11 jobs found

: -Responsible for assisting case management and education staff in the delivery of services to enrolled program participants. -Conducts community outreach and education. Minimum Specifications Education -High school diploma or GED.   Experience: -Must be able to complete the Health Resources and Services Administration (HRSA) EPIC Community Health Worker Training within 120 days of employment at Parkland.   Equivalent Education and/or Experience -May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above.   Certification/Registration/Licensure: -Certification as a Community Health Worker by the State of Texas preferred. Required Tests for Placement Skills or Special Abilities -Must be able to communicate effectively with patients and clinic staff orally and in writing. -Must have good problem solving and interpersonal skills. -Must demonstrate patient centered/patient valued behaviors. -Must demonstrate knowledge and skill in working with a diverse population. -Must be organized, detail oriented, and able to work independently. -Must be able to demonstrate a working knowledge of PCs and be able to use word processing and database software. -May be required to be bilingual in English/Spanish. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. Nearest Major Market: Dallas Nearest Secondary Market: Fort Worth Job Segment: Public Health, Medical, EMR, Healthcare

Responsible for development, implementation and continual process improvement evaluation for Orientation, professional development and continuing education programs that are designed to ensure that staff is credentialed and able to demonstrate current competencies and meet professional practice standards. MINIMUM SPECIFICATIONS Education: - Must have a Bachelor of Science in Nursing (BSN). - Preferred Master of Science in Nursing. Experience: - Must have four (4) years of clinical nursing experience, including one (1) year of nursing education experience and two (2) years of recent work in clinical specialty area. Certification/Registration/Licensure: - Must have current, valid RN license or temporary RN license with the Texas Board of Nursing; or, valid Compact RN license. - Must have current healthcare provider CPR course completion card from one of the following: o American Heart Association o American Red Cross Rescuer o Military Training Network. - Must be certified as a CPR and ACLS Instructor or obtain within six months of employment/placement in classification - Must pass a Microsoft Office PowerPoint and Basic Excel online proficiency test. - If applicable, applicants must pass (80% or above) the Challenge Exam to staff in their respective clinical nursing practice area. Skills or Special Abilities: - Must demonstrate and maintain knowledge related to clinical area and Nursing Education. - Exceptional written and verbal communication skills, presentation skills, interpersonal skills and professional standards. Must have superior writing skills to compose curriculum, including but not limited to course outlines, objectives and presentations. - Must demonstrate knowledge of teaching/learning theroies and application of multiple learning methodologies. - Must display ability to successfully manage multiple educational projects simultaneously. - Must have ability to create and maintain organized, confidential and professionally written educational files consistent with departmental and organizational processes - Must be able to establish effective, respectful and collegial working relationships with all internal and external customers including but not limited to peer group, leadership, patients, physicians, employees, students volunteers and vendors - Demonstrates proficiency in use of technology as applicable to role. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. Nearest Major Market: Dallas Nearest Secondary Market: Fort Worth Job Segment: Nursing, Registered Nurse, Nurse Educator, Business Process, Healthcare, Management

