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Networks Connect Healthcare Staffing is currently conducting a search for a full-time (LNHA) Licensed Nursing Home Administrator. The Administrator leads and directs the overall operation of the facility in accordance with resident needs, federal and state government regulations, and company policies/procedures to maintain quality care for the residents while achieving the facility’s business objectives.

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Qualifications:

• A current and valid state Licensed Nursing Home Administrator (LNHA) license
• Prior experience in a similar role, preferably in a long-term care or skilled nursing facility
• Strong leadership and communication skills
• Proficiency in using electronic medical records and other relevant software

Responsibilities: As the leader of the facility, (LNHA) the Licensed Nursing Home Administrator is expected to assure that the facility always operates in compliance with all state and federal regulations while providing person-centered care.

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RN Ambulatory Nurse Case Manager

Networks Connect is hiring for an Ambulatory Nurse Case Manager located in Washington D.C. In this position you will comprehensively and actively maintain the care management and coordination needs of payer defined and/or payer enrolled populations of patients who meet designated inclusion criteria. This includes activities such as assessments, formal Case Management care plan development, establishing goals and intervention and monitoring/tracking. Through these activities, the Ambulatory Nurse Case Manager will partner with physician practices and the care management team related to the clinical and care coordination needs of the patient, as well as work with payers and community resources to develop and facilitate effective, efficient care delivery options for the patient across the continuum of care.

Qualifications

 

Minimum Education

BSN (Required)

Master’s Degree (Preferred)

Minimum Work Experience

4 years Nursing experience in case management, ambulatory nursing or community/homecare experience (Required)

Required Skills/Knowledge

Ability to critically think and apply logic and reasoning to dynamically changing healthcare environment.

Requires superior verbal communication skills and service excellence approach with internal and external stakeholders.

Must have strong business writing skills.

Proficient at keyboarding and facile with Microsoft Office Excel, Access and Power Point.

Required Licenses and Certifications

Registered Nurse in District of Columbia (Required)

Licensed RN (Required)

Certification in Case Management preferred (Preferred)

If you are interested in this RN Ambulatory nurse Case Manager job, please apply today by submitting your resume. Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

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Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry. Full Medical, Dental, Vision Benefits Available!

We are looking to add talented Certified Medical Assistants to our team. We have full-time and part-time opportunities available in the area for Certified Medical Assistant who desires to work in a physician’s office. You are a qualified candidate for this position if you have at least 1 year of Medical Assistant experience.

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Certified Medical Coder – Ocala, Florida Area

Networks Connect is conducting a search for a Certified Medical Coder (Level I) to be in the Ocala, Florida Area.  In this position, you will be accountable for timely and accurate coding and filing of claims to minimize the number of claims rejections and denials.

As the Certified Medical Coder, your job duties will include:

• Reviewing medical records, provider notes, dictation and other documentation and compare to the actual codes selected by the provider.
• Utilizing ICD9/10 to code diagnosis and determine principal and significant secondary diagnoses.
• Utilizing CPT/HPCS to assign and sequence all codes for services rendered.
• Providing education and teaching to providers and clinical assistants as needed related to proper coding encounters (CPT, ICD-10 and HCC) and compliance with medical record documentation.
• Reviewing all FFS and UHC MA notes from encounters for prior day.
• Reviewing diagnosis codes to ensure the codes are specific to clinical documentation.
• Collaborating and providing feedback to providers when questions arise where a code might need to be edited or added according to correct coding guidelines and requirements.
• Ensuring that claims are accurate and clean before submission utilizing appropriate coding tools.
• Resolving coding issues in the Athena Workflow Dashboard “Hold” cues as well as the Assigned Claim Worklists.
• Reviewing assigned providers’ upcoming schedules to identify M.A. patients. Audit M.A. patient chart for any HCC diagnoses (retrospective, prospective or suspected) that need to be brought forward to provider to validate and subsequently address.
• Conducting chart audits and coding reviews to ensure all documentation is accurate and precise in accordance with correct coding guidelines.
• Assisting and collaborating with billing department personnel as needed to ensure all bills are satisfied in a timely manner.

You are the perfect person if you have:

• One of the following Certifications Required:  CPC, RHIT, CCS, CRC
• 2 years of medical coding experience preferred.
• Experience interpreting medical records.
• Experience interacting with physicians regarding coding requirements.
• Knowledge of CPT/HPCS and ICD9/ICD10 coding.
• Knowledge of anatomy and physiology.

If you are interested in this Certified Medical Coder job, please apply today by submitting your resume.  If you are interested in being considered for other jobs, please submit your resume.

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Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Certified Nursing Assistants to our team. We have full-time, part-time and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose form.

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Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Certified Nursing Assistants to our team. We have full-time and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose from.

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Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Certified Nursing Assistants to our team. We have full-time, part-time, and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose from.

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Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented nurses to our team. We have full-time, part-time, and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose form.

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Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Certified Nursing Assistants to our team. We have full-time and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose form.

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Job Description: Networks Connect Healthcare Staffing is currently conducting a search to add a talented Certified Occupational Therapy Assistant (COTA) to our team. We are looking for a compassionate and dependable Certified Occupational Therapy Assistant (COTA) for an orthopedic clinic including diagnosis such as, sports injuries, fractures, rotator cuff repairs, hip arthroscopies, total joint replacements, spine conditions, work injuries and foot and ankle diagnosis.

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Who We Are

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry. Full Medical, Dental, Vision Benefits Available!

Job Description

We are looking to add talented Certified Surgical Technician (CST) to our team. We have full-time opportunity available in the area for Certified Surgical Technician (CST) who desires to work in an Ortho setting. You are a qualified candidate for this position if you have at least 1 year of Certified Surgical Technician (CST).

Responsibilities

• Facilitates the operative or other invasive procedure by preparing and providing the required sterile instruments, supplies and equipment
• Maintains the sterile field and anticipates and responds to the needs of the surgical team
• Functions as the scrub person and assists as trained during operative and other invasive procedures by assembling supplies and equipment required for the procedure
• Prepares and organizes sterile supplies and instrument for the procedure and performs surgical counts with the circulating RN according to policy
• Maintains an organized sterile field and ensures the sterility of the field by taking corrective action as needed
• Assists with placement of sterile drapes
• Provides instruments and supplies to the surgical team during the procedure and maintains aseptic technique
• Retrieves and collects specimens and labels specimens appropriately and correctly
• Reports any implanted devices, catheters, drains, and packing to circulator
• Provides complete case preparation and has knowledge, with the ability to adapt, of special instruments, supplies, and equipment needs for patient populations
• Demonstrates knowledge of patients’ rights and responsibilities according to the patients age and understanding
• Demonstrates understanding of patients Advance Directives
• Assists in CPR as needed
• Assists with pre and post procedure cleaning of the operative or invasive procedure room and necessary instruments
• Participates in ongoing educational and competency verification opportunities
• Participates in all patient safety care measures
• Prepares and performs surgical skin prep and clipping as indicated by procedure
• Inserts urinary catheter as required
• Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation

Requirements

· Associate degree from an accredited school or surgical technology program

· Certified Surgical Technician certification

· BLS certification

Position:

• Full-Time (4-10s)
• Days (7:00am – 5:30pm)
• No Weekends
• No Holidays

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CLINICAL PHARMACIST

Are you a licensed Clinical Pharmacist looking for a new opportunity in Florida? We have multiple positions available to make a direct impact on patient care as a Clinical Pharmacist.

