The Care Coordinator RN employs clinical and organizational skills to provide safe, quality, and efficient nursing care for Veterans seeking scheduled, walk-in or urgent mental health services in any of our outpatient clinic settings. Specific responsibilities include, but are not limited to, direct patient care, screening and evaluation of behavioral consults, triage of secure messaging, phone calls, consults, and assessment and triage of Veterans who seek walk-in and/or urgent mental health care.

The RN duties throughout the BHCL Outpatient Clinics may entail, but not limited to:

• Quickly responding to patients medical and psychiatric needs, floating for staffing coverage, administering Basic Life Support, assisting with patient falls, triaging walk-ins, administering injections, and/or transporting (ambulating or wheelchair-assist) patients to the Emergency Department or other clinics throughout the hospital.
• Accountable for adhering to established policies, standards of care, and practice and for demonstrating leadership, self-direction, experience, and creative approaches to the management of complex patient care.
• Create and foster an environment of Veteran advocacy and is accountable for adhering to established policies and standards of care.
• Provides education to Veterans, their families, and BHCL staff members, as well as staff throughout this Medical Center.
• Assesses and analyzes age and culturally-specific psychosocial, medical, spiritual, and social needs of Veterans aged 17 years and above who are seeking access to any Behavioral Health services.
• Identifies his/her own area of learning needs to maintain current knowledge of psychiatric nursing, utilizing current literature, and continuing education.
• Is actively involved in Performance Improvement (PI) activities and participates in unit, service and Medical Center committees and task forces.
• Is directly responsible to the BHCL Outpatient Nurse Manager.

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The Community Care Case Manager is a Registered Nurse, qualified by education and experience. S/he will provide direct support to the Non-VA Care program in planning, designing, integrating, implementing, modifying, and evaluating the effectiveness of program components and services to improve the quality of patient care and the appropriateness and timeliness of services provided.

Duties include but are not limited to:

Providing the clinical leadership and expertise for the coordination of NMVAHCS non-VA care authorization program.

Demonstrate knowledge of Fee federal regulations, VHA guidelines, medical review criteria, care management and utilization management processes, inter-facility transfer and travel processes, clinical document requirements, current standards of care, and compliance guidelines.

Provide clinical oversight of the non-VA care approval process is provided by each medical center Chief of Staff and/or designated appointee.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory

Work Schedule: Monday thru Friday 7:30am-4:00pm
Telework: May be authorized
Virtual: Not Authorized
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized
Financial Disclosure Report: Not required

Area of Consideration:All Sources

Contact the Albuquerque Area IHS Recruiter:
Michelle Aguilar Bowser
Phone: 505-256-6731 or
Email: Michelle.AguilarBowser@ihs.gov

Incumbent ensures patients at the Albuquerque Service Unit receive quality, patient-centered care that is timely, appropriate, cost-effective, sensitive and coordinated to affect desired clinical outcomes.

• Provide holistic and comprehensive case management services to all patients that include: intake assessment, benefit assessment, goal setting, long-term care plan development, progress monitoring, advocacy and referrals.
• Serve as the primary contact between referral health care agencies, treatment facilities, patients, patient's families to ensure delivery of effective and appropriate treatment according to established plan of care.
• Develop patient care plans with the care team according to clinical practice guidelines with the patient, family, caregiver(s) and significant other(s).
• Provide formal and informal health education to patients and family on a one-to-one basis and/or to groups.
• Collect, trend and analyze outcome data to be used in identifying best practices and targeting performance improvement solutions.
• Initiate therapeutic interventions and administers prescribed medications.

Area of Consideration: Government-Wide

Contact the Albuquerque Area IHS Recruiter
Michelle Aguilar-Bowser
Phone: 505-256-6731 or
Email: Michelle.AguilarBowser@ihs.gov

Incumbent ensures patients at the Albuquerque Service Unit receive quality, patient-centered care that is timely, appropriate, cost-effective, sensitive and coordinated to affect desired clinical outcomes.

• Provide holistic and comprehensive case management services to all patients that include: intake assessment, benefit assessment, goal setting, long-term care plan development, progress monitoring, advocacy and referrals.
• Serve as the primary contact between referral health care agencies, treatment facilities, patients, patient's families to ensure delivery of effective and appropriate treatment according to established plan of care.
• Develop patient care plans with the care team according to clinical practice guidelines with the patient, family, caregiver(s) and significant other(s).
• Provide formal and informal health education to patients and family on a one-to-one basis and/or to groups.
• Collect, trend and analyze outcome data to be used in identifying best practices and targeting performance improvement solutions.
• Initiate therapeutic interventions and administers prescribed medications.

