Regional Nursing Director JobNorwood, OH

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Why You’ll Love This Job

JOB SUMMARY: 

As a Director of Nursing, you will play a pivotal role in leading and managing nursing operations across multiple outpatient addiction treatment sites within your designated region. Your primary responsibility will be to ensure the delivery of high-quality patient care, compliance with regulatory standards, and the overall success of nursing services within your region. You will report directly to the State Director of Nursing and work collaboratively with site Operations Directors, healthcare professionals, and other stakeholders to achieve organizational goals and objectives. 

RESPONSIBILITIES: 

  • Clinical Leadership: 

  • Provide clinical expertise and guidance to nursing staff at various outpatient sites. 

  • Promote evidence-based practices and ensure the delivery of safe and effective patient care. 

  • Foster a culture of continuous quality improvement and patient satisfaction. 

  • Operational Management: 

  • Oversee the day-to-day nursing operations within the region, including staffing, scheduling, and resource allocation. 

  • Monitor and manage budgets, resources, and supplies to ensure efficient and cost-effective operations. 

  • Collaborate with site nursing managers to optimize workflow and streamline processes. 

  • Compliance and Quality Assurance: 

  • Ensure all nursing practices comply with state and federal regulations, as well as organizational policies and procedures. 

  • Conduct regular audits and assessments to maintain and improve quality standards. 

  • Implement corrective action plans as necessary to address compliance issues. 

  • Staff Development and Training: 

  • Partner with internal teams to recruit, hire, and onboard nursing staff as needed. 

  • Provide mentorship, training, and professional development opportunities to enhance the skills and knowledge of nursing teams. 

  • Conduct performance evaluations and support career growth for nursing staff. 

  • Communication and Collaboration: 

  • Foster open and effective communication among nursing teams and other healthcare professionals. 

  • Collaborate with the State Director of Nursing, regional directors, and executive leadership to align regional goals with the overall organizational mission. 

  • Data Analysis and Reporting: 

  • Analyze key performance indicators (KPIs) and clinical outcomes to identify trends and areas for improvement. 

  • Prepare regular reports and updates for senior leadership regarding regional nursing performance. 

  • Emergency Preparedness: 

  • Develop and implement emergency response plans and protocols for nursing services within the region. 

  • Ensure nursing teams are adequately trained and prepared for emergencies. 

Skills & Qualifications

QUALIFICATIONS AND REQUIREMENTS: 

  • Bachelor of Science in Nursing (BSN) required; Master of Science in Nursing (MSN) preferred. 

  • Current state nursing license and relevant certifications. 

  • Minimum of [5] years of nursing leadership experience, with [3] years of experience in a regional or multi-site role. 

  • Strong understanding of healthcare regulations and compliance requirements. 

  • Excellent leadership, communication, and interpersonal skills. 

  • Proven ability to drive quality improvement initiatives. 

  • Proficiency in data analysis and reporting. 

  • Flexibility to travel within the region as needed, preferably hitting 3-5 sites in designated region, per week.  

REQUIRED CERTIFICATION OR LICENSE: Active RN License within State Of Employment 

  OTHER DUTIES:  

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee of this job. Duties, responsibilities, and activities may change at any time with or without notice.

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Job Number: 8620

Revenue Cycle Specialist, Prior Authorization JobNorwood, OH

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Why You’ll Love This Job

Revenue Cycle Specialist – Prior Authorization

RESPONSIBILITIES:

The Revenue Cycle Specialist in the Authorization division is responsible for the day-to-day workflow, and process management of the prior authorization process. This includes facilitating prior authorization request submission, responses, and documentation to ensure payment. Coordination with department leadership will ensure standards are met by not only department or organization policies and procedures but also with payer submission guidelines.
 

KNOWLEDGE SKILLS, AND ABILITIES

  • Identifies patients and services requiring prior authorization from the payer. Collaborate to establish and work to improve the efficiency of the process.
  • Prepares and submits prior authorization requests to payers via appropriate methods of submission (fax, portal, phone, other).
  • Monitors outstanding requests for a response from the payer and identifies and executes appropriate next steps.
  • Actively follows up with payers on requests without response and identifies and executes appropriate next steps.
  • Works with other departments within organization to resolve outstanding documentation or other process-related issues.
  • Keeps updated on all authorization, billing and other payer regulatory or requirement changes.
  • Assists billing team with authorization-related claims rejections/denials.
  • Completes work within appropriate time to assure compliance with departmental standards.
  • Demonstrates knowledge of, and supports, clinic mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.
  • Performs other duties as required.
  • Assure documentation complies with regulatory agency requirements and best clinical practices.
  • Adhere to the organization’s policy, procedures and professional code of ethics
  • Self-motivated and self-directed; able to work without supervision.
  • Ability to prioritize and manage multiple tasks and competing priorities.
  • Exceptional communication and interpersonal skills.
  • Analytical and problem-solving skills with attention to detail.
  • Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel); working knowledge of billing software a plus.

