Manager Staff Education-Informatics (SAN ANTONIO)

POSITION SUMMARY/RESPONSIBILITIES Responsible for providing analytical support for process improvement initiatives led by Population Health Management (PHM). Duties include developing, reviewing, and validating data reports, as well as presenting findings in a clear and concise manner to improve reporting and documentation practices. Oversees information management related to regulatory reporting across Community First. Applies expertise in clinical, computer, and information sciences to identify, collect, process, and manage data and information. Conducts workflow analysis and integrates multiple data sources to build comprehensive databases and reports. This position also serves as a liaison between PHM and Information Services (IS) operations and technical staff. Responsibilities include supporting PHM needs through ongoing management of data collection systems, developing procedures for monitoring, validating, and reconciling data for accuracy, and collaborating with Information Systems to ensure effective integration of clinical and technical processes. The role functions as a key link between policy-making teams and technical teams, ensuring policies are accurately translated into system applications. EDUCATION/EXPERIENCE Registered Nurse license is required. Five years required experience in clinical practice or healthcare informatics related field experience. Post-graduate course and/or certification in clinical informatics or computer science is preferred Three (3) years related work experience in clinical data analysis is preferred. Project management experience with medical chart review and clinical data abstraction within an integrated health system is highly desirable. Experience in data scrubbing, data normalization, and validation is highly desirable. Knowledge of Medicaid and Medicare, community resources, alternate funding programs, Texas Health and Human Services Commission (HHSC), Texas Department of Insurance standards, Centers for Medicare & Medicaid Services (CMS), and National Committee for Quality Assurance (NCQA) in a managed care setting is required. LICENSURE/CERTIFICATION Must be licensed as a Registered Nurse in the State of Texas - and hold a certification that support the practice of informatics from an appropriate professional agency, such as Case Management Society or AMIA AHIC certification is highly preferred.

Manager Staff Education-Informatics (BOERNE)

POSITION SUMMARY/RESPONSIBILITIES Responsible for providing analytical support for process improvement initiatives led by Population Health Management (PHM). Duties include developing, reviewing, and validating data reports, as well as presenting findings in a clear and concise manner to improve reporting and documentation practices. Oversees information management related to regulatory reporting across Community First. Applies expertise in clinical, computer, and information sciences to identify, collect, process, and manage data and information. Conducts workflow analysis and integrates multiple data sources to build comprehensive databases and reports. This position also serves as a liaison between PHM and Information Services (IS) operations and technical staff. Responsibilities include supporting PHM needs through ongoing management of data collection systems, developing procedures for monitoring, validating, and reconciling data for accuracy, and collaborating with Information Systems to ensure effective integration of clinical and technical processes. The role functions as a key link between policy-making teams and technical teams, ensuring policies are accurately translated into system applications. EDUCATION/EXPERIENCE Registered Nurse license is required. Five years required experience in clinical practice or healthcare informatics related field experience. Post-graduate course and/or certification in clinical informatics or computer science is preferred Three (3) years related work experience in clinical data analysis is preferred. Project management experience with medical chart review and clinical data abstraction within an integrated health system is highly desirable. Experience in data scrubbing, data normalization, and validation is highly desirable. Knowledge of Medicaid and Medicare, community resources, alternate funding programs, Texas Health and Human Services Commission (HHSC), Texas Department of Insurance standards, Centers for Medicare & Medicaid Services (CMS), and National Committee for Quality Assurance (NCQA) in a managed care setting is required. LICENSURE/CERTIFICATION Must be licensed as a Registered Nurse in the State of Texas - and hold a certification that support the practice of informatics from an appropriate professional agency, such as Case Management Society or AMIA AHIC certification is highly preferred.