Job Summary

These positions are responsible for the safe, precise, and cost-effective selection and utilization of medications for the patients you will serve. By using your advanced knowledge of the best pharmacy practices and skills, you will oversee the daily activities of pharmacy operations that are in accordance with accredited hospital policies and procedures along with State and Federal requirements. You will serve as the patients’ advocate when preparing and dispensing medication orders after verifying order entries are accurate and appropriate. You will also act as an interpreter on medication information by working directly with physicians and other health professionals to ensure that the medications prescribed for patients contribute to the best possible health outcomes.

Requirements

• Bachelor of Science in Pharmacy from an accredited college of pharmacy (PharmD is desirable)
• Must have active pharmacist license in Florida within 60 days of start date

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Networks Connect is conducting a search for a Defined Benefits Specialist (Remote).  In this position you will perform technical DB and DC administration at a high level and work directly with actuaries. Provide exceptional customer service to our broad client base of Plan Sponsors/Employers, Financial Advisors, CPA’s, Recordkeeper Contacts, and other partnerships.  Share DB/DC expertise and confidence while working alongside peers to achieve company goals.

Responsibilities and Duties:

• Provide clear communication that conveys the right information to our client base, while performing routine compliance administration.
• Ability to communicate Defined Benefit and Combo Plan testing and specific information to clients.
• Communicate directly with actuaries.
• Understanding of Defined Benefit Calculations & Limits.
• Utilize current, standardized administration and tools (excel templates etc.) to perform all administrative reports.
• Must be detailed oriented in all aspects of administration, including detailed notes, cell links and documentation.
• Sort through obtained data to meet timely testing deadlines that meet client expectations for such deliveries.
• Able to understand DB and DC Plan Documents and how they relate to ongoing administration.
• Work with Recordkeeper data that is most likely received in varied formats and systems to reconcile Plan Assets.
• Work on Pooled Brokerage Account reconciliation.
• Understand the intricacy of plan asset reconciliations, document distributions, including Required Minimum Distribution calculations, contributions, earnings, transfers, adjustments etc. that may have transpired throughout the Plan year, including recordkeeping conversions.
• Provide timely contribution calculations and monitor IRS maximums and limits.
• Accurate and timely completion of IRS Forms (5500 series, 5330, 1099R’s and others)
• Accurate and timely completion of PBGC Forms
• Assist colleagues with their questions by providing insight and options.
• Ability to provide to our clients, necessary direction and resources that assist Plan needs (payroll questions, corrections or adjustments, Plan design questions and any other plan related items).
• Continue to seek ways to improve our processes and services. Maintain client and plan data according to set administrative electronic path (Box…).
• Perform work according to company policy and procedures.
• Perform other job-related duties as assigned.

 

 

 

Qualifications:

• Minimum 3 years of TPA compliance and administration
• Minimum 3 years of experience related to defined benefit actuarial/administrative services.
• Experience with PBGC related forms and processes
• Bachelor’s degree in accounting, Business Administration, or equivalent work experience
• Excellent presentation skills, telephone/video call etiquette and professionalism, client service skills and time management proficiency
• Proficiency with Excel and database applications including formatting and formulas.
• Preference for ASC & PensionPro experience (preferred not required)
• Thorough knowledge base of ERISA, PBGC, DOL and IRS regulations, and plan documents
• Excellent written and oral communication skills. The ability to communicate effectively (clear, concise, and professionally) with all levels within the organization, as well as with our client’s.
• Excellent analytical and problem resolution skills

• Must possess the drive to solve problems and improve inefficient processes; lead the team to think of creative/innovative solutions.

• Ability to work in a team environment to ensure common goal of providing exceptional customer service.
• Ability to react to change productively and manage other essential tasks as assigned.
• Ability to work well under pressure with multiple priorities and deadlines in a fast-paced environment.
• Ability to escalate issues to appropriate levels within an organization.

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Networks Connect is conducting a search for a Senior Defined Contribution Account Relationship Manager (Remote).  If you excel at solving your clients’ 401(k) problems, you deserve better than a job that is just “okay”. Do you want the flexibility and convenience of working from home? Are you looking for a position with career advancement opportunities? Are you tired of working many hours of overtime? If so, our client may have a “wow” position for you!Overview of the Position:

Our client is looking to fill fully remote Senior Defined Contribution Account Relationship Manager/Consultants. They will provide you with a home office set-up including a computer and a phone. They have been offering remote work for over 10 years. They offer a great work experience for their remote employees!

They are in the process of transforming our Account Relationship Manager/Consultant positions to focus more on review and client/advisor service. These positions are supported by a strong implementation group, plan document team, special projects team, and loan and distribution department.  Account Relationship Manager/Consultants are organized into teams that work toward firm goals with special recognition given to individuals with exceptional performance. Each Team Leader schedules weekly calls to discuss upcoming internal and external deadlines.About Our Client:

Our client is a vibrant third party non-producing administration firm. They have a nationally recognized sales team allowing us to grow continuously and provide career advancement opportunities for our professionals.

What Our Client Offers You:

This position supports a great work-life balance with a 37.5 hour work week, generous PTO, and overtime pay. They also financially support professional designations and offer regular, recurring, professional training. They offer a competitive compensation package including medical insurance, dental insurance, disability insurance, life insurance, a 401(k) plan, and an HSA.

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Job Description

Networks Connect Healthcare Staffing is currently conducting a search to add talented Kentucky Medication Assistants (KMA) to our team. We offer full-time, part-time, and PRN opportunities for Kentucky Medication Assistants- KMA who desire to work in long term care or assisted living facilities, and you can select any shift that works best with your schedule! Please see below for more information about our Kentucky Medication Assistants – KMA positions!

Benefits:

At Networks Connect Healthcare Services, we firmly believe that our Kentucky Medication Assistant-KMA employees are the key to our success, and we are happy to offer the following benefits:

• Competitive pay and weekly paychecks
• Health, Dental, and Vision insurance
• Competitive overtime rates
• Benefit eligibility is dependent on employment status

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Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Licensed Practical Nurses to our team. We have full-time, part-time and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose from.

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Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Licensed Practical Nurses to our team. We have full-time and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose from.

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Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Licensed Practical Nurses to our team. We have full-time and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose from.

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Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Licensed Practical Nurses to our team. We have full-time, part-time, and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose from.

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Networks Connect Healthcare Staffing is currently conducting a search to add talented Licensed Practical Nurses – LPN to our team. We offer full-time, part-time, and PRN opportunities for Licensed Practical Nurses – LPN who desire to work in long term care or assisted living facilities, and you can select any shift that works best with your schedule! Please see below for more information about our Licensed Practical Nurses – LPN positions!

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Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Certified Nursing Assistants to our team. We have full-time and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose form.

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Supervisor Managed Care Analytics

Networks Connect LLC is conducting a search for a Supervisor, Managed Care Analystics job located in Sarasota, FL.  To be qualified for this position, you must have strong experience with Managed Care Analytics responsibilities.  In this position, you will have accountability and oversight, and supervise the daily activities of the departmental analytics activities.

If you are interested in this Supervisor, Managed Care Analytics job, please apply today by submitting your resume.

