Role Description Responsibility for initiating phone contact with discharged patients from specified units, conducting query on patient experience and recovery, and providing needed follow up to patients and/or family members. Coordinates patient responses requiring further intervention with appropriate Nurse Manager. Works independently and/or under indirect supervision of the Nurse Manager. - Conduct non–face-to-face post-discharge outreach calls to patients within the CMS-required timeframe. - Review discharge summaries, medication lists, and follow-up instructions prior to patient contact. - Medication reconciliation and coordination support. - Assess patient understanding of discharge plan, symptom management, and medication adherence. - Records patient responses and advice provided, documents any variations. - Identify early signs of potential complications and escalate concerns to the provider or care team. - Schedule appointments directly with the patient’s primary care provider. - Coordinate with front desk and clinical teams to secure timely appointment availability. - Document all outreach attempts, patient interactions, and outcomes in the EHR according to Prisma Health and CMS requirements. - Provide/Reinforce education provided at discharge, including when to contact the provider versus seek emergency care. - Support readmission prevention efforts by ensuring appropriate follow-up and addressing barriers to care. - Review and address open care gaps (e.g., hypertension control, diabetes monitoring, preventive screenings, wellness visits). - Educate patients on the importance of completing overdue screenings or visits and assist in scheduling. - Collaborate with providers, care coordinators, and case management teams to ensure continuity of care. - Participate in team discussions and quality improvement initiatives related to department effectiveness and patient outcomes. - Maintain awareness of required documentation and billing requirements to ensure compliance. - Provide hypertension-focused education on home blood pressure monitoring, medication adherence, lifestyle modifications, and follow-up importance. - Assess and intervene for elevated blood pressure readings or medication concerns by escalating to the provider and facilitating appropriate follow-up. - Collect patient data and complete required forms with appropriate responses according to the unit standards. - Develop a plan for follow up care based on nursing process, incorporating plans of other disciplines and continuing or emerging care needs. - Care provided conforms to accepted practice standards; provides correct telephonic care advice and other follow up instructions according to patient care standards. - Demonstrates understanding of age-related characteristics and needs of patients served. - Explains nursing procedures and discharge teaching in appropriate forms; evaluates care measures instituted. - Identifies situations that require immediate action and provides appropriate plan. - Understands and demonstrates respect for patient rights and confidentiality. - Performs other duties as assigned. Qualifications - Education - Associate degree in Nursing. Bachelor's degree in Nursing preferred. - Experience - One (1) year experience as a registered nurse. Requirements - In lieu of an associate’s degree in nursing (AD N), will accept an RN diploma or certificate with a current RN compact/multistate license recognized by the NCSBN Compact State or a license to practice as an RN in the state the team member is working. - Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working. Company Description Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Role Description Supports the patient and family experience through the investigation of patient/family complaints, concerns, and other feedback received by the organizations. Complaints and grievances include, but are not limited to: - Care provided by physicians and other health care professionals - Potential liability - Quality of care - Sutter Health policy and procedure - Extensive conflict resolution with challenging patients and families Problems encountered are often of a high level of complexity and require a great deal of innovation. Must collaborate closely with managers, physicians, and staff throughout the organization. Collaboration across legal and risk management services is required on a frequent basis for complex medical legal issues. Assists staff members who request intervention in diffusing difficult or volatile patient situations. Qualifications - Bachelor's degree in Business Administration, Nursing, Social Work, or other health care related field - Equivalent experience will be accepted in lieu of the required degree or diploma - 2 years recent relevant experience Requirements - Oral and written communication skills, including the ability to synthesize the facts of an investigation and respond with compassion to patients on behalf of the organization - Analytical skills, including medical record review/analysis, investigation of quality of care complaints, and synthesis of facts to follow up on related patient complaints and related safety issues - Case management skills: ability to manage a high caseload while providing documented and timely responses to meet regulatory timelines - Interpersonal, conflict resolution, and problem-solving skills while working in a fast-paced environment - Computer skills including word processing, email, calendar, database, and departmental specific software - Sensitivity to issues of diversity and demonstrates cultural competence - Ability to work collaboratively with managers, faculty, and staff throughout the institution - Ability to work independently and be resourceful when navigating complex situations Benefits - Comprehensive benefits package

