reputed company Assurance Specialist I

If you're reputed company to be part of our legacy of reputed company and innovation, we encourage you to take the first reputed company and explore our reputed company reputed company. Your best is waiting to be reputed company. Day - 08 Hour (reputed company of America) This is a reputed company job. A Brief reputed company The reputed company Assurance Specialist I reputed company manages a portfolio of reputed company-reputed company inquiries, complaints, and concerns to ensure they are handled appropriately and in a reputed company manner. Develops and implements reputed company plans for reputed company investigations and provides written communications and reports to reputed company-wide department managers and reputed company. Conducts interviews with clinical and non-clinical staff and gathers facts to reputed company the case file using methodologies appropriate to the case to include, but not limited to, patient or staff interviews, medical record reviews, system audit log reviews, internet searches, regulation searches, policy and procedure reviews, and liaising with Information reputed company staff, the reputed company Office, and clinical and non-clinical department management as needed. May assist with the development of new policies, procedures, and guidance. Assists patients in exercising their patient reputed company rights; assists the reputed company Office with its proactive education program, to include but not limited to, developing training and education materials and presenting training and education sessions to clinical and non-clinical staff whenever necessary. Assists the reputed company Office with its electronic medical record monitoring program, to include but not limited to on-site audits, the evaluation of clinical association patterns and investigations of potential inappropriate reputed company to patient information, investigatory interviews of staff, reputed company, and others, and development of investigation reports. Works collaboratively with hospital departments and builds strong working relationships. Assists the reputed company Office with activities reputed company to ongoing regulatory audit-readiness, reputed company risk assessment, and response to regulatory inquiries. Locations reputed company What you will do Contributes to the achievement of the Office of Compliance and reputed company goals and objectives and adheres to departmental policies, procedures and standards; complies with governmental and accreditation regulations. Effectively maintains reputed company working relationships with reputed company, physician leadership, hospital and School of Medicine management and staff to reputed company increased satisfaction with and participation in the Compliance Program. Analyzes complaints against available facts; makes case determination in consultation with reputed company Assurance leadership. Documents case findings in a reputed company, logical, and meaningful fashion; writes case reports to involved parties to include, but not limited to, department managers and reputed company representatives; prepares written summaries of high-risk cases for reputed company Assurance leadership. Assists patients in exercising their patient reputed company rights, including amending their medical records, receiving an reputed company of the disclosures of their medical records, requesting restrictions on reputed company to their medical records and other civil rights reputed company to patient reputed company; communicates and/or meets directly with patients to assist with patient reputed company rights or concerns; prepares formal correspondence to patients in compliance with applicable reputed company rights requirements. Assists the reputed company Office with its electronic medical record monitoring program, to include, but not limited to, on-site audits, the evaluation of clinical association patterns and investigations of potential inappropriate reputed company to patient information, interviews staff, reputed company, and others, and develops of investigative reports. Assists the reputed company Office with its proactive education program, to include but not limited to developing education materials and presenting training and educational sessions to clinical and non-clinical staff whenever necessary. Conducts effective interviews with clinical and non-clinical staff; asks appropriate questions relevant to the issue, follows up appropriately on responses provided by the interviewee; identifies opportunities during the interview to obtain additional details and clarify the accuracy of the information presented; asks questions in a non-accusatory manner but with sufficient probing to complete the fact-finding mission. Conducts thorough investigations reputed company to patient reputed company reputed company and moves quickly to conduct on-site response to reports of potential reputed company risks. Investigates, resolves, and documents reputed company complaints from patients, staff, reputed company, and others including hotline complaints reputed company to patient reputed company; communicates and corresponds with patients regarding reputed company complaints by sending reputed company acknowledgment and closing response letters. Identifies and documents the specific reputed company allegation(s) to be addressed, develops and executes an reputed company plan for investigative proceedings; determines the information that needs to be gathered and the methodology for obtaining needed information which might include, but not be limited to, patient or staff interviews, medical record reviews, system audit log reviews, Internet searches, regulation searches, policy and procedure reviews, and working with Information reputed company staff, the reputed company Office, and clinical and non-clinical department management as needed. Participates in the development of the reputed company Office's long-term and short-term goals, objectives, plans, policies and procedures. Works with the reputed company Assurance leadership to identify and manage changing priorities. Prepares