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REGISTERED NURSE (RN)
ASE AUTOMOTIVE TECHNICIAN / SERVICE TECHNICIAN
Experience the Vaco difference today! We are a revolutionary company in the placement industry. Our recruiters are dedicated to giving you an advantage over your competition . Applying with Vaco means you will have an advocate to get you the opportunities that you want. Your recruiter will promote your strengths and assets to the employer, connecting the dots between your work experience and the open job. Our IT Placement team is currently seeking a Network Administrator with at least 3 years of hands-on network and server support experience. Partner with Vaco today! As a Network Administrator, you will be responsible for all network and hardware support in a Windows environment. You will support and manage Windows Active Directory, MS Exchange, and VMware. Other responsibilities of the System Administrator role include: Managing a Windows domain: Active Directory, GPO, DHCP/DNS, IIS Managing server infrastructure: VMware ESX 4, Terminal Server, Microsoft Dynamics Nav, and SANs (NetApp, EMC, Equalogic) Managing a network comprised of a firewall, core-switches, PoE switches, wireless LAN controllers, and wireless access points Providing advanced support for Microsoft Office (Outlook, Word, Excel, Access, etc.) and Windows applications
ACCOUNTS PAYABLE CLERK - AUBURN, WA
City: Auburn State: Washington Postal/Zip Code: 98001 Oldcastle Precast is the leading manufacturer of precast concrete, polymer concrete and plastic products in the United States. Our products range from utility vaults, reinforced concrete pipe, catch basins, drainage and septic tanks, to retaining walls, storm shelters, wall panels, concrete barriers, a variety of prestressed concrete products and more. With more than 80 locations nationwide and 3,000 plus employees, Oldcastle Precast is committed to upholding core values of reliability, quality and service in cutting edge ways. Summary Process invoices for multiple plant locations across the US. Perform auditing processes on invoices including matching of invoice to receiving document and purchase order. Excellent communication skills are required as you will work with the plant and the vendor to resolve problems. Essential Duties Responsible for working with a high volume of invoices, interacting with vendors and other departments Review all invoices for appropriate documentation and approval prior to payment Sort and distribute incoming mail Process 3 way P.O. matching invoices Prioritize invoices according to cash discount potential and Journals (non-PO?s) Respond to all vendor inquiries Ensure processing of invoice within discount terms Reconcile vendor statements, research and correct discrepancies Assist in month end closing Maintain files and documentation thoroughly and accurately, in accordance with company policy and accepted accounting practices Other duties may be assigned as needed Requirements At least 3 years of experience in high volume A/P High school diploma / equivalent Associates Degree is a plus Must be able to make general coding decisions and taxability decisions for items on an invoice Must be able to lift up to 10lbs Ability to read and comprehend simple instructions, short correspondence, and memos High ethical and professional standards Proficient in Microsoft office Knowledge of Sales and Use Tax regulations ? Multi State Self-Starter with the ability to multi-task, with excellent time management skills Excellent communicator ? able to work as a team member and provide support to staff Familiar with integrated accounting software packages What Oldcastle Offers You A culture that values opportunity for growth, development and internal promotion Highly competitive base pay Comprehensive medical, dental and disability benefits programs Group retirement savings program Health and wellness programs About Oldcastle Oldcastle has a long and proud heritage as one of North America's largest corporations. We are a proud reflection of the hundreds of family businesses, local and regional companies and mid to large sized enterprises that together form the Oldcastle family. Oldcastle operates with a decentralized, diversified structure, letting you work in a small company environment while having the career opportunities of a large enterprise. Oldcastle is a great place to grow! If you?re up for a rewarding challenge, we invite you to take the first step and apply today! Please complete your online application and profile which will be sent directly to the appropriate Hiring Manager. Thank you for your interest in the Oldcastle family! Follow Oldcastle Careers on Facebook , Twitter , Google+ , Pinterest , WordPress (Career Blog) and LinkedIn ! Oldcastle Precast is an Affirmative Action and Equal Opportunity Employer EOE / M / F / Vet / Disability Oldcastle Precast is part of the Oldcastlecareers? network.