As a Program Support Assistant GS-0303-7/8/9, your typical work assignments may include the following under supervision:

• Performs management and program support work such as planning, budgeting, research, analysis, correspondence control, communication, and/or liaison.
• Provide expertise for procurement of goods, supplies, and services.
• Perform work involving collection, compilation, and/or tracking data and statistical information in support of program operations.
• Performs administrative work, which includes management of the schedule or day-to-day plans for Associate Deputy Director-Division of Performance and Accountability.
• Manages and/or prepares responses to correspondence for Associate Deputy Director-Division of Performance and Accountability.
• Assist with preparations for fiscal year operating budget.
• Perform office automation duties using such software applications as electronic mail, desktop publishing, calendar, spreadsheet, database, teams, and/or graphics.

Duties include but are not limited to:

Provides support to the PACT by utilizing the nursing process and evidence-based practice to collaborate with the Team in developing the patient-driven holistic care plan for life.

Responsible for collaborating with services internal or external to the VA to manage the care of patients with needs of a complexity level that exceeds the capability of the Teamlet to manage.

Responsible for collaborating with services external to the VA to facilitate care transition to effectively meet the patients' needs.

Collaboratively to discuss and advise patients/family regarding health concerns, through eh use of technology and face-to-face interaction.

Provides patient and family health education with a focus on self-management, prevention and wellness based on the patient's goals.

Demonstrates leadership by serving as a preceptor or mentor to colleagues or students to enhance professional growth, development, and practice.

Responsible for acquiring and demonstrating clinical expertise in knowledge of health care programs to improve the quality of patient care.

Responsible to perform PCP/Nurse Oversite Visits to increase access to the primary care provider's schedule.

Manages Hospital Discharges and Emergency Room Discharges follow-up phone calls to our veterans to answer questions and schedule appointments.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory

Work Schedule: Full-time, M-F, 7:30 am - 4:00 pm
Telework: Not available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized

*Comprehensive training provided

PURPOSE AND SCOPE:

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.

• Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.
• Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.
• Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
• Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
• Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
• Initiates or assists with emergency response measures.
• Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
• Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
• Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
• Ensures patient awareness related to transplant and treatment modality options.
• Required to complete CAP requirements to advance.  
• Performs all other duties as assigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation.  Equipment aids and/or coworkers may provide assistance.
• This position requires frequent, prolonged periods of standing and the employee must be able to bend over.
• The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
• May be exposed to infectious and contagious diseases/materials.
• Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.
• The position may require travel to training sites or other facilities.
• May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.
• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.

SUPERVISION:

Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:

• Successful completion of all FKC education and training requirements for new employees.
• Must have a minimum of 9 months experience as a RN.
• Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.

EDUCATION and LICENSURE:

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification.
• Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS:

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

As a member of the CACI-Wexford group Special Operations and Asymmetric Solutions Group (SOAS) we are renowned for bringing the expertise of our motivated, innovative professionals to address customers’ most difficult challenges and requirements. Using our cutting-edge practices, tools, and technologies, CACI's SOAS offers a range of solutions to address customer needs. At CACI-Wexford you will have the opportunity to make an immediate impact by providing information solutions and services in support of national security missions and government transformation for Intelligence, Defense, and Federal Civilian customers.

In support of the Joint Navigation Warfare Center (JNWC) contract, you will be a part of our team’s efforts to empower the Department of Defense’s navigation warfare (NAVWAR) mission ensuring positioning, navigation and timing superiority. Our mission is to provide combatant commanders and joint force commanders with subject matter expertise on planning and conducting NAVWAR by providing knowledge of friendly and enemy NAVWAR Order of Battle and PNT-related successes and threats.

About the Role:

• Mid- Senior level plans, policy, and futures support analyst.

• Supports the analysis and development of strategy, policy and doctrine to support JNWC efforts.

• Routinely coordinates with the PNT S&T community of interest (CoI), to include OUSD/R&E, Joint StaffJ7/J8, OUSD/DOT&E, laboratories, academia, civil and commercial entities.

• Provides input to J5 strategic plans for future growth, organization and processes.

• Provides support to the creation of mid-long term military PNT capability, analysis, and identification of S&T technology in support of JNWC modernization efforts and enhanced mission capability.

• Provides support to PNT initial document construction and data collection. 

