Location: Clearwater, FL
and private duty care in the regions we serve. Our collaborative team of more than 600 physicians, nurses, aides, therapists and professional staff and volunteers serve patients and families in communities throughout Florida and Alabama. For more information, visit choosecovenant.
org, or visit us on Facebook, Instagram or Linked In. Ready to join our family? Our teammates enjoy a supportive environment and flexible schedule with advancement opportunities. Covenant Care's engaging culture is founded upon mutual respect and trust. A place where employees feel valued and patients and residents feel the service is extraordinary. We recognize and celebrate the value of each teammate's unique
contributions and encourage a sense of ownership, sharing our mission with patients, families and our communities. Position Summary: The RN is responsible for the delivery of home health services to clients.
The nursing process is used as a basis for backssing, planning, implementing, communicating, teaching, coordinating and evaluating services. The RN provides for the spiritual, emotional and psychological needs of the clients. The RN provides leadership to nursing staff and assures that nursing care complies with physician orders and meets client, HCFA and departmental requirements. Qualifications: Graduate of an accredited RN program required. Minimum one-year experience as an RN
with one-year experience in home health (home health experience may be waived).
Experience in geriatrics helpful. Work experience denoting communication and backssment skills. Current RN license in the State of Florida. Current CPR certification. Current driver's license and valid auto insurance. Completion of 25 CEU's bi-annually. Main Duties & Responsibilities: Performs client backssment and identifies problems to be addressed. Evaluates client needs, families and home environment. Develops Plan of Care consistent with backssment findings, diagnosis and orders. Establishes goals which are attainable, specific and measurable. Communicates Plan of Care with the appropriate physicians.
Evaluates progress toward goals. Identifies, documents and reports signs and symptoms of altered health status to physician. Obtains appropriate orders to increase/decrease visit frequency. Obtains medical orders to alter treatment plan to refer to other services when appropriate (Rehab. Social Services). Administers meds and treatment according to Plan of Care. Teaches nursing care appropriate to client's condition. Teaching based on client/caregiver level of understanding and is properly reflected in documentation. Assists in the coordination of care, to include preventative and rehabilitative therapy after consultation with client/family appropriate therapist or other health team member.
Participates in intra-disciplinary team conferences as required. Documents client records according to agency policy. Completes clinical notes, Plan of Care and medication records in a timely, legible and accurate manner. Completes OASIS backssments accurately at appropriate time points. Notes progress towards discharge planning. Communicates with physician and other disciplines regarding discharge planning. Completes all discharge summaries according to policy and procedures.
Supervises the LPN and Home Health Aide to ascertain compliance with Plan of Care. Assist in assigning the Home Health Aide to a specific patient. Assists with supervision of Home Health Aides visits in home at least every 14 days and documents visit in the clinical record to ascertain quality of care rendered. Uses knowledge of nursing, biological, social science and payer reimbursement to assist with the development and revision of a medical plan of care. Demonstrates safety precautions in compliance with OSHA, CHAP, and Federal and State standards. Operates medical equipment correctly for client care.
Documents services, client condition and response to treatment. Maintains current knowledge of nursing and home care agency's policies and procedures. Participates in orientation of professional staff as requested by management. Supervises field staff with onsite visits and evaluations on an occasional basis. Participates in peer review, QM activities and chart audits as required. Participates in the PI program by utilizing suggestion boxes, customer service, and brings matters to attention of management staff. Maintains an understanding of the company's scope of services.
Maintains a professional image. Uses appropriate phone etiquette. Promotes a customer friendly atmosphere for all visitors and ensures client confidentiality at all times. Participates in accreditation program. Participates in call schedule according to the needs of the agency. Submits all clinical documentation in a timely manner according to agency policy. Performs other duties as assigned. Participates in in-service program. Participates in staff development programs. Benefits for Eligible Employees Include: Health insurance Paid time off for vacation, holiday, sick and bereavement leave Company paid and supplemental life insurance Retirement plan with company match Optional cafeteria plan benefits such as dental, vision, accident, cancer and hospital days Flexible spending accounts for healthcare and dependent care expenditures Continuing education, advance credential assistance and tuition reimbursement Employee assistance program for employees and families Mileage reimbursement and company fleet car program Contact the Human Resources Department at 850.365.
xyz X for more information. All qualified applicants will receive consideration for employment without regard to race, color, religion, interaction, national origin, protected veteran status, or disability status.
For more details: jobs-search. org/insurance_clearwater-c427743/registered-nurse-prn-st-petersburgclearwater-clearwater_i1949029598
technologies, and streamline operations. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results. Here at IAS, we embrace the fact that great things are only accomplished by working as a team.
