690 jobs found

Parkland Community Health Plan's (PCHP's) Health Services Associate Team Lead is responsible for supporting the Health Services Department by providing support for case management, clinical appeals, discharge planning, disease management, population health, behavioral health and utilization review processes. Serves as the preceptor and assists in the daily direction of the Health Services Associate team. Reviews documents for accuracy, expedite general workflows, assist in member intakes, communications and scheduling of follow-ups.   MINIMUM SPECIFICATIONS Education: - Bachelor's degree is required. - Degree in a health-related field is preferred.   Experience:- Five (5) years of experience in customer engagement or customer service. - Experience in Insurance, Managed Care, or Health Care is highly preferred.   Equivalent Education and/or Experience: - May have an equivalent combination of education and experience to substitute for the education or experience requirements....

The Community Health Worker (CHW) is responsible for assisting in delivery of services that address the social determinants of health, and bridging gap between communities, individuals and providers. Conducts community outreach and education.   MINIMUM SPECIFICATIONS   Education: - High school diploma or GED. - Bachelor's degree is preferred. - Must complete a PCAT program within Parkland after 24 months of hire date for Community Health Institute (CHI) only.   Experience: - Must have one (1) year experience working in a multi-cultural community setting. - Oral fluency in Spanish is preferred. - Knowledge of medical terminology is preferred.   Certification/Registration/Licensure: - Must be certified by the Texas Department of State Health Services Community Health Worker (CHW) within 12 months of hire. - Must have a current HeartSaver CPR course completion card within 90 days of hire and/or placement in job from one of the following: - American Heart Association -...

Responsible for coordinating education for Parkland licensed & unlicensed assistive personnel with regard to continuing education to ensure that staff are able to demonstrate current competencies and meet Parkland patient care standards of practice in assigned areas. MINIMUM SPECIFICATIONS Education: - Must have a High School diploma or GED equivalent. Experience: - Must have two (2) years of experience in a healthcare setting. Equivalent Experience: - May have an equivalent combination of education and/or experience to substitute for both the education and the experience requirements. Certification/Registration/Licensure: ¿Must have current healthcare provider CPR course completion card within 90 days of hire and/or placement in job from one of the following: -American Heart Association -American Red Cross Rescuer -Military Training Network ¿Must be certified as a CPR Instructor or obtain within six months of employment/placement in classification. ¿Must have SAMA...

Parkland Community Health Plan’s (PCHP’s) Senior Complaint and Appeals Analyst is responsible for intake, investigation, distribution and resolution of complaints and appeals for Medicaid including STAR, CHIP, and CHIP Perinate. Cooperates with multiple business units to obtain all information needed to assure final resolution and response. Ensures timely, customer focused acknowledgment of all complaints and appeals. Identifies and reports trends and emerging issues and recommends solutions.   Minimum Specifications Education • Bachelor’s degree.     Experience • Five years of experience in Medicaid/CHIP/CHIP Perinate products and benefits.   • Three years of experience in medical claims systems, medical management, managed care organization compliance and regulatory requirements.   • Experience in provider relations, customer service and audit experience are preferred.   • Experience in research and analysis of claim processing is...

This job at Parkland Community Health Plan defines, plans and delivers complex programs that require cross-functional collaboration and management of interdependencies between a group of projects and/or related activities within the constraint of scope, quality, time and budget. Manages a group of internal exempt and/or matrixed employees and contractors that serve on the program(s) to deliver solutions for the business.   This position works with business and technical organizations to drive out program strategy and approach.   Minimum Specifications   Education   • Bachelor Degree in Marketing.   • Master and/or other advanced degree in business preferred.   Experience   • 3-5 years' marketing experience in strategic, operational and/or analytic marketing.   • Experience in healthcare, managed care insurance or financial services preferred.   • Experience with federal, state and/or local statutes and guidelines preferred.   Equivalent Education and/or...