You’ll Bring These Qualifications:

• 5/7/10 Yrs Relevant experience. Multiple Levels need

• Will demonstrate effective competence in planning and policy, external CoI coordination, and understanding of PNT capability and technology

• Prefer Graduate of a military Intermediate Level Education (ILE) course (e.g., the Army Command and General Staff College) or a Joint Professional Military Education (JPME) course (e.g., Naval Command and Staff).

• Graduate of the School of Advanced Military Studies (SAMS) or a Joint War College preferred.

• BA/BS in business, strategy, engineering, computer science, information technology or other related field

• Current TS/SCI clearance

What We Can Offer You:

- We’ve been named a Best Place to Work by the Washington Post.

- Our employees value the flexibility at CACI that allows them to balance quality work and their personal lives.

- We offer competitive benefits and learning and development opportunities.

- We are mission-oriented and ever vigilant in aligning our solutions with the nation’s highest priorities.

- For over 60 years, the principles of CACI’s unique, character-based culture have been the driving force behind our success.

Company Overview:

CACI is an Equal Opportunity/Affirmative Action Employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other protected characteristic.

Pay Range: There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. Our employees value the flexibility at CACI that allows them to balance quality work and their personal lives. We offer competitive compensation, benefits and learning and development opportunities. Our broad and competitive mix of benefits options is designed to support and protect employees and their families. At CACI, you will receive comprehensive benefits such as; healthcare, wellness, financial, retirement, family support, continuing education, and time off benefits. Learn more here

The proposed salary range for this position is:

You will perform as a Desk Technician supporting a 24x7 government mission. You will provide direct support for detection, isolation, and resolution of ground segment problems; and serve as first responder for all site issues.  This position requires broad of knowledge of both Windows and Linux based systems across a global environment.

All Service Desk Technicians will be required to attend a 4 to 6 weeks ISC Training Program that is held Monday through Friday from 0700 - 1500. Once Technicians have certified and signed off from the Training Program each Technician will move to their approved shift. Shift Work (5 days working, 2 days off, 8-hour shifts).

Duties

• Responsible for resolving IT hardware and software infrastructure (servers, network, security, etc.) issues using systems analysis techniques and procedures.
• Ensure appropriate function of hardware, software or system functional specifications. 
• Analyzes, troubleshoots and resolves issues with IT infrastructure including user systems, servers, storage and network connectivity.
• Provides system administration for assigned infrastructure and establishes and maintains security as it relates to users.
• Supports new infrastructure projects. 
• Maintains all configuration documentation for assigned infrastructure.
• Master the steps required to effectively manage and prioritize incidents.

What You’ll Get to Do:

• Ensure that all technical baseline infrastructure is maintained at an optimal level so that customer mission needs are satisfied.
• Monitor, recognize, evaluate, and correlate system and network problems.
• Responsible for maintaining a privileged user level of access, across numerous high priority systems.
• Interface daily with government and partner country senior leadership, system operators and engineers at site and across the enterprise.
• Interpret system documentation and record problems in appropriate reporting tools.
• Support after action activities, by collecting data which describes the environment at the time of the failure.
• Serve as a single point of contact for monitoring, troubleshooting, and anomaly resolution.

• Restart system services as needed.
• Restart system hardware as needed.
• Escalate problems to Tier 2 level as required, notifies mission director if priority or severity necessitates.
• Coordinate with any required resources across the enterprise to resolve operational issues.
• Work with other 24x7 ground segments across multiple locations providing enterprise level maintenance support, with high customer visibility into all actions and response.

You’ll Bring These Qualifications:

• Active TS/SCI with Poly required.
• Must have a current DODI 8570.01-M IAT Level II Certification, Security+ Certification.
• AA Degree in a related technical discipline and relevant experience supporting enterprise operations or 3-5 years related experience in lieu of education requirement.
• Excellent communication skills ensuring effective and accurate exchange of information across a multi-location enterprise, with customer visibility into crew-based actions and response.
• Must be able to work a non-standard work week, weekends, and holidays; 12-hour shift work expected in support of 24x7 operations.

These Qualifications Would be Nice to Have:

• System administration experience to include UNIX, Linux, and Windows platforms
• Experience with virtualization technologies and software such as VMware
• Knowledge and understanding of Enterprise Management Systems to include HP OpenView, and CA based Concord. 

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Company Overview:

CACI is an Equal Opportunity/Affirmative Action Employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other protected characteristic.