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Networks Connect is conducting a search for a Manager Case Management on behalf of a hospital client located in the Tampa FL area. This leader has operational accountability and oversight and manages the daily activities of the department or responsible area and supports best practice standards for department functions and the Case Management Program.

In this role, the manager sets the tone and models positive leadership behavior, while ensuring that teamwork tasks, projects, and responsibilities are completed successfully in support of departmental and organizational goals. The Manager adheres to all Federal, State, and regulatory statutes and accreditation requirements. The Manager supports the Director in developing, planning, and implementing appropriate changes in keeping with case management best practice standards and organizational goals.

Required Qualifications:

• Bachelor of Science in Nursing (BSN) degree; Master of Science in Nursing (MSN) degree is preferred. Require active State of Florida Registered Nurse.
• Social Worker: – Require a Master of Science in Social Work (MSW) degree. Require active State of Florida Licensed Clinical Social Worker (LCSW) or Licensed Mental Health Counselor (LMHC).
• Certification Requirement: – Require certification in Case Management (CCM or ACMA certification) or must be obtained within one (1) year from hire/transfer date. (If LCSW, certification may be waived.) ACM-SW, A-SWCM or CCM is required.

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Networks Connect Professional Staffing is conducting a search on behalf of our client for a Manager, Health Information Management (HIM). This leader manages a team of Healthcare Information Specialists and leads the daily activities of the HIM department. The Hospital is located in the Tampa/Sarasota area and relocation assistance is provided.

Position Summary:

In this role, the leader sets the tone and models positive leadership behavior, while ensuring teamwork tasks, projects, and responsibilities are completed successfully in support of departmental and organizational goals. This leader is the on-site representative and subject matter expert for HIM at the Hospital location. Continued development, implementation, and maintenance of a fully functioning EHR system which is based on workflow technology and interfaces within system specific applications. Also responsible for coordinating department functions/staff pertaining to record indexes, record completion, deficiency analysis/re-analysis, incomplete record notification and suspension processes, release of information and scanning.

Essential Functions:

• Manages staff and oversees employee performance; provides on-going performance feedback, addresses problems, orients, and trains employees, verifies competency and identifies and suggests way to develop skills, monitors workflows.
• Develop and maintain job specific Standard of Work processes across various HIM disciplines for optimal reimbursement and to avoid financial risk to the patient, physician, and organization.
• Assess accuracy of data integrity ensuring complete and accuracy of information is entered in an efficient and timely manner; development of quality reporting metrics to support the same.
• Responsible for maintaining efficient and ethical department operational budget; provides remediation plans when necessary to meet budgetary targets.
• Interprets, develops, and maintains departmental specific policies, in addition to recommending and implementing policy changes as needed for compliance and regulatory needs.
• Measures performance improvement standards per system policy and implements performance improvement practices to achieve maximum outcomes; responsible for meeting department defined key performance indicators as assigned.
• Ensures adherence to accounting controls, compliance standards and all federal and state regulatory requirements.
• Monitors and develops root cause analysis on all deficient documentation related denials.

Minimum Qualifications:

• Bachelor’s Degree in Healthcare Management or Business preferred, or equivalent combination of education (minimum Associates Degree required) and work experience. A minimum of 3-4 years supervisory experience in a hospital/medical office environment preferred.
• Accreditation as RHIA or RHIT by the American Health Information Management Association required.

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Medical Economics Analyst

Networks Connect LLC is conducting a search for a Medical Economics Analyst job located in the Ocala, FL area.  To be qualified for this position, you must be experienced in writing SQL queries.  In this position, you will provide analysis of medical costs as well as revenue via reporting packages, metrics and dashboards.  You will be a key go to team member for financial and operational analytics.

As the Medical Economics Analyst, your job duties will include:

• Developing methodologies/approaches, design report formats, and writing SQL queries to extract data from various sources
• Assisting with the maintenance of business-critical information systems in presentation format for Executive Team and Board of Directors
• Enhancing current processes and developing new processes to increase reporting capabilities across Medical Economics team
• Analyzing Medicare Advantage medical claims data provided by health plan partners
• Collaborating with colleagues to determine information needs, assessing information availability, accessing and analyzing appropriate data and finalizing reports
• Working with membership files from health plan(s) to ensure proper payments are received from health plan(s) on Medicare Advantage risk population
• Providing analytics to the organization regarding Medicare Advantage population cost trends

You are the perfect person if you have a:

• Bachelor’s Degree in Management of Information Systems, Health Care Administration, Business Analytics, or related field
• Must have experience working with SQL and Microsoft Office
• Experience with Power BI is desired
• Strong analytical ability for solving complex financial, organizational, and departmental issues

If you are interested in this Medical Economics Analyst job, please apply today by submitting your resume.  Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

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Networks Connect is conducting a search for a Medical Records Specialist on behalf of our client in Sarasota. The Medical Records Specialist is responsible for the day to day tasks related to the processing of health information to include but not limited to the following: chart pick-up, general HIM reception and transcription, release of information, indexing and quality assurance of medical records, analysis, amendments, audits, and birth certificate processing, emergency assistance program processing, and chart completion.

Main Responsibilities:

• Analyzes outpatient & inpatient charts in accordance with department policy.
• Runs chart reconciliation report, retrieves and locates any missing charts and resolves any issues on a daily basis.
• Locates dictation in EMon using one of the following: Clinician Name, Patient Account, Dictation ID or Confirmation number.
• Processes internal/external ROI requests from floors.
• Reviews and determines if image should be deleted.
• Reports and inconsistencies in the indexing/quality process to the scan center, and/or HIM quality when applicable.
• Conducts follow-up with the patient to ensure they have completed and mailed forms back.
• Process insurance audit request in accordance with the department policy.

Preferred qualification:

• Experience in medical records or Health Information Management.
• Ability to perform clerical duties, repetitive and detailed task.
• Demonstrated strong interpersonal, communication and organizational skills.
• High School Diploma, GED or Certificate Required

Job Type: Full-time

Salary: $17.00 – $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Weekends as needed

Work Location: In person

 

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Networks Connect is searching for an experienced Out of Network Claims Negotiation Specialist for one of our clients in Florida.

Job Description:

The Claims Negotiation Specialist would have had experience with maximizing revenue and negotiations with payers to help implement a strategic change for success. This individual should have extensive expertise in the analysis of payer fee schedules and the detailed review of payer contract language for providers across many specialties.

Key Responsibilities:

• In-depth evaluation of the existing contracts along with the identification of current payers majorly dealt with.
• Properly review and analyze all contract language, CPT Codes, billing software to ensure optimal terms for providers
• Utilization and payment analysis by payer to compare reimbursements rates – Ensure maximization of revenues while delivering the best possible care to patients
• An Identification of strengths, weaknesses, and improvement opportunities (SWOT) analysis of the medical practice to understand the top specialties billed the most.
• Determine your reimbursement codes and review the Explanation of Benefits statements you receive from each of the payers you selected and note how much they allow for each code on your list
• Calculate each payers’ reimbursement rates as a percentage of Out of Network reimbursement rates
• Evaluate payer agreements and how they compare to regional market standards
• Propose a contracting strategy based on your goals and the current insurance climate
• Determine whether capitation, exclusivity, or preferred provider status is available with any payers
• Consult with payers regarding pay-for-performance measures and what fee schedule works best for the group
• Determine if you are losing referrals because you’re not participating with certain insurance plans
• Develop and implement our plan to renegotiate your insurance agreements
• Engage in negotiations with medical providers to secure the highest discounts and savings for in and out-of-network claims submitted to Remedial.
• Provide regular updates as we move through the negotiation process.