The Human Resources Generalist is responsible for talent acquisition and may provide employee relations; leave administration; employee inquiry response; and compensation, performance management, talent management, and training and development support.   Minimum Specifications Education: Bachelor's degree required.   Experience: 4 years of experience sourcing, recruiting and selecting candidates is required. Some experience sourcing and recruiting candidates at various organizational levels is required. At least 6 years human resources experience required. Experience working in managed care is preferred. Employee relations experience is preferred.   Certification/Registration/Licensure: Prefer PHR, SHRM-CP, SPHR, or SHRM-SCP certification if do not have a degree in human resources.   Skills or Special Abilities: Excellent verbal and written communication skills. Results focused while honoring the importance of relationships. Knowledge of research-based best practices related to hiring and recruitment. Very good negotiation and conflict resolution skills. Able to create and implement sourcing, recruitment and selection strategies and tactics for a variety of roles at all levels. Proactive and independent with the ability to take initiative and solve problems. Excellent prioritization and time management skills with a proven ability to meet deadlines. Excellent organizational skills and attention to detail. Ethical, professional, and owns area of responsibility. Able to work successfully in a dynamic, high-growth environment. Responsibilities Develops, facilitates, and implements company-wide strategy, tactics, policies and procedures for acquiring and onboarding desired talent in a timely manner. Recommends and works with hiring leaders to establish how candidates for each position will be assessed. Executes human resource programs including but not limited to compensation; leave; disciplinary matters; disputes and investigations; performance and talent management; and training and development. Answers employee questions. Reviews, tracks, and documents compliance with mandatory and non-mandatory training, continuing education, licensure, and certifications.   Responsibilities Develops, facilitates, and implements company-wide strategy, tactics, policies and procedures for acquiring and onboarding desired talent in a timely manner. Recommends and works with hiring leaders to establish how candidates for each position will be assessed. Executes human resource programs including but not limited to compensation; leave; disciplinary matters; disputes and investigations; performance and talent management; and training and development. Answers employee questions. Reviews, tracks, and documents compliance with mandatory and non-mandatory training, continuing education, licensure, and certifications.   Job Accountabilities: Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of PCHP. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and customer requirements. Seeks advice and guidance as needed to ensure proper understanding.     Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. Nearest Major Market: Dallas Nearest Secondary Market: Fort Worth Job Segment: Medical, Public Health, Healthcare

Supports the health plan by identifying strategic opportunities, outlining potential scenarios, writing strategic planning documents, developing measurement tools, tracking and reporting performance. Supports health plan staff as required to accomplish business goals and objectives.   Minimum Specifications Education • Bachelor’s degree in business or related field   Experience • Seven years of experience in a health care setting • Prefer project management experience   Certification/Registration/Licensure • Prefer project management credential   Skills or Special Abilities • Strong quantitative & analytic skills • Strong organizational skills • Effective written and oral communication skills • Ability to read, analyze, and interpret complex documents and/or data sources • Ability to work independently and as part of a team • Intermediate level in Microsoft Office, Visio and Project   Responsibilities • Performs industry research, gathers benchmark data, and conducts analyses to forecast and  create strategic plans. • Drafts potential business scenarios/plans, based on assessments of current and future trends, for consideration/evaluation by executive leadership. • Creates and implements data collection models/tools to assess current and future operations. • Supports staff members in tracking progress toward established goals & objectives. Assists in identifying and resolving barriers to attaining goals. • Develops dashboards, presentations, reports, and other documents to communicate progress toward established goals. • Identifies new growth initiatives, lines of business, and partnership opportunities. • May serve as a project manager for strategic initiatives. • May be called upon to temporarily support various work groups within the health plan.   Job Accountabilities Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of PCHP. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and customer requirements. Seeks advice and guidance as needed to ensure proper understanding.     Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. Nearest Major Market: Dallas Nearest Secondary Market: Fort Worth Job Segment: Medical, Public Health, Healthcare

Back to search results Search by Keyword Search by Location Compliance Manager - Parkland Community Health Plan

Back to search results Search by Keyword Search by Location VP-Health Plan Compliance - Parkland Community Health Plan

Responsible for the education of staff and physicians in the CDI Program processes. Serves as the HIM and clinical documentation subject matter expert, ensuring accurate representation of the severity of illness in the medical record and compliance with all regulatory requirements, coding ethics and revenue cycle requirements.. MINIMUM SPECIFICATIONS Education: -Must have successfully completed an approved coding program OR -Must be a graduate of a Health Information Management program. Experience: -Must have five years of coding experience in an acute care hospital. Equivalent Education and/or Experience: -May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above. Certification/Registration/Licensure: -AHIMA Approved ICD 10 Trainer (or ability to obtain within 6 months of hire or placement in job) required. Certification through the American Health Information Management Association as one of the following: -Registered Health Information Management Technician (RHIT) -Registered Health Information Management Administrator (RHIA) -Certified Coding Specialist (CCS) -Certified Coding Specialist ¿Physician Based (CCS-P) Skills or Special Abilities: -Must score a minimum of 85% on a pre-employment coding test. -Must be able to demonstrate time management, organizational, oral and written communication skills. -Must be able to demonstrate an advanced knowledge of ICD-9-CM, ICD-10-CM/PCS and CPT/HCPCS coding procedures. -Must possess strong knowledge and practice of specific laws and regulations related to coding and billing imposed on healthcare systems by various agencies. -Must possess a strong knowledge of ICD-9-CM and ICD-10-CM/PCS Official Coding Guidelines, AHA Coding Clinic and AMA CPT Assistant. -Must be able to proactively prioritize educational activities and provide coding training services to new coding staff, clinical documenters and external customers. -Must be able to communicate effectively both verbally and in writing with Parkland staff and other staff as needed. -Must be able to demonstrate a working knowledge of personal computers to include encoder, word processing, spreadsheets, database, presentation software, and other software as needed. -Prefer knowledge of EPIC software. *WM #WM Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. Nearest Major Market: Dallas Nearest Secondary Market: Fort Worth Job Segment: Medical Coding, Medical, EMR, Healthcare