Pay Range: There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. Our employees value the flexibility at CACI that allows them to balance quality work and their personal lives. We offer competitive compensation, benefits and learning and development opportunities. Our broad and competitive mix of benefits options is designed to support and protect employees and their families. At CACI, you will receive comprehensive benefits such as; healthcare, wellness, financial, retirement, family support, continuing education, and time off benefits. Learn more here

The proposed salary range for this position is:

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary

JOB REQUIREMENTS:
*Registered Nurse (RN) OR Physician's Assistant OR Nurse Practitioner with current, unrestricted license to practice in the state of New Mexico.
*4 years’ experience in health insurance, managed care or medical group experience.
*Knowledge of federal and accreditation standards and regulations for the health insurance industry
*Experience in designing clinical programs
*Experience conducting presentations for member and/or provider training.
*Proven ability to work collaboratively with physicians
*Ability to work independently
*Effective communication and written skills and ability to communicate and influence internal and external customers at all levels of the organization
*PC skills and familiarity with various software packages including spreadsheets and presentations
*Ability to travel 30% including overnight stays.

#LI-Remote

Relocation assistance will not be provided for this position.

Sponsorship will not be provided for this position.

We encourage people of all backgrounds and experiences to apply. 

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

DaVita is seeking a Patient Care Technician who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic kidney disease. Do you desire to deliver care in an empathetic, compassionate way - the way you'd want your own care to be?

If you haven't considered Nephrology before, read on as we think that you should.

Joining DaVita as Patient Care Technician (PCT) is an exciting opportunity to jump start your career in the health care industry! With paid, extensive training, you will gain the skills needed to care for our patients and build a network of other health care professionals across the geography where you live. Once you have successfully completed training, you will join a holistic team of care professionals – including nurses, dietitian, social workers, and other experienced PCTs – to care for our patients. It's not a job, it's giving life and a career based on passion and purpose.

DaVita – which is Italian for "giving life" – is working to provide quality service to patients, partners, and teammates. Our mission is to be the Provider, Partner, and Employer of Choice.

Our PCTs also find DaVita professionally fulfilling. To help advance your career, we offer clear paths to higher levels of responsibility and compensation through our Clinical Ladders program. Through DaVita's Bridge to your Dreams program, teammates who have been in their role for six consecutive months and in good standing, are eligible to receive tuition assistance up front to pursue their dream of becoming a DaVita RN and getting their Associates Degree in Nursing. We also have dedicated training to become a Facility Administrator, and training to become a Regional Operations Director. Your success is driven by your performance and desire.

Some details about this position:

• No Dialysis experience is required.

• Training may take place in a facility or a training clinic other than your assigned home clinic

• Potential to float to various clinics during and after your training

• You must have a flexible schedule and be able to work mornings, evenings, weekends, and holidays

What you can expect:

• Direct Patient Care. Spend the majority of your day in direct one-on-one patient care to provide safe, comfortable and hygienic dialysis treatment.

• Our PCTs care for multiple patients.

• Technician Duties. To monitor patients before, during and after dialysis treatment including measuring and recording stats, patient observations, and hemodialysis machine setup. Please note you will have exposure to blood and needles.

• Building long-term relationships with your patients who are suffering from end stage renal disease and are receiving treatment on average 3 times/week. You will also be responsible for educating patients on Kidney Dialysis related topics.

• Team. Cross functional team of clinicians including technicians, nurses, dietitians, social workers and leadership. PCTs work under the supervision of a RN.

What we'll provide:

DaVita Rewards package connects teammates to what matters most including:

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out

• Support for you and your family: family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave, pet insurance, and more

• Paid training

Requirements:

• Desire to enter the health care field to care for other people in need

• High school diploma or equivalent

• Must be comfortable working around blood and needles

• Must be comfortable mixing acid or bicarb

• Physical and mental ability to work long hours (some shifts are 12+ hours) on your feet so wear comfortable shoes! Our work ends when it's safe for our patients.

• Willingness to train and work across multiple clinics within the territory as needed.

• Health care experience a plus including: BONENT Certified, Certified Hemodialysis Technician (CHT), Certified Nursing Assistant (CNA), Certified Medical Assistant (CMA), or Phlebotomy certification.

DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our teammates to commit to improving patient health through clinical goal setting and quality improvement initiatives.

Ready to make a difference in the lives of patients? Take the first step and apply now.