Manager Staff Education-Informatics (SEGUIN)

POSITION SUMMARY/RESPONSIBILITIES Responsible for providing analytical support for process improvement initiatives led by Population Health Management (PHM). Duties include developing, reviewing, and validating data reports, as well as presenting findings in a clear and concise manner to improve reporting and documentation practices. Oversees information management related to regulatory reporting across Community First. Applies expertise in clinical, computer, and information sciences to identify, collect, process, and manage data and information. Conducts workflow analysis and integrates multiple data sources to build comprehensive databases and reports. This position also serves as a liaison between PHM and Information Services (IS) operations and technical staff. Responsibilities include supporting PHM needs through ongoing management of data collection systems, developing procedures for monitoring, validating, and reconciling data for accuracy, and collaborating with Information Systems to ensure effective integration of clinical and technical processes. The role functions as a key link between policy-making teams and technical teams, ensuring policies are accurately translated into system applications. EDUCATION/EXPERIENCE Registered Nurse license is required. Five years required experience in clinical practice or healthcare informatics related field experience. Post-graduate course and/or certification in clinical informatics or computer science is preferred Three (3) years related work experience in clinical data analysis is preferred. Project management experience with medical chart review and clinical data abstraction within an integrated health system is highly desirable. Experience in data scrubbing, data normalization, and validation is highly desirable. Knowledge of Medicaid and Medicare, community resources, alternate funding programs, Texas Health and Human Services Commission (HHSC), Texas Department of Insurance standards, Centers for Medicare & Medicaid Services (CMS), and National Committee for Quality Assurance (NCQA) in a managed care setting is required. LICENSURE/CERTIFICATION Must be licensed as a Registered Nurse in the State of Texas - and hold a certification that support the practice of informatics from an appropriate professional agency, such as Case Management Society or AMIA AHIC certification is highly preferred.

Manager Staff Education-Informatics (HONDO)

POSITION SUMMARY/RESPONSIBILITIES Responsible for providing analytical support for process improvement initiatives led by Population Health Management (PHM). Duties include developing, reviewing, and validating data reports, as well as presenting findings in a clear and concise manner to improve reporting and documentation practices. Oversees information management related to regulatory reporting across Community First. Applies expertise in clinical, computer, and information sciences to identify, collect, process, and manage data and information. Conducts workflow analysis and integrates multiple data sources to build comprehensive databases and reports. This position also serves as a liaison between PHM and Information Services (IS) operations and technical staff. Responsibilities include supporting PHM needs through ongoing management of data collection systems, developing procedures for monitoring, validating, and reconciling data for accuracy, and collaborating with Information Systems to ensure effective integration of clinical and technical processes. The role functions as a key link between policy-making teams and technical teams, ensuring policies are accurately translated into system applications. EDUCATION/EXPERIENCE Registered Nurse license is required. Five years required experience in clinical practice or healthcare informatics related field experience. Post-graduate course and/or certification in clinical informatics or computer science is preferred Three (3) years related work experience in clinical data analysis is preferred. Project management experience with medical chart review and clinical data abstraction within an integrated health system is highly desirable. Experience in data scrubbing, data normalization, and validation is highly desirable. Knowledge of Medicaid and Medicare, community resources, alternate funding programs, Texas Health and Human Services Commission (HHSC), Texas Department of Insurance standards, Centers for Medicare & Medicaid Services (CMS), and National Committee for Quality Assurance (NCQA) in a managed care setting is required. LICENSURE/CERTIFICATION Must be licensed as a Registered Nurse in the State of Texas - and hold a certification that support the practice of informatics from an appropriate professional agency, such as Case Management Society or AMIA AHIC certification is highly preferred.

Manager Staff Education-Informatics (PLEASANTON)