Responsible for coordinating unit-based education for Parkland professional nursing staff and unlicensed assistive personnel with regard to orientation and continuing education to ensure that staff are able to demonstrate current competencies and meet professional and Parkland nursing standards of practice in assigned areas. MINIMUM SPECIFICATIONS Education: - Must have a Bachelor of Science in Nursing or a related field. Experience: - Must have four (4) years of clinical experience, including two years recent work in clinical specialty. Certification/Registration/Licensure: - Must have current, valid RN license or temporary RN license with the Texas Board of Nursing; or, valid Compact RN license. - Must have current healthcare provider CPR course completion card from one of the following: o American Heart Association o American Red Cross Rescuer o Military Training Network. - Must be certified as a CPR Instructor or obtain within six (6) months of employment/placement in classification. - If applicable, Applicants must pass (80% or above) the Challenge Exam to staff in their respective clinical nursing practice area. Skills or Special Abilities: - Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. - Must be able to demonstrate effective verbal and written communication. - Must have superior writing skills to compose unit based education materials, advertisements, orientation and competency checklists. - Must display ability to successfully manage multiple educational projects simultaneously. - Must demonstrate competence in technical skills and knowledge related to assigned clinical area. - Must be organized and creative in the educational process for unit specific education. - Must demonstrate patient centered/patient valued behaviors. - Must be able to establish effective, respectful and collegial working relationships with all internal and external customers including but not limited to peer group, leadership, patients, physicians, employees, students volunteers and vendors - Demonstrates proficiency in use of technology as applicable to role. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. Nearest Major Market: Dallas Nearest Secondary Market: Fort Worth Job Segment: Nursing, Registered Nurse, Nurse Educator, ICU, Healthcare

Responsible for coordinating unit-based education for Parkland professional nursing staff and unlicensed assistive personnel with regard to orientation and continuing education to ensure that staff are able to demonstrate current competencies and meet professional and Parkland nursing standards of practice in assigned areas. MINIMUM SPECIFICATIONS Education: - Must have a Bachelor of Science in Nursing or a related field. Experience: - Must have four (4) years of clinical experience, including two years recent work in clinical specialty. Certification/Registration/Licensure: - Must have current, valid RN license or temporary RN license with the Texas Board of Nursing; or, valid Compact RN license. - Must have current healthcare provider CPR course completion card from one of the following: o American Heart Association o American Red Cross Rescuer o Military Training Network. - Must be certified as a CPR Instructor or obtain within six (6) months of employment/placement in classification. Required Tests for Placement: - Applicants must pass (85% or above) Dosage Calculation Exam prior to hospital orientation. Current Parkland employees requesting reassignment to role must have current Dosage Calculation Exam on file. - If applicable, Applicants must pass (80% or above) the Challenge Exam to staff in their respective clinical nursing practice area. Skills or Special Abilities: - Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. - Must be able to demonstrate effective verbal and written communication. - Must have superior writing skills to compose unit based education materials, advertisements, orientation and competency checklists. - Must display ability to successfully manage multiple educational projects simultaneously. - Must demonstrate competence in technical skills and knowledge related to assigned clinical area. - Must be organized and creative in the educational process for unit specific education. - Must demonstrate patient centered/patient valued behaviors. - Must be able to establish effective, respectful and collegial working relationships with all internal and external customers including but not limited to peer group, leadership, patients, physicians, employees, students volunteers and vendors - Demonstrates proficiency in use of technology as applicable to role. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. Nearest Major Market: Dallas Nearest Secondary Market: Fort Worth Job Segment: Nursing, Registered Nurse, Surgery, Nurse Educator, Healthcare