 

Education:

A minimum of 10 years of experience in processing Contract Review , Claims Negotiation Services.

Preferrable experience with Behavioral Health.

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RN Ambulatory Nurse Case Manager

Networks Connect is hiring for an Ambulatory Nurse Case Manager located in Washington D.C. In this position you will comprehensively and actively maintain the care management and coordination needs of payer defined and/or payer enrolled populations of patients who meet designated inclusion criteria. This includes activities such as assessments, formal Case Management care plan development, establishing goals and intervention and monitoring/tracking. Through these activities, the Ambulatory Nurse Case Manager will partner with physician practices and the care management team related to the clinical and care coordination needs of the patient, as well as work with payers and community resources to develop and facilitate effective, efficient care delivery options for the patient across the continuum of care.

Qualifications

 

Minimum Education

BSN (Required)

Master’s Degree (Preferred)

Minimum Work Experience

4 years Nursing experience in case management, ambulatory nursing or community/homecare experience (Required)

Required Skills/Knowledge

Ability to critically think and apply logic and reasoning to dynamically changing healthcare environment.

Requires superior verbal communication skills and service excellence approach with internal and external stakeholders.

Must have strong business writing skills.

Proficient at keyboarding and facile with Microsoft Office Excel, Access and Power Point.

Required Licenses and Certifications

Registered Nurse in District of Columbia (Required)

Licensed RN (Required)

Certification in Case Management preferred (Preferred)

If you are interested in this RN Ambulatory nurse Case Manager job, please apply today by submitting your resume. Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

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Networks Connect Healthcare Staffing is currently conducting a search for a PRN Nurse Practitioner – NP at a Behavioral Health Hospital. The ideal candidate is a team player, sees the big picture, has emergency room experience, adaptable, accustomed to multiple issues, has electronic medical records experience, and very detailed. It’s important for the candidates to ‘fit in’ in the culture, flexible, understands, and can easily shift as situations change.

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Networks Connect is hiring for a Orthopedic Surgery Medical Coder position on behalf of a client located in Gulf Coast of Florida. To be qualified for this position you will have had at least three (3) years of Surgery Coding experience and prior Orthopedics billing experience. In this position, you will work under the direction of the Revenue Cycle Manager, overseeing the orthopedic surgical coding, claim submission, claim denial follow-up, educating physicians and working with surgery schedulers on coding matters.

If you are interested in this Orthopedic Surgery Medical Coder position, please apply today by submitting your resume.

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Networks Connect is conducting a search for a Patient Access Representative position which will work onsite. You are the perfect person for this position if you have a desire to grow in your career. In this position you must be comfortable working face to face with customers and being first point of contact in the facility while being able to help with scheduling, verifying insurance, and entering data. You will start the position with two (2) to three (3) weeks of paid training, and then move into the role full time. One (1) year of experience is required, and the position is a gateway to continued growth in your career with a large Healthcare network. Your working hours will be from 8am-5pm EST (Eastern Time).

If you are interested in this Patient Access Representative job, please apply today by submitting your resume.

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Networks Connect is conducting a search on behalf of a client for a Patient Scheduling Representative position which will work onsite. You are the perfect person for this position if you have a desire to grow in your career. In this position you must be comfortable communicating over the phone with customers and being first point of contact in the facility while being able to help with scheduling, verifying insurance, and entering data. You will start the position with two (2) to three (3) weeks of paid training, and then move into the role full time. One (1) year of customer service experience, scheduling, or patient registration is required, and the position is a gateway to continued growth in your career with a large Healthcare network. Your working hours will be from 7:30am – 4:00pm OR 8:00am – 4:30pm OR 8:30am – 5:00pm EST (Eastern Time).

If you are interested in this Patient Scheduling Representative job, please apply today by submitting your resume.

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Payor Clearance Associate

 

Networks Connect LLC is conducting a search for a Payor Clearance Associate job located in the greater Washington D.C. area.  To be qualified for this position, you must have 2 years of healthcare experience with payor navigation, claims and billing, healthcare registration, insurance referral and authorization processes.   In this position, you will be a member of the Patient Access team dedicated to completing patient access workflows related to navigating insurance prior authorization processes for assigned services.  You will facilitate increasing patient’s access into the care continuum. You will decrease payor-related barriers and increase financial outcomes for scheduled services.  You will work directly with referring physician offices, payers, and patients to ensure full payor clearance prior to the provision of care.

 

Qualifications

 

Minimum Education
High School Diploma or GED (Required)

Minimum Work Experience
2 years Healthcare experience with payor navigation, claims and billing, healthcare registration, insurance referral and authorization processes. (Required)
2 years Comprehensive medical and insurance terminology as well as working knowledge of medical insurance plans, and managed care plans. (Required)

Required Skills/Knowledge
Ability to communicate with physicians’ offices, patients and insurance carriers in a professional and courteous manner.
Superior customer service skills and professional etiquette.
Strong verbal, interpersonal, and telephone skills.
Experience in healthcare setting and computer knowledge necessary.
Attention to detail and ability to multi-task in complex situations.
Demonstrated ability to solve problems independently or as part of a team.
Knowledge of and compliance with confidentiality guidelines and policies and procedures.
Knowledge of insurance requirements and guidelines for Governmental and non-Governmental carriers.
Previous experience with Cerner, Experian, or other related software programs and EMRs preferred.
Bilingual abilities preferred.
Successful completion of all Patient Access training assessments required.

Functional Accountabilities
Pre-Service Payor Clearance

• Navigate and address any payor COB issues prior to services being rendered to ensure proper claims payments; obtain and ensure all authorizations are on file prior to services being rendered; work collaboratively with assigned department (s)/service(s) of the Hospital to ensure all scheduled patients have undergone payor clearance prior to service; pre-register patients, verify insurance eligibility and benefits, obtain pre-certification or referral status, and collect patient responsibility amounts for services provided throughout the health system meeting departmental standards for productivity and quality.
• Obtain authorizations for add-on cases and procedures to ensure proper and timely claims payment; follow-up on all cases to ensure procedures authorized were performed, update authorizations as needed.
• Provide supporting clinical information to insurance payors; outcomes should decrease the need for peer-to-peer review.

• Work with the Payor Nurse Navigators to decrease delays in patients access to care.

• Review clinical documentation to ensure clinicals provided support desired outcomes prior to submitting to payor; must document proven outcomes of decreased peer-to-peer trends.

• Establish contact with patients via inbound and outbound calls, as needed, to pre-register patients for future dates of service.

• Verify insurance eligibility and benefits by utilizing integrated real-time eligibility tool, payer websites, and telephone calls to payers; document payer verification responses in designated fields within the registration pathway; validate insurance referral status, if applicable, and communicate with PCP office to obtain referrals.

Patient Navigation and Notification

• Interpret insurance verification information to estimate patient financial responsibility amounts for scheduled services and inpatient stays.
• Act as a liaison to ensure all the appropriate custodial issues are resolved prior to the patient’s arrival.
• Work as a patient advocate along with legal and other entities to remove any barriers prior to service.

• Review and determine insurance plan benefit information for scheduled services, including co-insurance and deductibles; compare and communicate in and out of network benefits accordingly.

