by twochickswithasidehustle | Oct 7, 2023 | Uncategorized
What is Aspirion?
Aspirion is an industry-leading provider of complex claims management services. We specialize in Motor Vehicle Accidents, Worker’s Compensation, Veterans Administration and Tricare, Complex Denials, Out-of-State Medicaid, Aged AR, and Eligibility and Enrollment Services. Our employees work in an environment that is both challenging and rewarding. We ask a lot out of our team members and in return we offer flexibility, autonomy, and endless opportunities for advancement. As we are committed to growth within the complex claims industry, we offer the same growth to our employees.
What do we need?
We are seeking a compassionate and proficient Clinical Review Nurse to join our growing team of professionals. The Clinical/Utilization Review Nurse advocates for reimbursement for services provided by the hospital through their review and analysis of complex medical issues. Accountable for carrying a queue of assigned accounts. Review and analyze medical records to formulate complex clinical arguments. Support Operations and Client Management by providing feedback on medical trends, issues, and denials.
What will you provide?
- Manages complex and robust queue according to Aspirion and client needs. Queue size varies weekly.
- Reviews insurance denials, including but not limited to, medical necessity denials, patient status denials (i.e., Inpatient vs. Outpatient Observation), level of care denials (i.e., bed type), length of stay denials (including stays over a month long), readmission denials, experimental denials, clinical validation denials, and/or authorization denials.
- Reviews and utilizes clinical criteria, including but not limited to, InterQual, Milliman Care Guidelines (“MCG”), UpToDate, Medicare Policies, and State Specific Clinical Criteria.
- Drafts clinical summaries, including but not limited to, arguing against an insurance denial, confirming an insurance denial, or reviewing a clinical determination.
- When performing clinical reviews, monitors hours expended on a single account to ensure the time invested is commensurate with the account’s potential reimbursement and check in with Managing Attorney when time expended exceeds average hours for type of review
- Identifies and tracks common trends and issues for reporting to the clients.
- Collaborates with Aspirion attorneys via in person meetings, phone, and/or email.
- Attends Clinical Team Meetings, All Company Meetings, Education Opportunities, Trainings, and other potential meetings
Requirements
- Proficient with Word, Excel, PowerPoint, Outlook, Zoom, Microsoft Teams
- Analytical skills and the ability to make appropriate decisions independently
- Problem solver with the ability to identify issues, provide feedback and follow-up to resolution
- Work independently in a rapidly changed and growth-oriented environment with regularly changing priorities
- Prioritize assignments to complete work in a timely manner, adjusting quickly as circumstances dictate
- Efficient at handling and prioritizing multiple tasks and projects in a time-sensitive environment
- Maintains strict confidentiality of protected medical information and adherence to all HIPAA and Aspirion policies and regulations
- Must possess interest in healthcare and medical insurance claims
Education and Experience
- Requires an AS/BS in nursing.
- Minimum of one (1) year of clinical experience with an understanding of clinical experience; or any combination of education and experience, which would provide an equivalent background.
- Current unrestricted RN license required.
- Preferred experience with Utilization Review, Health Insurance Denials and Appeals, Payer Audits, or Case Management.
- Familiarity with Millman and InterQual guidelines preferred.
Benefits
At Aspirion we invest in our employees by offering unlimited opportunities for advancement, a full benefits package, including health, dental, vision and life insurance upon hire, matching 401k, competitive salaries, and incentive programs.
AAP/EEO Statement
Equal Opportunity Employer/Drug-Free Workplace: Aspirion is an Equal Employment Opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, pregnancy, religion, national origin, ancestry, medical condition, marital status, gender identity citizenship status, veteran status, disability, or veteran status. Aspirion has a Drug-Free Workplace Policy in effect that is strictly adhered to.
by twochickswithasidehustle | Oct 6, 2023 | Uncategorized
Overview
Dragos is a global cybersecurity start-up and we are looking for a detail-oriented HR Professional who is comfortable working in a fast-paced environment. Are you someone that employees turn to because they know you will happily assist and help address their concerns? Are you looking to grow in your career? This is an exciting opportunity to join a high-performing team where collaboration is key and expand your knowledge across multiple areas of HR. In this role you will be responsible for the day-to-day administration and continual improvement of the employee lifecycle processes such as onboarding, offboarding, and everything in between.