Responsible for coordinating unit-based education for Parkland professional nursing staff and unlicensed assistive personnel with regard to orientation and continuing education to ensure that staff are able to demonstrate current competencies and meet professional and Parkland nursing standards of practice in assigned areas. MINIMUM SPECIFICATIONS Education: - Must have a Bachelor of Science in Nursing or a related field. Experience: - Must have four (4) years of clinical experience, including two years recent work in clinical specialty. Certification/Registration/Licensure: - Must have current, valid RN license or temporary RN license with the Texas Board of Nursing; or, valid Compact RN license. - Must have current healthcare provider CPR course completion card from one of the following: o American Heart Association o American Red Cross Rescuer o Military Training Network. - Must be certified as a CPR Instructor or obtain within six (6) months of employment/placement in classification. - If applicable, Applicants must pass (80% or above) the Challenge Exam to staff in their respective clinical nursing practice area. Skills or Special Abilities: - Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. - Must be able to demonstrate effective verbal and written communication. - Must have superior writing skills to compose unit based education materials, advertisements, orientation and competency checklists. - Must display ability to successfully manage multiple educational projects simultaneously. - Must demonstrate competence in technical skills and knowledge related to assigned clinical area. - Must be organized and creative in the educational process for unit specific education. - Must demonstrate patient centered/patient valued behaviors. - Must be able to establish effective, respectful and collegial working relationships with all internal and external customers including but not limited to peer group, leadership, patients, physicians, employees, students volunteers and vendors - Demonstrates proficiency in use of technology as applicable to role. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. Nearest Major Market: Dallas Nearest Secondary Market: Fort Worth Job Segment: Nursing, Nurse Educator, Registered Nurse, Healthcare

The community outreach specialist focuses on expanding the Parkland Community Health Plan Medicaid and Children's Health Insurance Program (CHIP) market share within the Dallas service areas.   Minimum Specifications Education High school diploma/GED.   Experience Three years of managed care or Medicaid program experience.   Equivalent Education and/or Experience None   Certification/Registration/Licensure Prefer Community Health Worker certification (CHW) by Texas Department of State Health Services.   Required Tests for Placement Successfully completes Marketing Training provided by the Community Outreach Supervisor within 30 days of employment. Must stay up to date with training as contractually requested by Texas Health and Human Services (HHS).   Skills or Special Abilities Knowledge of managed care/Medicaid program processes. Excellent verbal and written communications skills. Intermediate level personal computer skills including word processing, database, and spreadsheet software. Intermediate presentation skills to individuals and groups. Skillfully initiate and build relationships. Customer service focused. Intermediate level time management skills.   POSITION REQUIREMENTS: 75-100% travel/driving within the service areas. Frequently work weekends and evenings to meet business needs. Bilingual English/Spanish. Negotiating sponsorships as needed. Leadership/Developing and Executing Strategy. Leadership/Driving a Culture of Compliance. Sales/Strategic Prospecting.   Responsibilities Collaborates and participates with community agencies, faith based organizations, and school district events/activities within the Dallas Service Area communities to market Parkland Community Health Plan (PCHP). Participates in coalition meetings and advisory groups. Assists Community Outreach Supervisor in developing annual strategies/expectations for Community Outreach team with regard to member health and wellness. Provides feedback and outcomes from previous events/activities to help create strategic plan. Works in conjunction with internal personnel and external entities, such as HHS and the Texas Department of Insurance to assure compliance with legal, regulatory and contractual requirements. Maintains documents and reports PCHP outreach activities; compiles and prepares outcomes for the annual report for submission to HHS. Develops and maintains positive working relationships with Parkland employees, outside companies, state agencies, insurance carriers, brokers, third party administrators, other managed care organizations, and community representatives in order to build connections to maintain membership and/or growth in PCHP’s products.   Job Accountabilities Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. Nearest Major Market: Dallas Nearest Secondary Market: Fort Worth Job Segment: Public Health, Medical, Medicaid, Healthcare