» Therapy Aide Date:  Jul 21, 2021 Location:  Dallas, TX, US Category:  Allied Health and Clinical Support Jobs Shift Type:  Day Requisition ID:  522241 Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion. Provides assistance to therapist and leadership to support staff to enhance the patient's healing process, recovery and return to independence. Experience: - Must have two years of experience in a rehabilitative or healthcare setting. Equivalent Education...

» Registered Nurse I-Med/Surg In Date:  Jul 21, 2021 Location:  Dallas, TX, US Category:  Nursing Jobs Shift Type:  Day Requisition ID:  476821 Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion. Provides care to assigned patient population in accordance with established protocols and multidisciplinary plan of care utilizing independent, dependent, and interdependent interventions to restore stability, prevent complications, and achieve and maintain optimal...

Parkland Community Health Plan’s (PCHP’s) Health Economics Program Manager monitors cost trends, identifies performance improvement opportunities and develops strategies to support value-based care contracting initiatives across PCHP’s health plan networks. Develops contract pricing models, contract performance models, key performance indicators/metrics and other ad hoc analyses to support continuous network development and performance improvement.   Minimum Specifications   Education   • Bachelor's degree in Business Administration, Healthcare Administration, Healthcare Analytics, Finance, Statistics or a related field.   • Master’s degree in a related field is preferred.   Experience   • Six (6) years of experience in a health plan or managed care organization.   • Two (2) years of experience in medical/health economics, and network decision support.   • Experience with Value Based/Accountable Care data analytics is preferred.   Equivalent Education and/or...

» Registered Nurse II-Med/SurgIn Date:  Jul 21, 2021 Location:  Dallas, TX, US Category:  Nursing Jobs Shift Type:  Night Requisition ID:  395361 Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion. Provides care to assigned patient population in accordance with established protocols and multidisciplinary plan of care utilizing independent, dependent, and interdependent interventions to restore stability, prevent complications, and achieve and maintain optimal...

Responsible for attending assigned nursing fellowship classes, as well as gaining clinical proficiency in assigned patient care area. MINIMUM SPECIFICATIONS Education: - Must be a graduate from an accredited school of nursing. Experience: - Must have one year of nursing experience - Preferred acute care setting Certification/Registration/Licensure: - Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license. - Must have current healthcare provider CPR course completion card from one of the following: - American Heart Association - America Red Cross - Military Training Network Skills or Special Abilities: - Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. - Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. - May be required to communicate effectively, via the overhead...

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: Two 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,...

Performs clerical duties of intermediate difficulty to coordinate appointments within an electronic health record system. This role maintains abandon call rate and queue time targets for the department call center. Upholds departmental and hospital procedures, policies and practices to provide the best service possible MINIMUM SPECIFICATIONS Education - High School diploma or GED. Experience - Must have three (3) years of clerical experience in an office or customer service environment, preferably in a job-related field. Equivalent Education and/or Experience - May have an equivalent combination of education and/or experience to substitute for the experience requirements. Certification/Registration/Licensure - None Required Tests for Placement - Must be able to successfully pass a General Computer Skills test and Alpha/Numeric Filing test with a minimum score of 80%. Skills or Special Abilities - Must be able to utilize required software for assigned department. - Must be detailed...

Responsible for attending assigned nursing fellowship classes, as well as gaining clinical proficiency in assigned patient care area. MINIMUM SPECIFICATIONS Education: - Must be a graduate from an accredited school of nursing. Experience: - Must have one year of nursing experience - Preferred acute care setting Certification/Registration/Licensure: - Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license. - Must have current healthcare provider CPR course completion card from one of the following: - American Heart Association - America Red Cross - Military Training Network Skills or Special Abilities: - Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. - Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. - May be required to communicate effectively, via the overhead...

