Career Listings

The Database Administrator is responsible for systems administration and data management tasks.  Ensures proper and timely communication and resolution of system issues. Provides systems support to clinic sites and operations users; troubleshooting and recovery of EHR workstation functionality. Supports patient processing, clinical tracking and reporting activities; works with medical providers and Information Technology (IT) staff and recommends changes to database management systems and templates. Responsible for training of employees on system use, proper access to the corporate network, use of application software and other related clinical software. The DBA will adhere to and promote compliance with the organization’s Information Technology policies and procedures and will rely on instructions and pre-established guidelines to perform the duties and responsibilities of the job. Performs other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.

Under the direct supervision of the Senior Facility Maintenance Coordinator, the Facility Maintenance Coordinator will perform a variety of maintenance functions.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

Conducts daily mail runs for clinics.  Responsible for the assembly, placement and storage of all office furnishings and equipment, including wall hangings.  Responsible for basic repairs and upkeep of the plumbing and electrical fixtures such as, unclogging toilets and drains; installs/replaces light fixtures and fuses; makes minor repairs; paint touch-ups of exterior/interior walls and is responsible for maintaining corporate vehicles.

The HRC is Responsible for assisting in all aspects relating to the Human Resources Department and could be assisted by the Human Resources staff members. The HRC position requires minimal supervision, and works independently with confidentiality and discretion. Provides support with Compliance; HIPAA Compliance;Pension and Insurance Trust Projects; Benefits Administration Programs;employee relations, counseling; employee satisfaction surveys and employeeretention program. Participates in Safety and Employee Wellness/Environment ofcare Committees. Conducts risk management assigned projects. Interfaces with employees and management in acourteous and professional manner and provides assistance regarding unitpolicies and procedures. Assists with payroll preparation. Performs other HumanResources related duties as needed.

• Provide nursing care to clinic patients • Prepare patients physically and psychologically for treatment examinations, and scheduling diagnostic studies • Teach patients to care for their particular needs • Responsible for recognizing and interpreting symptoms and reporting condition of patients to the attending physician • Responsible for keeping inventory of stock medicines available and making drug and medical supply orders bimonthly or as needed • Administer treatments and medication under physician’ orders • Responsible for preparing in-house monthly reports as well as immunization report • Provide supervision of appropriate personnel, coordinate patient flow activities and assist with peer review of patient records in their quality of care system.

Under the general supervision of the Revenue Cycle Manager, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD-9-CDM and ICD-10-CDM, HCPCS and CPT codes.

The Medical Coder is responsible for the following:

• Audits records to ensure proper submission of services prior to billing on pre-determined selected charges
• Receives hospital information to properly bill provider services for hospital patients
• Supplies correct ICD-9—CM /ICD-10-CM diagnoses codes to all diagnoses provided
• Supplies correct HCPCS code on all procedures and services performed
• Supplies correct CPT code on all procedures and services performed
• Contacts providers to train and update them with correct coding information
• Attends seminars and in-services as required to remain current on coding issues
• Audits medical records to insure proper coding completed and to ensure compliance with federal and state regulatory bodies
• Maintains all mandatory in-services
• Maintains compliance standards in accordance with compliance policies and the Code of Conduct. Reports compliance problems appropriately.
• Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
• Quantitative analysis – Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identifications, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
• Qualitative analysis – Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screenings criteria.
• Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
• Performs other duties as assigned, including participation in all safety and compliance programs which may include assignment to an emergency response team.

JOB OBJECTIVE

Under the general supervision of the Operations Manager, the Referral Manager directs, manages and analyzes all referral activities, including the referral appointment process, resolution of problems, tracking of referral metrics and staff supervision.  The Referral Manager works closely with internal and external parties to achieve organizational goals, most importantly a closed loop process for patient referrals.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

The Referral Manager is responsible for performing the following duties:

• Coordinates the work of and provides hands-on supervision of Referral Coordinators to manage referral appointment requests from all Clinicas’ health centers.
• Directs all departmental activities including scheduling, staffing and daily operations as well as administrative duties such as problem resolution and quality assurance monitoring.  Throughout the referral coordination process, monitors the status of referral requests and facilitates process to ensure patients secure referral appointments on a timely basis.
• Responsible for the hiring, training, on-going supervision and evaluation of all referral coordinator staff.  Coordinates and ensures the comprehensive orientation of new department employees and assesses baseline competency.  Works with the Human Resources Department in the recruitment of appropriate staff.
• Coordinates work schedules, coverage plans and assignments for referral coordinators.
• Ensures staff members follow departmental and organizational policies and procedures, including thorough knowledge of the referral appointment request process and compliance with Clinicas’ mission statement.
• Provides clear directions, consistent and timely feedback to referral coordinator staff.  Promotes teamwork in daily activities, exercises diplomacy and consistently uses effective communication skills, acting as a role model to employees.
• Communicates with clinic staff, internal providers, patients, and external providers regarding scheduling issues. Follow-up and other necessary issues related to referral appointment management.  Throughout the referral coordination process, ensures that all involved parties are aware of the referral status and expected time frames for service delivery.
• Identifies opportunities for operations improvement, and works collaboratively with the Chief Medical Officer and Operations Manager for performance-related issues; as well as for annual performance reviews.
• Works with management to set annual departmental goals and objectives and takes responsibility for the achievement of these goals and objectives on a timely basis.
• Responsible for the regular analysis of metric and performance reports to track referral appointment cycle and report and monitor the day-to-day operations of the Referral Department.  Works with management and staff to review performance reports, identify gaps, and improve processes in order to meet requirements for highest accreditation by accrediting agencies.
• Compliance with Employee Health Services.
• Participates in the development of departmental policies.
• Ensure compliance with:
  • Performance evaluations
  • Agency and clinic/Department orientation of new employees
  • Regulatory guidelines and deadlines
• Facilitates related services for health center patients as appropriate with respect to their confidentiality and privacy.
• Due to the nature of the job, may work with or be exposed to information or material of a sexual nature.
• Performs other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.

JOB OBJECTIVE

The Information Systems Administrator (ISA) reports directly to and is under the direct supervision of the IS Manager. The ISA will administer and support client workstation and server systems hardware, operating systems and applications software. The ISA will align with the IT objectives towards the delivery of effective IT solutions, systems security, reliability and performance. The ISA will adhere to and promote compliance with the organization’s information systems policies and procedures. The ISA will rely on instructions and established guidelines to perform the functions of the position.

ESSENTIAL FUNCTIONS AND RESPONSIBLITIES

Administer and support workstation and server hardware, operating system software, application and office productivity software and network resources; administer data backup; troubleshoot and recover PC workstation, server and network functionality; support patient processing, clinical tracking and reporting activities; ensure proper and timely communication and resolution of systems issues; train employees on systems use, proper access to corporate network and available resources, use of office software tools and use of business software; other systems administration and support tasks as assigned. Additional duties may also include participation in all safety programs which may include assignment to an emergency response team.

Under the general supervision of the UM/QI Director, the UM Coordinator is responsible for processing phone, fax, and electronic authorization requests for medical services from physicians and hospitals (providers) in an efficient, accurate and customer-focused manner.  This position will also assist healthcare providers in ensuring compliance as established by program guidelines.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

Effectively handles authorization requests and inquiry phone calls from providers, balancing excellent customer service with efficiency and established turn-around times.  Follows appropriate procedures for checking member eligibility, authorization history, and the status of provider participation within the contracted network.  Based on the information provided by the provider and gathered from computer systems, determines the appropriate handling of each request.  Utilizing accepted protocol, determines authorization requirements based on the type of service requested, the location of the service, and the provider specifics.  Inputs review data into systems with minimal errors.  Based on authorization rules and urgency, either approves the authorization request, or sends the nurse for review.  Communicates authorization specifics to providers and members either verbally through phone calls or written through fax or mailed letters.  Interprets a variety of instructions furnished in written and oral forms.  Assists in preparing and submitting projects, reports or assignments as needed to meet department initiatives and/or objectives.  Assumes responsibility for professional development of self and assists with training other staff members to contribute to their professional development.  Attend meetings as assigned.  Meet with staff at various health centers as assigned.

Performs other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.