 

 

Skills & Qualifications

QUALIFICATIONS:

  • EXPERIENCE
    • Prefer Two (2) years previous experience in medical billing and/or authorization..
  • EDUCATION:
    • High school diploma or equivalent; Associate’s degree or higher in accounting, health care administration, finance, business, or related field preferred.

BENEFITS AND PERKS

  • PTO (Paid Time Off)
  • Immediately vested and eligible in 401k program with employer match. 
  • Company sponsored ongoing training and certification opportunities.
  • Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance.
  • Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP)
  • Tuition Reimbursement after 1 year in related field 

We offer competitive compensation, comprehensive benefits, and a supportive work environment dedicated to your professional growth and development.

Ready to shape our future by bringing in top talent? Apply now and be a key player in our success!

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Job Number: 8486

Manager Patient Access JobNorwood, OH

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Why You’ll Love This Job

Position Summary:

The Manager of Patient Access works directly with the Director of Patient Access to ensure smooth operation of the department. The Manager of Patient Access is the primary trainer of new staff as well as responsible for ensuring that all staff understand new processes and procedures. Responsibilities will include ongoing education and guidance for established staff and ensuring ample day-to-day management of Patient Access Specialists including, but not limited to, appropriate coverage for breaks, completion of training, coverage for call-offs, timely completion of daily duties, etc. He/she reports to the Director of Patient Access on all matters pertaining to his/her duties. This person may handle more complex or escalated issues as they arise with both staff and patients and will work with the Director of Patient Access to effectively identify root cause and solve problems. This position relies on moderate to extensive experience and judgment to plan and accomplish the day-to-day goals, as well as working directly with the Director to accomplish more long-term department goals. The ability to perform a variety of tasks at a given time is critical.

Essential Job Duties:

· Implements directives from the Director of Patient Access

· Provides training to all staff regarding Patient Contact Center best practices as required by the Director of Patient Access

· Provides initial onboarding for all new Patient Access Specialists

· Updates and provides additional training to existing Patient Access Specialists as appropriate

· Supports and guides Lead Patient Access Specialist(s) in day-to-day operations and team management

· Assists to ensure appropriate daily staffing and coverage issues as they arise

· Routinely audits calls and meets with staff to provide further guidance and direction

· Available to take escalated calls as appropriate

· Available to provide ongoing support and assistance to Patient Access Specialists during times of high volume or as questions/issues arise

· Ensures all Patient Access Specialists have access to appropriate resources

· Conducts daily huddles with Lead Patient Access Specialist(s)

· Communicates with Operations Directors, medical providers, and Director of Patient Access regarding scheduling issues

· Understands the patient scheduling guidelines and can effectively disseminate this information to the team

· Understands the patient scheduling process in the EMR and can effectively instruct others on such

· Provides excellent customer service quality in scheduling and holds subordinates to this same high level of care

· Provides technical on-site support for all offices as deemed by the Director of Patient Access

· Participate in special projects and/or assignments as requested by the Director of Patient Access

Skills & Qualifications

Required Education/Degree:

Associates Degree or equivalent

Required Certification/License:

None

Required Work Experience:

2 to 5 Years

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

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Job Number: 8506

Revenue Cycle Data Analyst JobNorwood, OH

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Why You’ll Love This Job

Job Title: Revenue Cycle Data Analyst

Overview: We are seeking a skilled and detail-oriented Revenue Cycle Data Analyst to join our dynamic team. The ideal candidate will play a crucial role in optimizing our revenue cycle processes by leveraging data analysis and reporting techniques. This position requires a deep understanding of healthcare revenue cycle operations, exceptional analytical skills, and the ability to transform complex data into actionable insights. If you are passionate about driving financial performance through data-driven decision-making, we invite you to apply.

Responsibilities:

  1. Data Analysis and Interpretation:
    • Analyze large datasets related to revenue cycle operations, identifying trends, patterns, and anomalies.
    • Interpret and communicate complex data findings to stakeholders in a clear and concise manner.
  2. Performance Monitoring:
    • Monitor key performance indicators (KPIs) related to revenue cycle performance.
    • Collaborate with cross-functional teams to identify areas for improvement and develop data-driven recommendations.
  3. Forecasting and Predictive Modeling:
    • Develop and maintain predictive models to forecast revenue cycle performance.
    • Utilize statistical techniques to analyze historical data and predict future trends.
  4. Data Cleansing and Validation:
    • Ensure data accuracy and integrity by implementing rigorous data cleansing and validation processes.
    • Work closely with IT and data management teams to resolve data quality issues.
  5. Reporting and Dashboard Development:
    • Design and create dashboards and reports that provide actionable insights for revenue cycle stakeholders.
    • Automate reporting processes to improve efficiency and accuracy.
  6. Collaboration:
    • Collaborate with revenue cycle, finance, and operational teams to understand business requirements and goals.
    • Provide data support for strategic initiatives and decision-making processes.
  7. Continuous Improvement:
    • Stay abreast of industry trends and best practices in revenue cycle management and data analysis.
    • Propose and implement process improvements based on data-driven insights.