Responsible for attending assigned nursing fellowship classes, as well as gaining clinical proficiency in assigned patient care area. MINIMUM SPECIFICATIONS Education: - Must be a graduate from an accredited school of nursing. Experience: - Must have one year of nursing experience - Preferred acute care setting Certification/Registration/Licensure: - Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license. - Must have current healthcare provider CPR course completion card from one of the following: - American Heart Association - America Red Cross - Military Training Network Skills or Special Abilities: - Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. - Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. - May be required to communicate effectively, via the overhead...

Responsible for attending assigned nursing fellowship classes, as well as gaining clinical proficiency in assigned patient care area. MINIMUM SPECIFICATIONS Education: - Must be a graduate from an accredited school of nursing. Experience: - Must have one year of nursing experience - Preferred acute care setting Certification/Registration/Licensure: - Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license. - Must have current healthcare provider CPR course completion card from one of the following: - American Heart Association - America Red Cross - Military Training Network Skills or Special Abilities: - Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. - Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. - May be required to communicate effectively, via the overhead...

Accountable for providing patient centered care and operational support to the medical team to ensure an optimal patient experience. Coordinates activities in the clinical areas and facilities a smooth patient flow. Assists with patient data collection, performs select screenings and completes medical office functions relevant to area/assignment. MINIMUM SPECIFICATIONS Education - None Experience - Must have three years of customer service experience, preferably in a medical/healthcare/health insurance setting. - Patient registration experience preferred. - Prefer completion of course work towards an accredited medical technology or medical assistant certification. - Medical Office Assistance experience or training a plus. Equivalent Education and/or Experience - May have an equivalent combination of education and experience to substitute for the experience requirements. Skills or Special Abilities - Must be able to work collaboratively with colleagues to deliver patient/customer...

Provides care to assigned patient population in accordance with established protocols and multidisciplinary plan of care utilizing independent, dependent, and interdependent interventions to restore stability, prevent complications, and achieve and maintain optimal patient responses for all patients through patient centered/patient valued care.   MINIMUM SPECIFICATIONS Education: - Must be a graduate from an accredited school of nursing. Experience: - Must have two years of nursing experience. Equivalent Experience: - None.   Certification/Registration/Licensure: - Must have current, valid RN license or temporary RN license from 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 o Military Training Network.   Skills or Special Abilities: - Provides care to assigned patient population in accordance with the current State of...

Responsible for providing health care for patients in designated primary or specialty area, including patient diagnoses, treatment, education and referrals. Serves as a resource and role model for clinical practice, training, evaluation and direct management of practitioners and students in all areas encompassed by the service line to ensure optimal patient care quality. Assist leadership in assessing, planning, organizing, and implementing designated advanced practice provider activities.   Minimum Specifications Education:   Physician Assistant: Bachelor's Degree from an accredited college or university and successful completion of an accredited Physician Assistant Program recognized by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors.   Advanced Practice Registered Nurse (APRN): Master's Degree in Nursing accredited through the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for...

Provides care to assigned patient population in accordance with established protocols and multidisciplinary plan of care utilizing independent, dependent, and interdependent interventions to restore stability, prevent complications, and achieve and maintain optimal patient responses for all patients through patient centered/patient valued care.   MINIMUM SPECIFICATIONS Education: -Must be a graduate from an accredited school of nursing. Experience: -Must have two (2)  years of oncology experience. Equivalent Experience: -None.   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: oAmerican Heart Association oAmerican Red Cross oMilitary Training Network -Must have Oncology Nursing Society (ONS) Chemotherapy and Biotherapy certification within six months after placement in...

: Interviews patients at the time of entry to advise the patient of the optimal funding program, begin eligibility determination, and assure that all Parkland patients are screened and qualified for assistance.   Minimum Specifications Education: None   Experience : Must have two years experience in determining financial eligibility for government funding, program funding, public funding or patient assistance programs in a physician or hospital business office setting.   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: None.   Skills or Special Abilities: Must be able to interview patients for the purpose of financial eligibility determination. Must be able to demonstrate a working knowledge of personal computers and other standard office equipment. Must have basic knowledge of medical software Must have...