ADMINISTRATOR- PURCHASING DEPARTMENT
PASSIONATE PASTRY LEAD WANTED!
The Crowne Plaza St. Paul Riverfront Hotel is located in the heart of Downtown St. Paul, overlooking the Mississippi River. We are excited to announce that our property is going through a rebranding and will be reintroduced as an InterContinental in late Spring of 2015. Managed by Graves Hospitality, our versatile hotel is looking for a Pastry Lead/Kitchen Supervisor to join our team during this exciting time! The InterContinental brand looks for charming, confident, sophisticated and internationally-minded people who know what it takes to exceed guest expectations. The Pastry Lead/Kitchen Supervisor will produce all pastries, desserts, cookies, and sweets that are made in house. Build plates of pastries and desserts for buffets, breaks, and breakfasts. Plans their time based on the needs of the Chefs, banquets, and outlets.
Area of Interest : Rehabilitation Services - OT Position Type : Full Time - Permanent Recruiter : Hon, Ashleigh Job Description : Genesis Rehabilitation Services is looking for remarkable Occupational Therapists. At Genesis Rehabilitation Services, you can really care for your patients ? and your thoughts, opinions and expertise will always be respected. Our benefits package is outstanding. And our regular shifts help you balance your career and your personal life. Genesis HealthCare is one of the nation's largest skilled nursing care providers with more than 400 skilled nursing centers and assisted living residences in 28 states nationwide. Genesis also supplies rehabilitation therapy to over 1,500 healthcare providers in 46 states. And right now, we have opportunities near you. So apply today. For a remarkable OT, it?s a remarkable opportunity. POSITION SUMMARY: The Occupational Therapist organizes and conducts occupational therapy programs for the agency to facilitate rehabilitation. S/he directs patient participation in selected tasks to restore, reinforce, and enhance performance. The Occupational Therapist facilitates the learning of those skills and functions essential for adaptation and productivity, in order to diminish or correct pathology. RESPONSIBILITIES/ACCOUNTABILITIES: 1. Screens, examines and evaluates patients, including history, systems review, and application of appropriate tests and measures, synthesis information and interprets examination findings in order to establish a diagnosis, identify impairments, determine the predicted level of improvement and the time required to achieve it, identify precautions/contraindications and design and plan of care. Develops appropriate treatment goals and methods in collaboration with the patient and caregivers, implements the occupational therapy treatment plan, and completes all related documentation and record keeping regarding these services. Services include but are not limited to application of therapeutic techniques in areas such as cognitive skills, muscle strength, coordination, endurance, mobility, perceptual abilities, sensory awareness, sitting and standing tolerance, balance, activities of daily living, joint protection, work simplification, orientation and/or?physical agent modalities. 2. Supervision of Occupational Therapy Assistants, temporary licensees, students and support personnel in accordance with state licensure requirements and professional standards. 3. Attends and contributes to patient care, staffing conferences and other related meetings. 4. Consults with and/or makes referrals to other disciplines, agencies in order to address the comprehensive needs of the patient. 5. Puts patient service first: ensures that patients and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individuals' needs and rights. 6. Designs, fabricates, fits and/or applies adaptive devices, and trains patients in the use of adaptive devices including orthotics and prosthetics. OTH1
LEAD TELLER - BELL TOWER - HOUSTON, TX
IRS REPORTING COMPLIANCE MANAGER
ACCOUNTING ANALYST III
The Finance Department performs a variety of accounting and reporting functions. Included are the financial close process, financial performance reporting, correspondent bank reconciliations, general ledger/bancontrol account certifications, compliance (SOX) related functions and various regulatory reporting requirements. Prepares and validates complex accounting processes to include process such as: premium/discount amortization schedules, estimated accrued interests calculations and/or trade settlement calculations, general ledger maintenance and/or total bank reconcilement, calculation of the Bank's cash position Sets up systems to monitor and track various accounting processes May perform or oversees data security, maintenance and periodic audits Performs special projects as assigned Creates, monitors, analyzes and validates accounting reports and systems Ensures compliance with CB&T accounting practices and legal requirements May serve as a liaison between the finance departments and other line departments or functions as assigned