• Communicate patient financial responsibility amounts and initiate the point of service (POS) collections process; determine patient liability based on service levels and make necessary recommendations.

• Identify patients requiring payment assistance options and facilitate communication between patients and Financial Information Center (FIC).

Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources efficiently

• Search for less costly ways of doing things

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details – practicing Stop, Think, Act and Review in order to self-check behavior and performance

 

 

If you are interested in this Payor Clearance Associate job, please apply today by submitting your resume.  Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

 

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Payor Clearance Associate

Networks Connect LLC is conducting a search for a Payor Clearance Associate job located in the greater Washington D.C. area. To be qualified for this position, you must have 2 years of healthcare experience with payor navigation, claims and billing, healthcare registration, insurance referral and authorization processes. In this position, you will be a member of the Patient Access team dedicated to completing patient access workflows related to navigating insurance prior authorization processes for assigned services. You will facilitate increasing patient’s access into the care continuum. You will decrease payor-related barriers and increase financial outcomes for scheduled services. You will work directly with referring physician offices, payers, and patients to ensure full payor clearance prior to the provision of care.

Qualifications

Minimum Education

High School Diploma or GED (Required)

 

Minimum Work Experience

2 years Healthcare experience with payor navigation, claims and billing, healthcare registration, insurance referral and authorization processes. (Required)

2 years Comprehensive medical and insurance terminology as well as working knowledge of medical insurance plans, and managed care plans. (Required)

Required Skills/Knowledge

Ability to communicate with physicians’ offices, patients and insurance carriers in a professional and courteous manner.

Superior customer service skills and professional etiquette.

Strong verbal, interpersonal, and telephone skills.

Experience in healthcare setting and computer knowledge necessary.

Attention to detail and ability to multi-task in complex situations.

Demonstrated ability to solve problems independently or as part of a team.

Knowledge of and compliance with confidentiality guidelines and policies and procedures.

Knowledge of insurance requirements and guidelines for Governmental and non-Governmental carriers.

Previous experience with Cerner, Experian, or other related software programs and EMRs preferred.

Bilingual abilities preferred.

Successful completion of all Patient Access training assessments required.

Functional Accountabilities

Pre-Service Payor Clearance

• Navigate and address any payor COB issues prior to services being rendered to ensure proper claims payments; obtain and ensure all authorizations are on file prior to services being rendered; work collaboratively with assigned department (s)/service(s) of the Hospital to ensure all scheduled patients have undergone payor clearance prior to service; pre-register patients, verify insurance eligibility and benefits, obtain pre-certification or referral status, and collect patient responsibility amounts for services provided throughout the health system meeting departmental standards for productivity and quality.
• Obtain authorizations for add-on cases and procedures to ensure proper and timely claims payment; follow-up on all cases to ensure procedures authorized were performed, update authorizations as needed.
• Provide supporting clinical information to insurance payors; outcomes should decrease the need for peer-to-peer review.
• Work with the Payor Nurse Navigators to decrease delays in patients access to care.
• Review clinical documentation to ensure clinicals provided support desired outcomes prior to submitting to payor; must document proven outcomes of decreased peer-to-peer trends.
• Establish contact with patients via inbound and outbound calls, as needed, to pre-register patients for future dates of service.
• Verify insurance eligibility and benefits by utilizing integrated real-time eligibility tool, payer websites, and telephone calls to payers; document payer verification responses in designated fields within the registration pathway; validate insurance referral status, if applicable, and communicate with PCP office to obtain referrals.

Patient Navigation and Notification

• Interpret insurance verification information to estimate patient financial responsibility amounts for scheduled services and inpatient stays.
• Act as a liaison to ensure all the appropriate custodial issues are resolved prior to the patient’s arrival.
• Work as a patient advocate along with legal and other entities to remove any barriers prior to service.
• Review and determine insurance plan benefit information for scheduled services, including co-insurance and deductibles; compare and communicate in and out of network benefits accordingly.
• Communicate patient financial responsibility amounts and initiate the point of service (POS) collections process; determine patient liability based on service levels and make necessary recommendations.
• Identify patients requiring payment assistance options and facilitate communication between patients and Financial Information Center (FIC).

Organizational Accountabilities

Organizational Accountabilities (Staff)

Organizational Commitment/Identification

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior
• Partner with all team members to achieve goals
• Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving

• Contribute to a positive work environment
• Demonstrate flexibility and willingness to change
• Identify opportunities to improve clinical and administrative processes
• Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources efficiently
• Search for less costly ways of doing things

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance
• Continuously validate and verify information needed for decision making or documentation
• Stop in the face of uncertainty and takes time to resolve the situation
• Demonstrate accurate, clear and timely verbal and written communication
• Actively promote safety for patients, families, visitors and co-workers
• Attend carefully to important details – practicing Stop, Think, Act and Review in order to self-check behavior and performance

If you are interested in this Payor Clearance Associate job, please apply today by submitting your resume. Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

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Networks Connect Professional Staffing is conducting a search on behalf of our client for a Payor Reimbursement Analyst. This leader will support the financial sustainability of the organization through timely , accurate and thorough research of reimbursement issues related to Medicaid and Commercial payors. Responsible to track, trend and reconcile data and report to the Revenue Cycle. Develop and maintain collaborative relationships with payors, Access, Clinics, Managed Care, Business Operations, Leadership and Legal departments.

Responsibilities/Skills/Knowledge:

• Provide timely, comprehensive and accurate review of authorizations/denials to determine appropriate course of action.
• Provide clear direction to others to resolve authorization/denial issues.
• Provide timely appeals which are based on standardized criteria (Interqual and MCG) and follow appropriate escalation processes.
• Monitor payor response to appeals to ensure timely claim payment or write-off.
• Function as a subject matter expert for CRM, Revenue Cycle and the organization.
• Ability to critically think and apply logic and reasoning to dynamically changing healthcare environment.
• Requires superior verbal communication skills and service excellence approach with internal and external stakeholders.
• Must have strong business writing skills.
• Proficient at keyboarding and facile with Microsoft Office Excel, Access and Power Point.

Qualifications:

• Bachelor’s Degree in Nursing (BSN) Required, Masters preferred
• 5 Years experience with 3 years of Utilization Review

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Networks Connect Healthcare Staffing is a healthcare staffing company that offers PRN, contract, temporary-to-hire, and direct-hire employment opportunities to prospective candidates in Indiana.

 

Job Description:    Networks Connect Healthcare Staffing is currently conducting a search to add a talented Physical Therapist (PT) to our team. We are looking for a compassionate and dependable Physical Therapist (PT) for an outpatient clinic specializing in manual therapy.

 

Responsibilities:

• They can manage a variety of patient conditions (primarily orthopedic) and direct clinical staff.
• Assesses patient needs, plans for, evaluates, and modifies care to meet goals of Physical Therapy interventions.
• Collaborates with all disciplines to plan and evaluate team goals for each patient.
• Other Physical Therapist / PT duties as assigned.

 

 

Benefits:

At Networks Connect Healthcare Services, we firmly believe that our employees are the key to our success, and we are happy to offer the following benefits:

• Competitive pay and weekly paychecks
• Health, Dental, and Vision insurance
• Competitive overtime rates
• Benefit eligibility is dependent on employment status

 

If you are interested in this Physical Therapist job, please apply today by submitting your resume.  We are excited to be a part of your next career move!