Responsibilities
- Responsible for new hire orientation and onboarding
- Process and track employee data changes, leaves of absence, and other items in the HR systems
- Serve as the first point of contact for employee questions and issues related to benefits, employment verifications, general HR matters, etc.
- Coordinate US benefit administration with insurance carriers, retirement plan vendors, and internal HRIS team
- Maintain HR intranet and perform periodic reviews and updates of HR guides, policies, and processes
- Provide support for other HR projects and initiatives
Qualifications
- At least 3 years of HR Generalist experience required
- Experience with HRIS systems and reporting (UKG/UltiPro desired)
- Experience with US benefits administration
- A passion and a knack for using technology to improve processes and efficiency
- Able to communicate clearly both verbally and in writing
- Excellent organizational skills and attention to detail
- Time management skills with a proven ability to prioritize and meet deadlines
- Act with integrity, professionalism, and confidentiality
- Solid knowledge of employment-related laws and regulations
Compensation
- Base Salary: $77,000
- Base + Benefits + Equity: $143,200
- Comprehensive benefits plan (medical, dental, vision, disability, life insurance, 401K with match)
Equity at Dragos is quickly growing and the total compensation under-represents the future growth and refresh program. This will be discussed on the first call with the Dragos recruiter.
by twochickswithasidehustle | Oct 6, 2023 | Uncategorized
sr admin assistant global inventory management(remote or hybrid)
apply now save joblocation: 1000 nicollet mall, minneapolis, minnesota, united states, 55403-2542;job id: R0000316366
job family: Administrative Assistants
schedule: Full time
The pay range per hour is $23.13 – $41.63
Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at https://corporate.target.com/careers/benefits.
About us:
Target is an iconic brand, a Fortune 50 company and one of America’s leading retailers.
Keeping one of the most loved and recognized brands at the top of its game is no small task. It takes the talent and vision of a world class Administrative Support organization. We are strategic partners who balance the goals of the business with the needs of individuals and teams. We embody the very best of Target: new ideas, resourcefulness, quick and precise execution, creativity, professionalism and a fun and positive team culture. Do you pride yourself on building deep and broad relationships? Can you learn the nuances of a large, multifaceted business? Are you skilled at anticipating challenges and proposing solutions for your leader and team? Have you mastered the arts of organization, communication and collaboration? If so, you will be a key player in an organization that positively impact thousands of people who love to shop and work at Target.
As a Senior Administrative Assistant, you’ll support multiple leaders and demonstrate a keen ability to think critically in a fast-paced environment. Here, you’re an extension of your leader, complementing their work style while upholding Target’s values and demonstrating the utmost poise, professionalism and leadership. You’ll offer a level of service that goes above and beyond the basics. You’ll successfully manage multiple priorities and processes while staying up to date on an ever-changing retail marketplace. Bring your ability to anticipate your leaders’ needs and proactively solve problems before they arise. Confidentiality, flexibility and exceptional time management will be key to keeping things running smoothly. Core responsibilities of this job are described within this job description. Job duties may change at any time due to business need.
About You:
• High School diploma or equivalent experience
• 2+ years of administrative experience or similar experience
• Strong verbal and written communication skills; ability to communicate to variety of levels, both internally and externally
• Flexible, resilient and nimble; comfortable working in “grey areas” that are constantly changing
• Accountable with a high degree of initiative; ability to balance fluctuating workload and tasks
• Exceptional ability to prioritize, problem-solve and make decisions
• High attention to detail
• Experience using Microsoft Office preferred
• Four-year degree preferredThis position may be considered for a Remote or Hybrid (known internally at Target as “Flex for Your Day”) work arrangement based on Target’s needs. A Remote work arrangement means the team member works full-time from home or an alternate location that’s not a Target location, does not have a desk at a Target location and may travel to HQ up to 4 times a year. A Hybrid/Flex for Your Day work arrangement means the team member’s core role may be performed either remote or onsite at a Target location depending upon what your role, team and tasks require for that day. Work duties cannot be performed outside of the country of the primary work location, unless otherwise prescribed by Target.
Americans with Disabilities Act (ADA)
by twochickswithasidehustle | Oct 6, 2023 | Uncategorized
Gannett Co., Inc. (NYSE: GCI) is a subscription-led and digitally-focused media and marketing solutions company committed to empowering communities to thrive. With an unmatched reach at the national and local level, Gannett touches the lives of millions with our Pulitzer Prize-winning content, consumer experiences and benefits, and advertiser products and services.