POSITION SUMMARY/RESPONSIBILITIES Responsible for providing analytical support for process improvement initiatives led by Population Health Management (PHM). Duties include developing, reviewing, and validating data reports, as well as presenting findings in a clear and concise manner to improve reporting and documentation practices. Oversees information management related to regulatory reporting across Community First. Applies expertise in clinical, computer, and information sciences to identify, collect, process, and manage data and information. Conducts workflow analysis and integrates multiple data sources to build comprehensive databases and reports. This position also serves as a liaison between PHM and Information Services (IS) operations and technical staff. Responsibilities include supporting PHM needs through ongoing management of data collection systems, developing procedures for monitoring, validating, and reconciling data for accuracy, and collaborating with Information Systems to ensure effective integration of clinical and technical processes. The role functions as a key link between policy-making teams and technical teams, ensuring policies are accurately translated into system applications. EDUCATION/EXPERIENCE Registered Nurse license is required. Five years required experience in clinical practice or healthcare informatics related field experience. Post-graduate course and/or certification in clinical informatics or computer science is preferred Three (3) years related work experience in clinical data analysis is preferred. Project management experience with medical chart review and clinical data abstraction within an integrated health system is highly desirable. Experience in data scrubbing, data normalization, and validation is highly desirable. Knowledge of Medicaid and Medicare, community resources, alternate funding programs, Texas Health and Human Services Commission (HHSC), Texas Department of Insurance standards, Centers for Medicare & Medicaid Services (CMS), and National Committee for Quality Assurance (NCQA) in a managed care setting is required. LICENSURE/CERTIFICATION Must be licensed as a Registered Nurse in the State of Texas - and hold a certification that support the practice of informatics from an appropriate professional agency, such as Case Management Society or AMIA AHIC certification is highly preferred.

CNA Certified Nursing Assistant (EVENING SHIFT) (Wallingford Center)

CNA Certified Nursing Assistant (EVENING SHIFT) Masonicare Health Center - Wallingford, CT Evening Shift / 16hrs/wk / EOW Why work at Masonicare? -Weekly Pay -Full Benefits Package / 401K Retirement Plan -Generious PTO program -Tuition Reimbursement Masonicare is the leader in senior care in Connecticut and is committed to improving quality of life to those that we serve. We offer a diverse work experience that offers professional growth and opportunities and at the same time allows for the opportunity to work in a care setting that is focused around our patients, residents and clients. We are focused on hiring individuals whose beliefs and behaviors encompass what Masonicares mission and core values Innovation, Accountability, Respect, Compassion and Excellence. Masonicare is an Equal Opportunity Employer and we value and hire all forms of diversity. The Masonicare Health Center is a 260-bed Skilled Nursing Facility located in Wallingford, CT. The CNA performs basic nursing care procedures under the direction and supervision of a licensed nurse. Follow treatment plan that was designed to meet the appropriate age, needs and abilities of each resident/patient including assisting with meals and nourishment's, transferring using proper body mechanics and appropriate assistive devices, ambulations, bathing, toileting and dressing and grooming. MINIMUM REQUIREMENTS: Current Connecticut certification as a nurse's aide - C.N.A. and CPR certification. joinourteam

Clinical - Pharmacy Coordinator 1 - 210120

Remote - Nationally Sourced, prefer candidates located in PST with Remote work experience Monday Friday (8 AM to 4:30 PM). No overtime and flexible on the start/end time. Duration: 6 months Job Description: Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program. Education/Experience: High school diploma or equivalent. 3 years of pharmacy experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred. Responsibilities Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team Assist Provider Relations and various departments with educating providers on the health plan s pharmacy process Assist with the pharmacy utilization review and reporting process Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes Assist with members inquiries related to the formulary process Performs other duties as assigned. Typical Day in the Role Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD). What are the performance expectations/metrics? What makes this role unique? Create DT loaders in Excel that will be uploaded to MHK/Compass platform. Configure decision tools into the MHK/Compass platform. Conduct testing to ensure decision tools are proper functioning. Update decision tools to align with integration of client. Follow training instructions and complete training sessions in a timely manner. Expectation will be to maintain high-quality level work. Pay close attention to details. Complete monthly configuration on time. Candidate Requirements Education/Certification Required: high school diploma Preferred: Licensure Required: NA Preferred: prefer a Pharmacy Technician License but not required. Years of experience required: 3 years of Pharmacy Technician experience (open to PBM, retail, or other various experience) Disqualifiers: Additional qualities to look for: Ability to multitask or properly prioritize work, Experience with projects or assignments that require attention to details. Top 3 must-have hard skills stack-ranked by importance 1 Pharmacy Technician experience (open to PBM, retail, or other various experience) 2 Microsoft Office Experience Excel, Word, Outlook, Visio 3 Ability to work independent and keep good communication with about their project/assignment updates.