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Job Description: Networks Connect Healthcare Staffing is currently conducting a search to add a talented Physical Therapist (PT) to our team. We are looking for a compassionate and dependable Physical Therapist (PT) for an orthopedic clinic including diagnosis such as, sports injuries, fractures, rotator cuff repairs, hip arthroscopies, total joint replacements, spine conditions, work injuries and foot and ankle diagnosis.

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Job Description: Networks Connect Healthcare Staffing is currently conducting a search to add a talented Physical Therapist (PT) to our team. We are looking for a compassionate and dependable Physical Therapist (PT) for an outpatient clinic.

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Networks Connect Healthcare Staffing is a healthcare staffing company that offers PRN, contract, temporary-to-hire, and direct-hire employment opportunities to prospective candidates in Indiana.

Job Description: Networks Connect Healthcare Staffing is currently conducting a search to add a talented Physical Therapist Assistant (PTA) to our team. We are looking for a compassionate and dependable Physical Therapist (PTA) for an outpatient clinic specializing in manual therapy.

Responsibilities:

• The Physical Therapist Assistant provides physical therapy services in accordance with a written plan of care and under the advisement of a supervising Physical Therapist
• Activities of this position are patient focused in accordance with physical therapy standards, physician orders, and affiliate policies and procedures
• Provides treatment techniques to facilitate and restore optimal functioning performance specific to physical therapist assistant’s patient care area
• Provides adequate feedback to Physical Therapist regarding patient’s progress and reports any unusual reaction or response to therapeutic program
• Documents the patient/family/caregiver response to treatment and changes in patient condition per affiliate documentation policies and/or standards and in compliance with regulatory agencies
• Promotes process improvement
• Other duties as assigned

Qualifications:

• Graduate of an accredited Physical Therapy Assistant program culminating in an associate degree
• Current and valid state PTA license or equivalent in the states where services are rendered
• CPR certification (when required)
• NEW Graduates are welcome to apply
• Maintain current CPR certification
• Great time management skills

If you are interested in this Physical Therapist Assistant job, please apply today by submitting your resume. We are excited to be a part of your next career move!

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Job Description: Networks Connect Healthcare Staffing is currently conducting a search to add a talented Physical Therapist Assistant (PTA) to our team. We are looking for a compassionate and dependable Physical Therapist Assistant (PTA) for an orthopedic clinic including diagnosis such as, sports injuries, fractures, rotator cuff repairs, hip arthroscopies, total joint replacements, spine conditions, work injuries and foot and ankle diagnosis.

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Physician Advisor – Integrated Case Management – Sarasota, FL (Relocation Assist/Sign On $)

Networks Connect is hiring for a full-time Physician Advisor position. In this role, you will provide physician administrative support and leadership to the utilization and resource management areas of Integrated Case Management including mentoring and coaching Care Coordinators, Utilization Review staff, and Social Workers. This position will require 80% Physician Advisory work, and 20% (3-5) shifts clinical work per month.

Required Qualifications

• MD or DO from an accredited school of medicine
• Board Certification
• Qualified as a provider under Medicare and Medicaid
• Current medical staff privileges or the ability to be credentialed for staff privileges
• Minimum three (3) years of hospital acute care experience with exposure to utilization management and documentation initiatives
• Experience in case management, care coordination, and utilization management
• Maintains current knowledge of federal, state, and payor regulatory and contract requirements
• Demonstrated teamwork, performance analysis, presentation, facilitation, planning, and communication skills

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Our client is a growing financial services company, and we’re searching for an experienced Retirement Plan Administrator. This role is a associate level position within the Third-Party Administration Department. Each associate works directly with a manager to learn aspects of retirement plan administration, compliance, and accounting.

About You

You enjoy a challenge and have an aptitude for math and logic. You enjoy helping customers and take pride in delivering quality work. You enjoy learning and improving your skills.

About Us

Our client is a leading franchise and small business funding provider. They help businesses get their doors open and then get bigger. It’s a big job, and we need people with big goals, big ideas, and big hearts to do it. Our team is small but mighty. We work hard to get the job done but take time to incorporate fun to help us stay connected and energized.

You will learn about a dynamic industry, while having the opportunity to make contributions from day one. Our teamwork-focused culture encourages collaboration, creative problem-solving, and delivery of top-notch services.

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Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Medication Aide to our team. We have full-time, part-time, and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose form.

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Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented Qualified Medication Aide to our team. We have full-time and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose from.

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Job Description: Networks Connect Healthcare Staffing is currently conducting a search to add talented Radiological Technologists to our team. We offer full-time or part-time opportunities for Radiological Technologists. Facilitate and oversee all operations within our procedure rooms, including educating and preparing the patient, preparing sterile fields and trays, assisting the physician, and operating the c-arm and other necessary equipment.

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Who We Are

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry. Full Medical, Dental, Vision Benefits Available!

Networks Connect Healthcare Staffing is currently conducting a search to add talented RNs to our team. We offer full-time, part-time or PRN opportunities available in your area. Please see below for more information!

Qualifications:

• 1 year of experience in any healthcare field (preferred)
• Current, valid RN license or certification in the state of PA
• Certification in CPR (BLS)
• Excellent communication skills
• Background and drug screen

Benefits:

At Networks Connect Healthcare Services, we firmly believe that our employees are the key to our success, and we are happy to offer the following benefits:

• Competitive pay and weekly paychecks
• Health, Dental, and Vision insurance
• Competitive overtime rates
• Benefit eligibility is dependent on employment status

If you are interested in this position, please apply today by submitting your resume. If you are interested in being considered for other jobs, please visit our website: www.networks-connect.com . We are excited to be a part of your next career move!

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Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

Networks Connect Healthcare Staffing is looking to add talented Registered Nurses- RN to our team. We offer full-time or part-time opportunities for Registered Nurses- RN who desire to work in long-term care or assisted living facilities, and you can select any shift that works best with your schedule! Please see below for more information about our Registered Nurse- RN positions! Full Medical, Dental, Vision Benefits Available!

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Networks Connect is conducting a search for a Retirement Plan Administrator (Remote).  In this position you will provide exceptional customer service to our broad client base of Plan Sponsors/Employers, Financial Advisors, CPA’s, Recordkeeper Contacts, and other partnerships), while performing technical plan administration at a high level of quality.  Continue developing and sustaining partnership relationships with our entire client base.

Responsibilities and Duties:

• Responsible for servicing a plan book of business of 70 to 90 plans. From solo plans to +100 participant plans to plan’s that require no 5500 series filings.
• Provide clear communication that conveys the right information to our client base, while performing routine compliance administration.
• Utilize current, standardized administration and tools (excel templates etc.) to perform all administrative reports.
• Sort through obtained data to meet timely testing deadlines that meet client expectations for such deliveries.
• Able to understand Plan Documents and how they relate to ongoing administration.
• Work with Recordkeeper data that is most likely received in varied formats and systems to reconcile Plan Assets.
• Understand the intricacy of plan asset reconciliations, document distributions, including Required Minimum Distribution calculations, contributions, earnings, transfers, adjustments etc. that may have transpired throughout the Plan year.
• Provide timely contribution calculations and monitor IRS maximums and limits.
• Accurate and timely completion of IRS Forms (5500 series, 5330, 1099R’s and others)
• Ability to provide our client with the necessary direction and resources that assist Plan needs (payroll questions, corrections or adjustments and any other plan related items).
• Continue to seek ways to improve our processes and services. Maintain client and plan data according to set administrative electronic path (Box…).

