSight program. The Department of Ophthalmology and Visual Sciences intends to hire at either the Ophthalmic Professional I (COA certified classification), or the Ophthalmic Professional II, certified orthoptist classification, based on the qualifications of the successful candidate(s). Please indicate in your application materials the position you wish to be considered for or indicate both. Characteristic Duties and Responsibilities - Interpret photo screening images for Iowa KidSight using the iScreen Client Portal. - Record findings in the iScreen system for patient follow-up and record keeping purposes. - Recognize subtle indicators of vision issues in photo screening images. - Make informed decisions based on image interpretations and clinical data. - Stay up to date on the latest advancements in pediatric vision screening and medical imaging technologies. - Participate in ongoing training and professional development opportunities. - Demonstrate strong analytical and problem-solving skills to address complex cases. - Maintain patient confidentiality and adhere to medical ethics. - Demonstrate sensitivity to the needs and concerns of pediatric patients and their families. - May utilize Iowa KidSight database to enter the following: - An adequate (dilated) exam was performed by eye doctor. - Diagnosis of eye exam and if referral criteria were met. - Agree level (photo screening interpretation matches the eye doctor's diagnosis). Qualifications - Bachelor’s degree and/or combination of education and experience in a field of study such as medical imaging, optometry, or other healthcare related field. - National certification by the American Orthoptic Council as a certified orthoptist and/or by an international orthoptic council. - 6 months – 1 year experience interpreting medical images, preferably in a pediatric setting. - Proficiency in using medical imaging software and tools. - Strong understanding of pediatric eye anatomy and common vision disorders. - Ability to analyze and interpret photo screening images with high precision. - Excellent verbal and written communication skills to effectively convey findings through defined systems and processes. - Ability to work collaboratively with a multidisciplinary team while performing independent, high volume, time sensitive work. Requirements - Proven track record of accurately identifying early signs of vision loss in children. - Exceptional attention to detail to ensure accurate diagnosis and reporting. - Ability to recognize subtle indicators of vision issues in photo screening images. - Knowledge of the markers of undetected and/or treated amblyopia in pediatric patients. Benefits - Flexible schedule with expectation to ensure quality screening with a timely turnaround. - This position is eligible for remote work within Iowa and will require a work arrangement form to be completed upon the start of your employment. - Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies. Position & Application Details In order to be considered for an interview, applicants must upload the following documents and mark them as a "Relevant File" to the submission: - Resume - Cover Letter Job openings are posted for a minimum of 14 calendar days and may be removed from posting and filled any time after the original posting period has ended. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process. This position is not eligible for University sponsorship for employment authorization. For additional questions, please contact Lydia Davidson, HR Generalist, at lydia-davidson@uiowa.edu or 319-356-7456.

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The QA Home Care Reviewer will facilitate the process of improving clinical documentation through extensive clinical documentation reviews and concurrent interactions with clinicians to fully capture a patients condition, complications and co-morbidities. The QA Home Care Reviewer will educate nurses, clinicians, and staff on documentation improvement opportunities, OASIS compliance, reimbursement and relevant quality and performance improvement opportunities. The QA Home Care Reviewer will identify documentation issues related quality of care and will seek resolution through the appropriate channels. Responsible for review of all clinical records regarding the OASIS and other clinical documentation and ensuring compliance with applicable State and Federal laws and regulations, Medicare guidance, and other policies and procedures. EEO/AA/Disability/Veteran Responsibilities - 1. Performs comprehensive clinical record reviews of start of care, resumptions of care, re-certifications, and discharge for complete and accurate clinical documentation to ensure the OASIS and /or assessment accurately reflects the patients current health status - 1.1 Completes reviews within designated time frames. - 2. Educates on OASIS requirements, clinical documentation, clinician educational training and support, and State and Federal regulatory requirements. Develops and conducts ongoing education including new team members, clinicians, and other staff. - 2.1 Provides in person or virtual training to providers 1:1, or in small groups - 3. Develops and supports strong collaborative professional relationships with peers, coding staff, clinical team members and medical providers. - 4. Utilizes a compliant query process when conducting all clinical queries. Follows each query through to closure including complete documentation on ongoing follow up activities and communication. - 5. Maintains proficiency in OASIS data and data capture best practices according to industry guidelines and CMS instructions. - 6. Prepares periodic reports/dashboards, as requested, that aid in various initiatives often with a direct impact to star ratings/quality reporting. - 7. Works collaboratively with clinical and administrative leadership to ensure positive and compliant program outcomes - 8. Provides ongoing OASIS team learning opportunities through sharing of professional knowledge - 9. Maintains integrity and compliance in all chart reviews, documentation and queries at all times - 10. Supports and implements quality measures as identified by department manager - 11. Identifies opportunities for performance improvement. - 12. Assures home care compliance with OASIS requirements and remains current with regulatory and organization requirements to ensure accurate and thorough quality assurance reviews. Subject matter experts regarding CMS guidelines and OASIS review. - 13. Performs utilization review of existing clinical documents for potential under and over utilization of services - 14. Active participation in staff meetings, and other meetings as requested. - 15. Adheres to the practice of confidentiality regarding patients, staff and the organization - 16. Assists in other monitoring, training, special department projects or initiatives or other needs as determined by the department leadership. Qualifications EDUCATION Registered Nurse with active license, BSN preferred. HCS-D coding certification preferred. LPN with an active license accepted with a minimum of three years experience required in Quality Assurance in Home Health and Hospice . EXPERIENCE At least three (3) years of recent clinical nursing experience required. Home Health and Hospice preferred. Clinical expertise required. At least one (1) year of OASIS QA review experience required. Experience conducting quality assurance and continuous improvement activities. LICENSURE RN license required. LPN with an active license accepted with a minimum of three years experience in Quality Assurance in Home Health and Hospice in lieu of RN license. HCS-D Home Care Coding Certification a plus. COQS (Certified OASIS Quality Specialist) or HCS-O (Certified Home Care Clinical Specialist) required within 12 months of hire. SPECIAL SKILLS Excellent communication, negotiation and organizational skills. Adaptability to a wide variety of interpersonal encounters throughout the health system and community. Comprehensive understanding in use of medical record to extract data. Working knowledge of third party and prospective payment systems relating to home care and hospice. Thorough knowledge of home care quality assurance process. Computer PC literacy required. Must be able to work collaboratively and independently. Must have keen eye to detail. Must be adaptable, flexible, have ability to learn quickly, use critical thinking, and be able to motivate staff. Strong computer skills. PHYSICAL DEMAND Must be capable of standing, walking, and bending. Ability to communicate clearly and confidently to providers the program goals and documentation issues using email, in person communication, telephone and other written and electronic forms of communication. YNHHS Requisition ID 174575