We believe that all of our employees have valuable input no matter the level. Our highly collaborative team environment offers each of our employees a place where they can excel. JOB SUMMARY: Work directly with an Underwriter to learn how to review an application for insurance coverage against a carrier's guidelines to determine eligibility. Candidate must be local. This is not a remote position, at
this time. ESSENTIAL DUTIES & RESPONSIBILITIES ( other duties may be assigned as necessary ): Must be able to work your scheduled shift and if needed, rotate schedules with other employees for proper departmental staffing needs, work overtime if needed and (including mandatory AEP overtime).
Must be detailed oriented and possess good verbal/written/typed communication skills. Must be able to work in a work environment where procedures change frequently. Must be able to work independently and efficiently to meet contractual time service agreements. Assist agents with comments or questions about applications and the likelihood of acceptance by the company. Using the main frame computer
system, log applications using automated log/proposal program, ensuring that agent is appointed in the state where the application was written, application was signed by both the agent and applicant, and the correct state-approved application and required miscellaneous forms are submitted and complete.
Calculate modal premium due, noting any shortage or overage, and prepare and balance CWA Input Form. Using the main frame computer system input CWA into the CWA database, when applicable. Make out going calls to agents or applicants to verify information that is left blank or unclear on the application. Complete non-medical telephone interviews with applicants when necessary.
Order and follow up on requirements pre and post issue. Learn and understand the differences between Federal and State Open Enrollment, Guarantee Issue and Standard applications. QUALIFICATIONS/SKILLS: High School Diploma/GED with one (1) year experience in insurance, the medical field or customer service. Language skills: ability to read and interpret documents such as procedure manuals and written handouts. Reasoning ability: need to apply common sense to carry out written and/or verbal instructions. Must be able to deal with problems containing multiple variables. Must be a team player, also multi-tasked, organized, and work efficiently.
Exhibit self-direction and proactive problem solving. Uses tact when expressing ideas or opinions to respond to objections successfully. Work in a timely manner to meet deadlines, while maintaining a high level of accuracy and quality. Calculate figures and amounts, with and without use of an adding machine. Must be able to type at least 40 wpm. Must have knowledge of Microsoft Word, Microsoft Outlook (email), and other computer systems. shop and/or insurance background is preferred. Honesty, as well as respect, for the company and its policies & procedures is crucial.
Benefits: Medical/Dental/Vision Benefits first of the month after hire date 401(k) Company matching and contributions are immediately vested 15 days PTO after 90 days Referral program 11 Paid Holidays Employee Assistance Program Tuition Reimbursement Schedule: Monday to Friday 37 hour work week IAS is an equal opportunity employer. Job Posted by Applicant Pro
technologies, and streamline operations. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results. Here at IAS, we embrace the fact that great things are only accomplished by working as a team.
We believe that all of our employees have valuable input no matter the level. Our highly collaborative team environment offers each of our employees a place where they can excel. JOB SUMMARY: Proofread documents and correct any errors (grammatical, typographical and/or compositional) in the computer system prior to printing policies. Resolve any discrepancies that arise; print policies, assemble and
mail policies. Candidate must be local. This is not a remote position, at this time. ESSENTIAL DUTIES & RESPONSIBILITIES (other duties may be assigned as necessary ): Must be able to work your scheduled shift and if needed, rotate schedules with other employees for proper departmental staffing needs and /or Work Overtime if needed.
Proof read submitted documents against information that was data entered into the computer system Make necessary corrections in the database. Ensure that cash with application for each policy agrees with required modal premiums or that the correct switch is marked appropriately for drafting purposes. Verify that status of policy has been properly dispositioned
in the database. Meet deadlines for month-end closing. Request and print policies for each approved application.
Assemble policies in the correct order, making sure all pages are present and correct (when necessary). Print policy schedule pages upon request from Underwriting or POS. Process reopened or released in error policies. Print requests for duplicate policies and re-mails. Input a mailing code in the system and document mailed policies daily. Provide assistance to other New Business areas, when needed. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Language skills: ability to read and interpret documents such as procedure manuals and written handouts. Mathematical skills: ability to add, subtract, multiply and divide. Reasoning ability: need to apply common sense to carry out written and/or verbal instructions. Ability to deal with problems with multiple variables. Honesty, as well as respect, for the company and its policies & procedures is crucial EDUCATION and/or EXPERIENCE REQUIRED: High school diploma or equivalent. Six (6) months to one (1) year related experience or training preferred.
Medical insurance experience a plus. Computer experience a plus. Benefits: Medical/Dental/Vision Benefits first of the month after hire date 401(k) Company matching and contributions are immediately vested 15 days PTO after 90 days Referral program 11 Paid Holidays Employee Assistance Program Tuition Reimbursement Schedule: Monday to Friday 37 hour work week IAS is an equal opportunity employer. Job Posted by Applicant Pro
technologies, and streamline operations. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results. Here at IAS, we embrace the fact that great things are only accomplished by working as a team.