Qualifications:

• Prefer college graduate, but not required.
• 2 to 3 years of TPA compliance and administration
• Seeking QKA, QPA, APA, CEBS or other retirement plan designations
• Proficient in excel, working knowledge of Outlook, word etc.
• Ability to quickly learn ASC, Retirement Data base.
• Detail oriented, ability to multitask, adapt quickly to changes, exceptional organizational skills, adapt to changed priorities necessary to meet new deadlines.
• Maintain a positive outlook and attitude.

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Networks Connect LLC is conducting a search for a remote 403(b) Account Manager on behalf of a industry leading client. You are the perfect candidate if you maintain client/advisor relationships, perform compliance testing and contribution calculations, prepare Form 5500, and enjoy working with auditors.

If you are interested in this 403(b) Account Manager job, please apply today by submitting your resume.

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Are you an experienced Retirement Plan Consultant or Administrator looking for a new remote career opportunity? We have multiple positions available with our rapidly growing clients that are fully remote and designed to help businesses maximize their corporate retirement plan through creative plan design, consistent plan monitoring, and compelling client service.

Responsibilities may include:

• A-Z retirement plan administration.
• Single point of contact and ownership for assigned clients and financial advisors.
• Census scrubbing and eligibility determination.
• Compliance Testing: HCE/ Key determination, Top Heavy, ADP/ACP, 410(b), 401(a)(4), and 415.
• Ensure compliance with DOL and IRS requirements.
• Calculation of contribution allocations.
• Self-Employment Income calculations.
• Reconciliation of plan trust assets.
• Completion of annual valuation reports.
• Preparation of required government filings, including Form 5500 series.

Preferred Skills and Experience:

 

• Retirement administration in a remote environment.
• Experience with FT William software, Relius, ASC, Datair and Pension Pro.
• Strong competency with Microsoft Excel.
• ASPPA QKA or QPA certified.
• Knowledge of ERISA, combined plan testing, DB/DC administration.
• Outstanding client relationship management skills, service, and support.

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A rapidly growing Third Party Administration firm has an immediate opening for Defined Contribution & Defined Benefit retirement plan administrator/consultants.

Our client offers a team approach where employees are encouraged to share ideas, be open to change, and work together to create a fun and productive work environment.

Responsibilities include:

• A-Z retirement plan administration.
• Consulting with clients to achieve their desired retirement plan goals.
• Census scrubbing and eligibility determination.
• Compliance Testing: HCE/ Key determination, Top Heavy, ADP/ACP, 410(b), 401(a)(4), and 415.
• Calculation of contribution allocations.
• Self-Employment Income calculations.
• Reconciliation of plan trust assets.
• Completion of annual valuation reports.
• Preparation of required government filings, including Form 5500 series.

Qualifications:

• 5+ Years of plan administration experience is preferred.
• Excellent client service and communication skills.
• Strong organizational skills and attention to detail.
• Software skills: Excel, Word, Outlook, Adobe.
• Ability to work as a part of a team or independently.
• Knowledge of FT Williams and/or Pension Pro software is a plus.
• Defined Contribution and/or Defined Benefit Experience is a must.

We will happily entertain working with remote employees, and offer a flexible work schedule, benefits, and personal time off.  We are confident our firm provides a dynamic, flexible, and personable work environment, in which our employees are treated as unique individuals.  Contact us if you’d like to learn more!

 

Please email resume to SMinor@ncstaffing.com

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Sales Manager job in Columbus, IN area:

Networks Connect LLC is hiring a Sales Manager to be located in the Columbus, IN area. You are a great candidate for this position if you have sales experience in the manufacturing or industrial business sector. In this position you will play a pivotal role in driving revenue growth by overseeing the major existing accounts promoting products and services.

As the Sales Manager, your job duties will include:

• Develop and implement strategic sales plans to achieve company targets and objectives.
• Providing guidance, training, and performance evaluations.
• Identify new business opportunities and develop relationships with prospective clients.
• Accurately forecast sales projections and monitor market trends to capitalize on emerging opportunities.
• Collaborate with cross-functional teams, including production, engineering, and customer service, to ensure customer satisfaction and successful project delivery.
• Utilize your industry knowledge to stay informed about market trends, competitors, and customer needs.

You are the perfect person if you have:

• Bachelor’s degree in business administration, sales, or a related field preferred.
• Proven track record of success in sales, preferably in the metal fabrication manufacturing industry.
• Experience in managing and leading a sales team.
• Strong communication, negotiation, and interpersonal skills
• Exceptional ability to build and maintain long-term client relationships.
• Proficiency in Microsoft Office Suite.
• Self-motivated, proactive, and results-driven individual with a passion for sales.

If you are interested in this Sales Manager job, please apply today by submitting your resume.

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Senior Accountant position in Indianapolis, IN

Networks Connect is conducting a search for a Senior Accountant position to be in Indianapolis, IN. You may be a great candidate for this position if you have a bachelor’s degree in accounting and a minimum of 6 years of accounting experience. In this position, you will be responsible for the month-end-close process, preparing journal entries, biweekly payroll review, account reconciliations and maintenance of fixed assets system and schedules. Additionally, you will assist with the Medicare Cost Report, various ad hoc audits, reviews and surveys, the preparation of annual property taxes, coordination and insurance of K-1 tax documents to owners, preparing and reviewing month-end reports, the preparation of monthly budget variance reports and associated notifications, and participation in the annual budget process.

Your duties will include:

• Maintains financial records and the general ledger for the hospital and its subsidiary. Prepares and executes the month-end close process by preparing monthly general and standard journal entries, prepares quarterly distribution schedules, maintains fixed asset schedules, and performs account reconciliations for assigned companies on a recurring basis. Responsible for maintaining chart of accounts as needed by adding accounts, inactivating accounts, etc.
• Maintains the hospital Cost Accounting system.
• Prepares the annual budget for various entities of the organization with oversight and guidance from accounting leadership. Assists with the preparation and compilation of monthly budget variance reports. Responsible for the coordination of budget compilation both annual and monthly, by working with interdepartmental contacts within the organization to ensure timely, accurate completion.
• Assists independent auditors within interim and year-end audit and Medicare Cost Report for the hospital.
• Assists in training assigned staff including Staff Accountants and Accounts Payable. Supports department by answering questions and providing guidance on policies and procedures.
• Maintain working knowledge of all governmental regulations and practices (GAAP) affecting accrual-based hospital finance and accounting procedures.
• Actively participates in annual, quarterly, and cyclical financial requirements and processes, such as property taxes, distributions, K-1 reconciliations, audits/reviews, and property tax return preparations.

Qualifications and Required Skills:

• Bachelor’s degree in accounting required.
• 6-8 years of experience required 8-10 years of experience preferred.
• Previous healthcare experience preferred.
• Intermediate to Expert Level of proficiency in Microsoft Excel

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Managed Care Senior Analyst

Networks Connect LLC is conducting a search for a Managed Care Senior Analyst job located in Sarasota, FL.  In this position, you will support all contracting activities and serve as the contract modeling expert responsible for complex, accurate modeling of proposed contracts in organization’s managed care software, as well as, loading finalized contracts into the system, in addition to ongoing maintenance and updates to contract terms.

