Title: Clinical Claim Review RN Location: Remote, United States Job Description: Requisition number: 2364024 Job category: Nursing Primary location: Plymouth, MN Overtime status: Non-exempt Travel: No Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Clinical Claim Review Nurse performs claim reviews to verify correct coding and correct charges. The clinical reviewer is responsible for documenting, researching state and federal guidelines and following internal procedures to determine the viability of the claim for further review in a production environment. Employees in this position receive limited supervision within a broad framework of policies and procedures and possess a comprehensive understanding of the claim review process including clinical claim review, medical record review, and a broad knowledge of applicable processes, procedures and billing guidelines. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Clinical Claim Reviews: - Perform clinical review of professional or facility claims vs. medical records to determine if the claim is supported or unsupported. - Maintain standards for productivity and accuracy.Standards are defined by the department - Complete analysis of billing and departmental guidelines - Provide clear and concise clinical logic to the clients and providers when necessary - Participation as needed in the achievement and completion of department goals - Complete focused review of medical records to evaluate clinical course of care as applicable - Assists with resolution of claims as needed to support negotiations and appeals process - Ensue adherence to state and federal compliance policies, reimbursement policies, and contract compliance - Maintains appropriate documentation on all claims according to departmental guidelines and procedures - Understand and maintain HIPAA confidentiality and privacy standards when completing assigned work What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: - Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays - Medical Plan options along with participation in a Health Spending Account or a Health Saving account - Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage - 401(k) Savings Plan, Employee Stock Purchase Plan - Education Reimbursement - Employee Discounts - Employee Assistance Program - Employee Referral Bonus Program - Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - Associates degree - Active and unrestricted RN license in the state of residence - 2+ years of clinical experience within an acute care setting - 1+ years of experience in one of the following areas Utilization Management, pre-authorization, claim review, appeals review, or medical record review. - Intermediate level of computer skills including proficiency in Microsoft Office, Word, Excel, Outlook, and SharePoint Preferred Qualifications: - Auditing and coding certifications (CPC, COC, CIC, CPB, CPMA) or ability to obtain within 1 year of employment - CPT & HCPCS Coding experience - Experience working with medical terminology and coding - Proven ability to work independently - Experience working with plan benefit language and CMS (Medicaid and Medicare) - Strong written and verbal communication skills - Strong organizational and critical thinking skills *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 to $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. #RPO #GREEN

Title: Hybrid Clinical Dietitian - Methodist Charlton Location: Dallas, TX United States Requisition #: 657773 Career Area: Food Service Job Description: Aramark Healthcare+ is seeking a Full-Time Hybrid Clinical Dietitian at Methodist Charlton in South Dallas, TX. #LI-Hybrid Schedule: 4-5 Days per Week, Monday- Friday with Rotating Weekends. ONE REMOTE DAY PER WEEK! Why Dietitians Choose Aramark Healthcare+ At Aramark Healthcare+, we don't just hire caregivers-we invest in their development, well-being, and long-term success. We offer the following benefits to our full time dietitians: Professional Growth: - Annual reimbursement of RD professional memberships and fees - Tuition assistance program for continued education - Reimbursement of advanced certification exams upon passing (depending on business needs) - 50+ Free CEU webinars shared via our Nourish Employee Resource Group - Clinical career ladder for long-term advancement - Structured onboarding plan and clinical competencies to prepare you for success Real Work-Life Balance & Benefits: - Comprehensive medical, dental, vision, and prescription drug coverage - 6 weeks of paid maternity leave + 2 weeks of paid parental leave - 401(k) retirement plan with a 6% company match - Corporate discounts on rental cars, cell phones, electronics, travel, and more About the Hospital: Methodist Charlton Medical Center is a 314-bed hospital located in Dallas, Texas. It is a part of the Methodist Health System and is accredited by the Joint Commission. The hospital offers a wide range of medical services, including cardiology, orthopedics, cancer care, and women's health. Job Responsibilities - Assess patient's nutritional status and develop individualized nutrition plans based on their medical history, current health status, and specific needs - Provide education and counseling to patients and their families on proper nutrition, healthy eating habits, and lifestyle changes - Collaborate with healthcare teams to develop and implement clinical protocols and best practices for nutrition care - Monitor patients' progress and make modifications to their nutrition plans as needed - Stay up-to-date with the latest research and developments in the field of clinical nutrition At Aramark, developing new skills and doing what it takes to get the job done make a positive impact for our employees and for our customers. In order to meet our commitments, job duties may change or new ones may be assigned without formal notice. Qualifications - Bachelor's or master's degree in nutrition or a related field. - Registered Dietitian (RD) certification required - At least one year of clinical experience preferred - Licensed Dietitian status in Texas - Strong leadership, interpersonal, and communication skills. - Ability to work collaboratively and effectively with interdisciplinary healthcare teams. - Passion for improving patient outcomes through high-quality nutrition care. Conditions of employment may or may not include busy hospital and outpatient settings, from patient rooms/floors to kitchen/serving areas. About Aramark Our Mission Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. At Aramark, we believe that every employee should enjoy equal employment opportunity and be free to participate in all aspects of the company. We do not discriminate on the basis of race, color, religion, national origin, age, sex, gender, pregnancy, disability, sexual orientation, gender identity, genetic information, military status, protected veteran status or other characteristics protected by applicable law. About Aramark The people of Aramark proudly serve millions of guests every day through food and facilities in 15 countries around the world. Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. We believe a career should develop your talents, fuel your passions, and empower your professional growth. So, no matter what you're pursuing - a new challenge, a sense of belonging, or just a great place to work - our focus is helping you reach your full potential. Nearest Major Market: Dallas Nearest Secondary Market: Fort Worth