#LI-HH2

Salary/ Wage Range

Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits  

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary

Job Responsibilities

• Provide planning, implementation and monitoring of activities associated with regulatory and contractual requirements for government programs. Develop process and procedure flows to ensure that reports, or specific obligations mandated from government agencies are implemented by the appropriate business areas. Coordinate the development of policies and procedures designed to maintain the accuracy and timeliness of completing contractual requirements. Ensure that the process of filing certification and attestations with the government is documented.
• Analyze and oversee supportive data to prevent regulatory sanctions, foster regulatory relationships and integrate operations with regulatory requirements. This includes coordination with internal departments, i.e. Internal Audit, Special Investigations Department, Legal, as well as subcontractors to align for appropriate information collection and reporting. Work closely with Internal Audit and other business areas for the resolution of audit findings or other issues raised by the Government regarding non-compliance.
• Review and interpret regulatory documentation for adherence to standard criteria. Develop programs to accommodate corporate goals. Review filings made to government agencies.
• Perform reviews of various aspects of government programs and conduct investigations where necessary including investigations of any subcontractor, first tier entities, downstream entities and/or related entities.
• Prepare reports based on the completion of compliance reviews and investigations related to government programs.
• Design, implement, and monitor program projects and initiatives in all aspects of Government Programs.
• Serve as a resource on problematic issues generated from changing laws, regulations and guidance to maintain consistent/accurate interpretations.
• Participate in enterprise-wide initiatives and task forces in order to provide advice and guidance on compliance with government programs requirements.
• Manage reporting system to ensure that all contacts regarding possible non-compliance or misconduct involving a government program are properly logged, investigated and resolved including making recommendations to the Compliance Officer regarding whether disclosure should be made to the government, corrective actions, and disciplinary actions. Maintain documentation for each report of potential fraud, waste and abuse received through any reporting method (i.e. hotline, mail, in-person, exit questionnaires) which describes the initial report of non-compliance, the investigation, the results of the investigation, and all corrective actions and/or disciplinary action(s) taken as a result of the investigation.
• Direct research on laws and regulations to support investigative reviews related to government programs.
• Direct applicable audit functions to support investigative reviews of any potential wrongdoing related to government programs.
• Develop Corrective Action Plans and make recommendations regarding new policies and procedures based on risk assessments, compliance reviews, investigations or weaknesses.
• Identify needs and opportunities for communication to management regarding compliance issues and policies.
• Identify areas for training and communication to employees directly or indirectly related to Government Programs regarding compliance.
• Monitor Fraud, Waste and Abuse program as required under CMS guidelines and Medicaid contract including coordination with Special Investigations Department and Internal Audit
• Provide briefings on government programs requirements to the Compliance Officer, to the Board and its Committees and Compliance committees.
• Communicate and interact effectively and professionally with co-workers, management, customers, etc.
• Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
• Maintain complete confidentiality of company related business.
• Maintain effective communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.

Required Job Qualifications:
* Bachelor’s Degree
* 8 years of auditing or investigative experience with a focus in government or compliance reviews.
* 5 years of managerial experience.
* Management and negotiation skills.
* Effective verbal and written communication skills.

Preferred Job Qualifications:
* 3-5 years of experience in a government programs health plan

*This is a hybrid role based in Albuquerque, NM and will sit in this office 3 days/week*

#LI-Hybrid

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#LI-EL1

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

PURPOSE AND SCOPE:

Explores recommends and coordinates the varied community resources and social services programs available to kidney dialysis patients

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Responsible for driving the company culture though values and customer service standards.
• Accountable for outstanding customer service to all external and internal customers.
• Develops and maintains effective relationships through effective and timely communication.
• Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner.
• Collaborates with local offices as directed by the MSW to obtain Medicare and Medicaid Insurance Assistance (non-commercial insurance assistance)
• Coordinates Pharmacy Program benefits and prescription assistance programs 
• Social service and community resource navigation and referral including emergency food housing and shelter resources
• Assists with transportation referrals authorizations and re-certifications
• Identifies appropriate community social service agencies and other resources to assist patient and families as directed by the MSW. This may include but is not limited to assisting patient in securing financial assistance obtaining medical transportation and any other public and private resources deemed necessary.
• Reviews and complies with the Code of Business Conduct and all applicable company policies and procedures local state and federal laws and regulations.
• Assists with various projects as assigned by direct supervisor.
• Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations.  See applicable addendum for department or location specific functions.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION:

• Bachelor's Degree in Social Work (BSW) required
• Social Work License Required

EXPERIENCE AND REQUIRED SKILLS:       

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.