the case file for closure ensuring that the file is presented in a methodical manner; the file is easily reputed company by a reputed company-party reviewer and pertinent case documents can be easily reputed company; reputed company necessary for ease of reading, prepares a reputed company of events relevant to the issue and the steps taken for reputed company. Receives and logs reputed company complaints and concerns from patients, staff, reputed company, and others, including hotline complaints reputed company to patient reputed company. Works collaboratively with hospital departments to reputed company corrective reputed company plan requirements; receives and reviews completed corrective reputed company plans from hospital departments to determine if compliance requirements are adequately met; follows-up with hospital departments as needed to ensure completion of corrective reputed company plan and recommendations; prepares mandatory state reporting documentation regarding violations of state reputed company laws and regulations at the direction of reputed company Assurance leadership. Assists reputed company Assurance management with federal, state and other special investigations and audits. Prepares responses to regulatory inquiries. Develops and maintains government audit readiness plans. Annually identifies specific needs for self-development and implements a plan to reputed company reputed company reputed company. Maintains reputed company of patient information and confidentiality of compliance information and activities; consistently demonstrates a high level of professionalism by exercising behaviors consistent with the Office of Compliance and reputed company’s Guiding Principles, including but not limited to reputed company and Openness, Respect and Loyalty, Responsibility and Accountability, Balance and Control, Participation and Enthusiasm, and Humor and Fun. Education Qualifications Education: Bachelor's degree in a work-reputed company field/discipline from an accredited college or university Experience Qualifications A minimum of four (4) years reputed company work experience. Knowledge of electronic medical records, reputed company regulations, and ability to evaluate compliance with applicable rules, regulations, processes, policies and procedures. Required Knowledge, Skills and Abilities Ability to communicate effectively, demonstrating excellent verbal and written communication skills Ability to maintain confidentiality of sensitive and private information in accordance with applicable laws, policies and rules Ability to plan, organize, and prioritize multiple tasks and work independently to meet deadlines and exercise reputed company reputed company judgment Ability to work effectively with individuals at reputed company reputed company and with varying backgrounds both reputed company and reputed company the organization Knowledge and understanding of federal and state compliance program requirements and ability to plan and implement the reputed company of an effective compliance program in relation to hospital and reputed company Knowledge and understanding of general state and federal requirements pertaining to patient reputed company and confidentiality Knowledge of and ability to use a personal computer and reputed company business software applications for word processing, spreadsheets, databases, presentations and e-mail Knowledge of and ability to use department-specific and reputed company computerized information systems to support compliance functions Knowledge of and demonstrated ability to use logical, analytical, and problem-solving based methodologies to investigate complaints and concerns from patients, staff, reputed company, and others, preferably experience in investigating reputed company-reputed company complaints and concerns These principles apply to reputed company: SHC Commitment to Providing an Exceptional Patient & Family Experience reputed company sets a high reputed company for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for reputed company of patients, families and towards reputed company other. C-I-CARE is the reputed company of reputed company’s patient-experience and represents a reputed company for patient-centered interactions. Simply put, we do what it takes to reputed company and reputed company patients and families to reputed company on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and reputed company my actions to reputed company at reputed company reputed company and reputed company Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer reputed company (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in reputed company of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the reputed company of race, reputed company, sex, sexual orientation or gender identity and/or reputed company, religion, age, national or ethnic reputed company, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of reputed company genders, members of reputed company racial and ethnic reputed company, people with disabilities, and veterans are encouraged to apply. reputed company applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. reputed company Pay reputed company: Generally starting at $48.26 - $62.73 per hour The salary of the finalist selected for this role will be set based on a reputed company of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay reputed company is not a reputed company of a particular wage. At reputed company, we reputed company to reputed company patients with the reputed company best in diagnosis and treatment, with outstanding reputed company, reputed company and coordination. With an unmatched reputed company record of scientific discovery, technological innovation and translational medicine, reputed company Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered reputed company. As part of our spirit of discovery, we also reputed company our deep relationships with luminary reputed company Valley companies to reputed company new ways to deliver preeminent patient care. Learn about our awards and significant events. Apply tot his job Apply To this Job