As the Managed Care Senior Analyst, your job duties will include:

• Reviewing and analyzing managed care contracts.
• Performing Rate Management analysis.
• Communicating complicated financial data to all levels of management and staff.
• Working heavily in spreadsheet programs, word processing, database programs, and various Microsoft applications.
• Managing multiple functions and responsibilities simultaneously and problem solving and thinking both creatively and analytically.

You are the perfect person if you have a:

• Bachelor’s Degree in related field required.
• Minimum of Two (2) to eight (8) years of healthcare financial/analytical responsibilities at a medium or large health care organization or large payor requiring a high use of critical thinking, complex analytical skills, and complex modeling
• Master’s Degree preferred.
• SQL experience a plus
• Power BI experience a plus

If you are interested in this Managed Care Senior Analyst job, please apply today by submitting your resume.  Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

 

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Senior Medical Economics Analyst

Networks Connect LLC is conducting a search for a Senior Medical Economics Analyst job located in the Ocala, FL area.  To be qualified for this position, you must be experienced in writing SQL queries.  In this position, you will provide analysis of medical costs as well as revenue via reporting packages, metrics, and dashboards.  You will be a key go to team member for financial and operational analytics.

As the Senior Medical Economics Analyst, your job duties will include:

• Acting as the team lead for the Medical Economics department and assisting the Supervisor of Medical Economics in developing the team and department.
• Assisting in training , onboarding, and orienting the new Medical Economic team members to the department.
• Enhancing current processes and developing new processes to increase reporting capabilities across the Medical Economics team.
• Analyzing Medicare Advantage medical claims data provided by health plan partners.
• Collaborating with colleagues to determine information needs, assessing information availability, accessing, and analyzing appropriate data and finalizing reports.
• Assisting with the maintenance of business-critical information systems in presentation format for the Executive Team and Board of Directors.
• Working with membership files from health plan(s) to ensure proper payments are received from health plan(s) on Medicare Advantage risk population.
• Providing analytics to organization regarding Medicare Advantage population cost trends.

You are the perfect person if you have a:

• Bachelor’s degree in management of Information Systems, Health Care Administration, Business Analytics, or related field
• Must have experience working with SQL and Microsoft Office
• Experience with Power BI is desired.
• Strong analytical ability for solving complex financial, organizational, and departmental issues

If you are interested in this Medical Economics Analyst job, please apply today by submitting your resume.  Please continue to explore our job postings at www.networks-connect.com . We are excited to be a part of your next career move!

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Networks Connect Professional Staffing is conducting a search on behalf of our client for a Senior Patient Access Operations Coordinator. This leader will be responsible for coordination of business operations of the Patient Access Department. Supervise, train, mentor, and develop staff to ensure departmental objectives are met.

As the Senior Patient Access Operations Coordinator your job duties will include:

• Responsible to coordinate the business and administrative operations of the 24/7 Patient Access Department.
• Perform supervisory duties which include hire, train, and evaluate the Patient Access team. (Admissions, Emergency Department, Laboratory and Radiology Registration and Scheduling, and Financial Clearance).
• Emphasis is placed on customer service, patient satisfaction, staff development, and fiscal goals. Responsible to assist in managing the financial aspects of the department and the quality assurance activities.
• Work with medical, nursing, and accounting staff to ensure appropriate patient placement. This position will rotate call, weekend and shift coverage as needed.
• In addition, will float between the different locations within Patient Access as needed.

You are the perfect person if you have:

• 4 years Related and progressive experience (Required)
• 7 years Without degree; related and progressive experience, preferably in healthcare field (Required)
• 1 year Supervisory or leadership experience in healthcare operations (Required)
• Associate’s Degree Business Administration or health care preferred (Required)
• Bachelor’s Degree (Preferred)

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Networks Connect is conducting a search for a Senior Retirement Plan Administrator.  In this position you will provide exceptional customer service to our broad client base of Plan Sponsors/Employers, Financial Advisors, CPA’s, Recordkeeper Contacts and other partnerships), while performing technical plan administration at a high level of quality.  Continue developing and sustaining partnership relationships with our entire client base.  Provide a level of interpersonal skills that demonstrate leadership while performing select training to interoffice colleagues.  Share expertise and confidence while mentoring peers to achieve company goals.

Responsibilities and Duties:

• Responsible for servicing a plan book of business of 90 to 95 plans. From solo plans to +100 participant plans to plan’s that require no 5500 series filings.
• Assist with colleague training as needed.
• Undertake more complex projects as needed.
• Provide clear communication that conveys the right information to our client base, while performing routine compliance administration.
• Utilize current, standardized administration and tools (excel templates etc.) to perform all administrative reports.
• Must be detailed oriented in all aspects of administration; including detailed, notes, cell links and documentation.
• Sort through obtained data to meet timely testing deadlines that meet client expectations for such deliveries.
• Able to understand Plan Documents and how they relate to ongoing administration.
• Work with Recordkeeper data that is most likely received in varied formats and systems in order to reconcile Plan Assets.
• Understand the intricacy of plan asset reconciliations, document distributions, including Required Minimum Distribution calculations, contributions, earnings, transfers, adjustments etc. that may have transpired throughout the Plan year, including recordkeeping conversions.
• Provide timely contribution calculations and monitor IRS maximums and limits.
• Accurate and timely completion of IRS Forms (5500 series, 5330, 1099R’s and others)
• Assist colleagues with their questions by providing insight and options.
• Ability to provide to our clients, necessary direction and resources that assist Plan needs (payroll questions, corrections or adjustments, Plan design questions and any other plan related items).
• Continue to seek ways to improve our processes and services. Maintain client and plan data according to set administrative electronic path (Box…).

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Who We Are

Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry. Full Medical, Dental, Vision Benefits Available!

Job Description

We are looking to add talented Social Worker – master’s to our team. We have full-time and part-time opportunities available in the area, for those who desire to work in long-term care and assisted living facilities. Extremely flexible scheduling and Competitive pay.

Responsibilities

• Identify and participate in process improvement initiatives that improve the customer experience, enhance workflow, and/or improve the work environment
• Assist in collecting social history data and in the development of a comprehensive discharge plan, including the MDS and Care Plan for new admits, as directed by the Director
• Orient and assist new residents in adjusting to the facility
• Assist residents and families with adjustment to changes, including room changes
• Assist families with the engraving and/or marking of resident’s personal items

Qualifications

• At least one year experience in social work, preferably in a long-term care facility
• Bachelors or Master’s degree in social work, sociology or psychology or in a related human services field, including but not limited to, special education, rehabilitation and counseling
• Effective verbal and written English communication skills
• Highest level of professionalism with the ability to maintain confidentiality
• Ability to communicate at all levels of organization and work well within a team environment in support of company objectives
• Customer service oriented with the ability to work well under pressure
• Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity

Benefits

• Competitive pay and weekly paychecks
• Health, Dental and Vision insurance
• Overtime rates over 40 hours
• Benefit eligibility is dependent on employee status

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Networks Connect is a healthcare staffing solutions company serving the short-term, long-term contract, temporary-to-hire, and direct-hire staffing service needs of all companies in the healthcare or healthcare service industry.

We are looking to add talented State Tested Nursing Assistants to our team. We have full-time, part-time, and PRN opportunities available in the area. Extremely flexible scheduling and a wide range of facilities to choose form.

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