Role Description The Therapy Development Manager will be leading the implementation of therapy and market development programs for improving patient access, patient pathways, and development of reference sites in the field of renal denervation per ultrasound. This individual will be located in Denver. - Determine where our therapies can assist in providing an adjunctive hypertension management solution. - Identify key referral networks for renal denervation therapy – across multiple provider types. - Develop and enhance these relationships through therapy awareness activities, routine customer visits, product demonstrations, educational programs, procedural observation, trade show participation and problem resolution. - Educate physicians and AHPs on the merits and proper incorporation of company products by giving presentations and demonstrations. - Work closely with the Territory Management and Clinical Site Management in evaluating patient care pathway conditions. - Identify shared priorities and leverage knowledge and tactics within the full account to develop a strategic territory business plan that drives product demand by meeting the needs of key partners and ultimately their patients to drive superior results. - Analyze existing referral trends to gain insights into the local healthcare network, drive pull-through and lead virtual and/or live engagements with customers. Qualifications - Bachelor’s degree and 5+ years of sales experience, including 2+ years’ experience in a clinical or sales healthcare/pharmaceutical environment. - Existing relationships within geography PCP, Cardiology, Nephrology or other hypertension management offices or direct knowledge of physicians and clinicians in the therapy market. - Candidates must reside in New England. - This role may require up to 50% travel. Requirements - Salary Range: $120,000- $150,000 (Annual Base Salary). Pre-Employment Requirement At Recor Medical, patient safety and compliance are at the heart of everything we do. To support these standards, employment for all field-based roles is contingent upon successfully completing a pre-employment background check and drug screen. These steps help ensure we bring the highest level of integrity and accountability to the physicians and patients we serve. Radiation Safety Requirement Certain field-based roles at Recor Medical require work in environments where radiation sources (e.g., x-ray equipment) are in use. Employees in these roles will be issued a personal dosimetry badge to monitor occupational exposure and are required to wear it in accordance with company policy and applicable regulatory standards. This program is designed to ensure compliance with federal and state regulations and to maintain radiation exposure at levels that are As Low As Reasonably Achievable (ALARA). Additional guidance and protective equipment, as necessary, will be provided as part of onboarding and ongoing safety training. Equal Employment Opportunity At Recor Medical, we value bringing together individuals from diverse backgrounds to develop new and innovative solutions for patients. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, national origin, age, sex (including pregnancy), physical or mental disability, medical condition, genetic information, gender identity or expression, sexual orientation, marital status, protected veteran status, or any other legally protected characteristic.

Role Description At OrthoVirginia, you’re part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia’s largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment. Join us and become part of a trusted network committed to excellence in orthopedic care. Fully Remote - Must be in Virginia. Primary Functions & Accountabilities - Accurately prepare and submit initial and recredentialing applications for healthcare providers across multiple payers (including Medicare, Medicaid, and private/commercial insurers). - Ensure each application meets the unique formatting and documentation standards of each insurance carrier. - Complete enrollment processes for new hires, changes of address, practice relocations, group additions, and terminations. - Maintain up-to-date records of provider demographics, licensure, certifications, NPI numbers, DEA registrations, malpractice coverage, and other key documentation. - Enter and update data into internal databases and credentialing software systems (e.g., CAQH, PECOS and others). - Monitor recredentialing schedules and ensure documents are submitted before expiration to prevent lapses in enrollment or billing interruptions. - Serve as the main point of contact for providers regarding enrollment status, documentation needs, and compliance updates. - Coordinate with internal departments such as Human Resources, Credentialing Specialist, Revenue Cycle, and Legal to ensure consistency and accuracy in provider data. - Liaise directly with payer representatives to resolve issues and expedite enrollment or payer recredentialing. - Stay informed of changes to federal, state, and payer-specific credentialing requirements. - Ensure compliance with industry standards including HIPAA, NCQA, URAC, CMS, and other regulatory bodies. - Assist with internal and external audits, responding to inquiries and providing documentation as needed. - Track all applications, credentials, and expirables using spreadsheets or credentialing software; generate regular reports on enrollment status and timelines. - Identify inefficiencies or gaps in the enrollment process and recommend improvements to policies and procedures. - Participate in ongoing training and professional development to stay current with payer policies and industry best practices. Qualifications - High school diploma or equivalent required. - Associate or bachelor’s degree field strongly preferred. - Minimum of 3 years of experience in provider enrollment, credentialing, or healthcare administration. - Experience working with federal programs (Medicare, Medicaid) and commercial payers (e.g., Aetna, Cigna, UnitedHealthcare). - Familiarity with systems like CAQH, PECOS, NPPES, and provider portals (Availity, NaviNet, etc.). - Exceptional organizational skills, attention to detail, and the ability to manage multiple priorities under tight deadlines. - Strong communication and interpersonal skills for working with providers, leadership, and external partners. - Ability to maintain confidentiality and handle sensitive information with professionalism. Requirements - This organization participates in e-Verify. - Esta organización participa en e-Verify.