Our current portfolio of media assets includes The USA TODAY NETWORK, which includes USA TODAY, and local media organizations in 43 states in the United States, and Newsquest, a wholly-owned subsidiary operating in the United Kingdom. We also own digital marketing services companies under the brand LocaliQ, which provide a cloud-based platform of products to enable small and medium-sized businesses to accomplish their marketing goals. In addition, our portfolio includes one of the largest media-owned events businesses in the U.S., USA TODAY NETWORK Ventures.
Gannett open roles are featured on various external job boards. When applying to a position at Gannett, you should be completing an application on Gannett Careers via Dayforce. Job postings directing you to complete an application on other external sites may not be valid.
To connect with us, visit www.gannett.com
Ventures Endurance, a division of Gannett/USA Today Network, is seeking an experienced, creative, and motivated Social Media Coordinator to join our marketing team. In this role, you will be responsible for implementing our marketing and social media strategy with the goal of growing our online presence and improving marketing efforts.
Base Salary: $45,000, fully remote role
Responsibilities
- Manage social media content creation efforts across our 50+ Facebook, Instagram, TikTok, and Twitter accounts
- Implement and refine our current social media strategy
- Measure the results of social media campaigns and adjust strategy based on findings
- Seek out social media growth strategies and implement them across all our brands
- Work closely with the graphic design team to create social media and additional marketing content
- Keep abreast of the latest social media best practices and technologies
Required Skills
- Must exemplify all 7 core values outlined above
- 2+ years of experience in marketing, social media, or a similar role
- Passion for all things Digital Media and Social Media
- Excellent verbal and written communication skills and attention to detail
- Experience creating organic posts, deploying, monitoring, and managing social media on Facebook, Instagram, TikTok, Twitter, and LinkedIn
- Understanding of current social media trends, platforms, and dashboards
- Well-versed in social media marketing strategies
- Strong organizational skills, with the ability to multitask and maintain a fast-paced workflow
- Good understanding of social media KPIs
- Excellent multitasking and time-management skills
About Ventures
Ventures Endurance Mission
Produce world-class, community-centric events that engage, empower, and celebrate every participant.
Ventures Endurance Core Values
Communicate Collaboratively
Act with Authenticity
Embrace Inclusivity
Celebrate Achievements
Exceed Expectations
Nurture Passion
Live with a Growth Mindset
USA TODAY NETWORK Ventures creates impactful consumer engagements and experiences through world-class events, promotions, races, and technology. We strive to exceed expectations and create unforgettable memories to drive value for our partners while leveraging our reputable institutions, including USA TODAY and more than 250 local media brands.
Our portfolio includes the largest high school sports recognition program in the country, USA TODAY High School Sports Awards, and other celebrated brands including the Official Community’s Choice Awards, American Influencer Awards, Rugged Maniac, Hot Chocolate Run, Blockbuster Bucket List sweepstakes, Amazing Teachers contest and more. Our events are managed with our proprietary ticketing and registration platform, EnMotive.
The events and promotions that we build inspire pride in local communities and connect local and national businesses with highly engaged audiences. We are an industry leader and drive results from coast to coast.
by twochickswithasidehustle | Oct 6, 2023 | Uncategorized
Responsible for reviewing OASIS and/or coding for home health and hospice agencies.
Responsibilities
- Review OASIS and document recommended changes in in approved system
- Review ICD-10 coding and sequencing from documentation in the patient chart.
- Complete documentation of results review; ensure workflow processes are timely and accurate
- Document reason for change and recommended reimbursement impact.
- Review Plan of Care and make recommended changes
- Consistently meet chart equivalent targets and quality metrics.
Qualifications
Required
- Associate’s degree or above in clinical discipline
- At least 1 year of experience in coding, OASIS, and Plan of Care reviews
- HCS-D certification
- HCS-O OR COS-C certification
- Proven ability to consistently meet deadlines
- High attention to detail with excellent organization skills
- Demonstrates learning agility; seeks out opportunities for teaching, support, and professional growth
Preferred
- Quality assurance (QA) work experience in a post-acute setting
Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.
Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart’s sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart’s third party screening provider.
All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position.
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