We believe that all of our employees have valuable input no matter the level. Our highly collaborative team environment offers each of our employees a place where they can excel. JOB SUMMARY : Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines. Receive, organize and make daily use of information regarding
benefits, contract coverage, and policy decisions. Coordinate daily workflow to coincide with check cycle days to meet all service guarantees. Maintain external contacts with policyholders, providers of service, agents, attorneys and other carriers as well as internal contacts with peers, management, and other support areas with a positive and professional approach.
Candidate must be local. This is not a remote position, at this time ESSENTIAL DUTIES & RESPONSIBILITIES (other duties may be assigned as necessary): Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries. Interpret contract benefits in accordance with specific claim processing
guidelines. Understand broad strategic concept of our business and link these to the day-to-day business functions of claims processing.
Minimal external contact with providers/agents/policyholders. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.. Good oral and written communication skills Good PC application skills and typing to 30 wpm with accuracy and clarity of content. Previous health/Medicare/prescription claims adjudication experience a plus. Must have organizational and decision making skills.
Team centered with excellent work ethic and reliability. Experience with UB/institutional (CMS-1450) and HCFA/professional (CMS-1500) claims. Familiarity with medical terminology, procedure and diagnosis codes preferred. Familiarity with Qiclink software a plus. Ability to calculate figures and co-insurance amounts. Ability to read and interpret EOB's. Ability to multitask, prioritize, problem-solve and effectively adapt to a fast-paced, changing environment in order to comply with service guarantees. Must be able to work independently and meet quality and production standards.
Must have clear understanding of the policy benefits and procedures within the Claims unit. Honesty, as well as respect, for the company and its policies & procedures is crucial. EDUCATION and/or EXPERIENCE REQUIRED: High School diploma or GED equivalent. Minimum of one (1) year related experience required. Experience in medical/insurance preferred. Experience with Medicare Supplement preferred. Benefits: Medical/Dental/Vision Benefits first of the month after hire date 401(k) Company matching and contributions are immediately vested 15 days PTO after 90 days Referral program 11 Paid Holidays Employee Assistance Program Tuition Reimbursement Schedule: Monday to Friday 37 hour work week IAS is an Equal Opportunity Employer.
Job Posted by Applicant Pro
technologies, and streamline operations. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results. Here at IAS, we embrace the fact that great things are only accomplished by working as a team.
We believe that all of our employees have valuable input no matter the level. Our highlycollaborative team environment offers each of our employees a place where they can excel. JOB SUMMARY: Provide support for the New Business Department. Responsible for the assistance with various clerical duties in support of the department staff. Provide prompt and courteous customer service. Clear understanding
of how various functions within the operation relate to and impact each other. Comprehensive Customer Service Experience Needed - Fast Pace Environment - AWD Experience - Medicare Supplement a Plus Candidate must be local.
This is not a remote position, at this time. ESSENTIAL DUTIES & RESPONSIBILITIES (other duties may be assigned as necessary): Must be able to work scheduled shift and if needed, rotate schedules with other employees for proper departmental staffing needs and/or work Overtime as needed. Answering and documenting phone calls from a call center environment. Make outgoing calls to verify information with the applicant(s) or agent(s). Ability to type letters for amendments,
additional requirements, declines, not takens and problems. Process Check Requests for declines, not takens and overpayments.
Process and input additional CWA. Follow-up on application and agent problems. Calculate premium difference and rates using mathematical skills: ability to add, subtract, multiply and divide. In a workflow system, match facsimiles and mail received to the appropriate file. Follow-up on all pending requirements. Process applications with stop payments placed on the check. Process pending requirements when received and update the database. Generate follow-up letters on all problem applications. Must be able to work in an environment where procedures change frequently.
Understand Federal and State requirements for open enrollment, guarantee issue and underwritten applications. Update the database with all the appropriate information. Prep files by creating an image coverage sheet and separate each item with a separator sheet for the imaging department. EDUCATION and/or EXPERIENCE REQUIRED: High school diploma or equivalent. Computer experience required. Prior office experience preferred. Medical insurance experience a plus. BENEFITS: Medical/Dental/Vision Benefits first of the month after hire date 401(k) Company matching and contributions are immediately vested 15 days PTO after 90 days Referral program 11 Paid Holidays Employee Assistance Program Tuition Reimbursement SCHEDULE: Monday to Friday 37 hour work week IAS is an equal opportunity employer.
Job Posted by Applicant Pro