Title: Senior Clinical Secretary - Hematology Location: Lebanon United States Category Secretarial/Clerical/Administrative Position Type Full-Time (30 to 40 hrs per week) Hybrid Job Description: Overview - HYBRID REMOTE OPPORTUNITY AFTER SUCCESSFUL COMPLETION OF TRAINING AND MANAGER SIGN-OFF* Performs a variety of independent administrative support in addition to a wide range of customer service-related duties. Schedules patients, manages multiple calendars, schedules surgical/infusion procedures. Designs, analyzes and coordinates master and other schedules. May direct special projects and/or the work of other employees, work study students, floats, temporary help, volunteers, etc. Responsibilities Answers telephone, screens and directs calls, gives directions, and takes messages. Schedules patients, manages calendars, schedules surgical procedures, ancillaries, rotaries, and coordinates deposition scheduling. Designs, analyzes, and coordinates master and other schedules. Maintains, tracks, and sends charts. May provide scribing and other administrative support to clinical staff. Types letters, memoranda, manuscripts, grants, etc. Composes and edits correspondence. Creates forms and spreadsheets, tables, charts, databases and slides. Performs file/record management functions, prepares/constructs charts/departmental patient records, and obtains new medical record numbers. Completes and processes a variety of reports, forms, reimbursements, etc. Obtains authorizations and pre-certifications. Conducts on the job training for new staff members and gives input into performance appraisals. Directs the work of other employees, work study students, floats, temps, volunteers and others. Creates agendas and takes minutes for meetings. Coordinates conferences/meetings and make travel arrangements. Performs budget tracking and record keeping procedures. Addresses billing concerns, and solves patient billing issues. Maintains account/fund bookkeeping, and provides input into budget preparation. Maintains petty cash, collects money from patients, and performs balancing and cash-out functions. Reviews billing sheets. Prepares grants and negotiates outside contracts. Performs other duties as required or assigned. Qualifications - High School diploma with 3 years of administrative support experience or the equivalent required. - Proven experience working with the public required. - Knowledge of medical terminology may be required. - Proficiency in PC word processing, spreadsheets, and Excel, Power Point, MC Publisher software's. - Excellent communication and interpersonal skills required. - Previous experience working in a medical setting preferred. Required Licensure/Certifications - None

Role Description The Specialty Clinical Pharmacist provides comprehensive pharmaceutical care for patients. This consists of ensuring drug therapy that results in safe, effective, and cost-conscious use of pharmaceuticals. Must demonstrate excellent interdisciplinary communication and exhibit strong educational and precepting abilities. This role will support multiple specialty areas which may include immunology, neurology, pulmonology, or others. If employee resides outside the state of Kansas, they must hold Pharmacist license in both states. - Actively participates in organizational and departmental performance improvement efforts to strengthen existing systems, processes, policies, and procedures by introducing new ideas that lead to improved pharmaceutical care in clinical areas and in the pharmacy department as a whole. - Actively participates on the multidisciplinary team by consistently attending patient care rounds and providing patient-focused pharmaceutical care by assessing and monitoring drug therapy to ensure safe and cost-conscious treatment regimens. - Actively supports department staffing needs by flexing to other areas or alternative scheduling in order to assist in coverage of supplemental shifts when primary team is in need. - Assures timely medication order processing by participating in order entry, order verification, and reviewing medication orders for timely resolution of problem orders. - Completes patient-specific medication profile reviews resulting in execution of protocol-based drug therapy including, but not limited to pharmacokinetic dosing and IV to PO conversions with appropriate documentation. Adjusts doses as appropriate for patient-specific parameters such as renal or hepatic dysfunction. - Continually reports medication incidents and adverse drug reactions in Patient Safety Net (PSN) and participates in medication incident review, peer review, or other activities to establish safe medication systems. - Participates in medication reconciliation at the time of admission, transfer, and/or discharge and provides patient education when appropriate. - Shares pharmaceutical expertise by coordinating and providing educational presentations or in-services for pharmacy and non-pharmacy staff. - Supports pharmacy residency programs, clerkship students, and interns by precepting organized rotations, providing timely and constructive feedback, participating in training and orientation, providing mentorship, and collaborating on presentations and projects. - Must be able to perform the professional, clinical, and/or technical competencies of the assigned unit or department. Qualifications - Bachelors Degree in Pharmacy from an accredited college or university. Requirements - Licensed Pharmacist - State Board of Pharmacy in state of primary practice site. - Advanced Cardiac Life Support (ACLS) - American Heart Association (AHA) certification as necessary. - Pediatric Advanced Life Support (PALS) and/or Neonatal Resuscitation Program (NRP) certification as necessary. - Basic Cardiac Life Support (BLS or BCLS) - American Heart Association (AHA). Preferred Education and Experience - Completion of an accredited pharmacy post graduate training program (PGY-1 and/or PGY-2 residency program). Preferred Licensure and Certification - Board of Pharmaceutical Specialties certification in chosen area of specialty.