Skills & Qualifications

Qualifications:

  • Bachelor’s degree in Business, Finance, Healthcare Administration, Data Science, or a related field. Master’s degree preferred.
  • Proven experience as a data analyst, preferably in the healthcare industry.
  • Strong proficiency in data analysis tools and languages (e.g., SQL, Python, R).
  • Familiarity with healthcare revenue cycle processes and regulations.
  • Experience with business intelligence and data visualization tools (e.g., Tableau, Power BI).
  • Excellent communication and presentation skills.
  • Ability to work independently and collaboratively in a team environment.
  • Attention to detail and a commitment to delivering high-quality, accurate results.

Benefits:

  • Competitive salary
  • Comprehensive health and wellness benefits
  • Professional development opportunities
  • Flexible work schedule
  • Collaborative and inclusive work environment

If you are passionate about leveraging data to drive financial success in the healthcare industry, we encourage you to apply for this exciting opportunity. Please submit your resume, cover letter, and any relevant portfolio or examples of past work.

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Job Number: 8041

Accounts Payable Specialist JobNorwood, OH

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Why You’ll Love This Job

About BrightView Health

BrightView was founded to give the people in our communities two things: help and hope. We’re changing addiction treatment by combating the disease of addiction with a comprehensive treatment approach.

We are committed to personalizing our addiction treatment programs to each individual patient. We believe anyone can achieve the goal of life-long recovery with the help of our outpatient services which includes Medically Assisted Treatment and Clinical Services.

 We continue to grow our presence nationwide as we stay committed to serving patients and saving lives!

Position Summary:

The Accounts Payable Specialist will be responsible for the accounts payable for multiple sites within the company. This position will collect, post, track, obtain approval on, and initiate payments. This person should be comfortable in a heavy workload environment and manage it with energy and accuracy. Must be able to thrive in a paperless environment. Should be a team player proficient in Microsoft Excel. Attention to detail is required.

Job Responsibilities:

  • Collect, code, track approvals, post and initiate payment of vendor activity
  • Enforce payment approval processes and policies
  • Analyze related financial implications of accounts payables
  • Perform other Accounts Payables administrative activities including develop and manage vendor database, manage inbound mail, other office management duties as needed
  • Other duties as assigned by the supervisor

Job Qualifications:

  • Associates Degree or equivalent
  • 0-3 years, 3+ preferred
  • Experience with Sage Intacct or similar cloud-based accounting platform is preferred

What BrightView Has to offer

  •  PTO (Paid Time Off)
  • Immediately vested and eligible in 401k – BrightView will match 100% of the first 3% of Employee contributions and 50% of the next 2% of contributions.
  • Company sponsored ongoing training and certification opportunities.
  • Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance.
  • Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP)
  • Tuition Reimbursement after 1 year in related field

Skills & Qualifications

Job Qualifications:

  • Associate degree or equivalent
  • 0-3 years, 3+ preferred
  • Experience with Sage Intacct or similar cloud-based accounting platform is preferred

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Job Number: 7740

Revenue Cycle Manager JobNorwood, OH

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Why You’ll Love This Job

Serving People, Saving Lives!

BrightView was founded to give the people in our communities two things: help and hope. If you want to do the same, we would love for you to join our dynamic, rapidly growing organization and help us make a difference in hundreds of lives every single day.

Position Summary:
Manager Revenue Cycle oversees the Billing department and works closely with the Executive Team on all revenue-related activities. Key responsibilities will be; (1) Overseeing Revenue Cycle Team by managing processes, productivity and financial results for the area(s) assigned including key aspects of billing, collections, payment posting and cash applications; (2) Key function of this position is to ensure accurate and timely follow-up of claims and working denials. (3) Developing revenue cycle strategies and implementing plans to ensure goals for timely and accurate billing, cash applications, accounts receivable, statements and patient payments and follow up on patient accounts and payers, insurance follow-up, and refunds and credit balances, and bad debt are all within stated objectives, (4). Manage metrics according to industry best practices. (5) Revenue Cycle Manager will work with Revenue Cycle leadership to implement and define denial management strategy and claims resolution process. The Manager will be responsible for overseeing adherence to this process. (6). Serve as a supportive mentor/coach for revenue cycle team members.

Essential Job Duties:

  • Ensuring high-quality service in a caring and compassionate atmosphere which recognizes the individuals’ needs and rights.
  • Manages overall Billing and Collections activities in accordance with current applicable standards, guidelines, and regulations.
  • Supervision and monitoring of follow-up activities ensures complete and through performance.
  • Collaborates with RCM Leadership to develop the strategic plan for the department, including assisting with the preparation of the operational metrics and analytics.
  • The position will be focused on monitoring the overall performance of the Revenue cycle process. Responsible for meeting finance/operational annual and monthly goals.
  • Develops and maintains all policies pertaining to insurance and patient billing and collection practices.
  • Prepares and presents RCM directed monthly reports and benchmarks progress.
  • Manages the training, supervision and job evaluations of assigned associates.
  • Ensures systems and controls are in place as outlined in policy and procedure manuals. Meets established daily, weekly, and monthly deadlines.
  • Manages the processing of accounts receivable, adjustments/refunds/credits, private and third-party agencies, ancillaries, cash deposits, and posting.
  • Oversees all month-end processes, including completion of data entry, review and correction of edits, and reconciliation of claims transactions.
  • Coordinates documentation for internal and external auditors. Assists RCM Leadership with managing and resolving account variances.
  • Maintains knowledge of third-party payer regulations including Medicare, Medicare Advantage, Medicaid, TriCare, and non-governmental payers and self-pay.
  • Works closely with PAC associates to implement self-pay/foundation payment arrangements.
  • Work Closely with RAC Coordinator to perform audits as assigned and monitor changes and progress.
  • Works with the Revenue Cycle team to monitor and mitigate denials and edits.
  • Assure documentation is in compliance with regulatory agency requirements and best finical practices.
  • Adhere to the organization’s policy, procedures and professional code of ethics.

Skills & Qualifications

Required Education/Degree:
Bachelor’s degree in accounting, health care administration, finance, business, or related field preferred.

Required Work Experience:
Four (4) years’ previous experience as a medical biller or in a related healthcare administrative position

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Job Number: 7739

Patient Access Specialist I JobNorwood, OH

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Why You’ll Love This Job

Why You’ll Love This Patient Access Specialist I Job
Want a job where you can help patients and their families? Do you want to work with a close-knit
the team that shares a passion for making a difference? Join the team in our Patient Access
Specialist I position and take the first step towards a career you can be proud of.

When you join BrightView Health, you become part of a collaborative culture where your
team members want to help you succeed. You are encouraged to share your ideas and
collaborate with your compassionate team members to build a brighter future for the
patients we serve. Plus, we invest in your future through great benefits, competitive
compensation, and career development opportunities to help you build a career you love.

Help make a difference in the lives of the patients and families we serve and apply to our
Patient Access Specialist I position today!

Patient Access Specialist I Job Responsibilities
• Initiate new and existing patient scheduling requests.
• Conduct new patient intake and scheduling procedures.
• Review all scheduling daily.
• Communicate scheduling issues with managers and providers.
• Manage provider calendars for all offices.
• Understand patient scheduling guidelines and the patient scheduling process in the
EMR.
• Provide excellent customer service in scheduling.
• Implement directives from the Lead Patient Access Specialist or Director.
• Participate in special projects and assignments as requested by the Lead Patient

Skills & Qualifications

Patient Access Specialist I Job Qualifications
• High School Diploma or equivalent required
• Must hold and maintain a valid driver’s license
• 1 to 3 years related experience required

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Job Number: 7475

Talent Acquisition Specialist JobNorwood, OH

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Why You’ll Love This Job

Serving People, Saving Lives!

BrightView was founded to give the people in our communities two things: help and hope. If you want to do the same, we would love for you to join our dynamic, rapidly growing organization and help us make a difference in hundreds of lives every single day.

Essential Job Duties:
• Effectively support organizational strategic staffing goals.
• Source potential candidates through various channels;
• Manage candidate information and flow via the company’s applicant tracking system;
• Manage candidate experience, which includes screening, selection, pre-employment processing, warm transfer upon hire.
• Manage resume databases and sourcing methods.
• Create scorecards to reflect candidate feedback from phone screens and interviews;
• Meet recruitment metrics and departmental goals
• Foster relationships with hiring managers and potential candidates;
• Participate in team meetings
• Perform other administrative duties as assigned;

Skills & Qualifications

Qualifications:
• Excellent interpersonal skills and the ability to maintain a positive collaborative relationship among staff;
• Familiarity with resume databases and professional networks
• Hands-on experience with full-cycle recruiting using various interview techniques and evaluation methods;
• Knowledge of Applicant Tracking Systems (ATS):
• Ability to work in a fast-paced, dynamic environment with a mindset of continuous improvement.

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Job Number: 7490