SENIOR SYSTEMS ADMINISTRATOR
Our client is headquartered in beautiful office space north of Boston and they are a global industry leader of cloud-based financial and digital banking solutions. They build software that is currently used in over 10,000 plus companies worldwide, and are growing like crazy. Currently, they are hiring multiple Systems Administrators to join their hosting team; they will be an integral part of a team that is responsible for the installation, configuration and maintenance of mission critical SaaS applications. This position will be a key role for the SaaS team by providing day-to-day management and maintenance of systems, supporting users, and augmenting project work where possible. This position offers REMOTE working flexiblity and multiple onsite office locations in MA, RI, NH and ME. Required Skills: 5+ years of system administration experience Strong problem solving skills and an ability to work independently in order to solve problems quickly and automate processes Effectively communicate issues and resolutions to management Operational knowledge of Bash, Perl, Ruby or other common scripting languages Some knowledge of and experience with VMWare 5.1 and 5.5 Familiarity with, and operation of configuration control and automation platforms, such as Puppet and Jenkins Operational experience with Linux (RHEL 5 and 6) and Windows (2003, 2008 and 2012) hosts on virtual and physical Intel platforms Operational experience with storage and backup infrastructure Operational management experience of software commonly found within a SaaS application infrastructure, such as Active Directory, DNS, SMTP, etc Demonstrated experience managing operational security and stability of SaaS applications Support of 24x7 SaaS web applications, including on-call To learn more OR to APPLY Please forward along an updated resume with current contact info.
DINING ROOM MANAGER
Job is located in Nashville, TN. Field Installation Manager Mid sized services company seeks an Field Installation Manager for its Atlanta, GA. office. The successful candidate will possess a minimum of 3 years of management experience and a 4-year degree is preferred, but not required. For a complete description of job duties and candidate requirements, see the job profile listed below. Job Description Establishing positive relationships with company clients and customer to further organization goals and objectives. Contracting, training, and managing sufficient subcontractor work crews to complete work in a timely and quality manner. Managing company assets (warehouse, inventory, equipment, etc...) to limit financial loss and maximize upside opportunities. Maximizing profit contribution by establishing and accomplishing business objectives as set by the executive team. The position reports to a General Manager and generally works with 15 - 20 sub-contractors servicing the Atlanta area. Primary Responsibilities: Oversees office personnel to ensure projects are being stored, delivered, and installed efficiently. Works with Sales Manager and Sales Consultant(s) to ensure leads are being followed in a timely manner and jobs are being sold accurately. Analyzes budget for jobs sold and determines break down of labor line items and sub-contractor needs and pay Determines job completion schedule and communicates schedule to sub-contractors and customer Completes pre-construction walk-through to verify scope of work and products sold Places orders for material through appropriate vendors Analyzes job budgets during and after project completion to determine profitability and make adjustments as necessary Conducts jobsite inspections to ensure quality work and customer service objectives are being fulfilled Implements company strategic plans by working with corporate Management, IT, Accounting, and Support Services teams Builds company image by collaborating with customers, clients, sub-contractors, and employees; enforcing ethical business practices Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices. Position may require the lifting of items weighing up to 75lbs. Position may require the use of a forklift.
EXTERNSHIP COORDINATOR, MA
Dental Hygienist In cities, towns and rural areas, Midwest Dental is proud to serve our hometown communities. Midwest Dental clinical team members serve the dental care needs of patients in Wisconsin, Minnesota, Iowa, Illinois, Kansas and Missouri. Our Support Center and office support team members provide the dental offices with administrative support for a variety of non-clinical functions so clinical team members can focus on what they do best ? providing quality of care! We?re YOUnique. It?s how we treat each team member. We are looking for a talented professional to join our team as a Part-time Dental Hygienist in our Mankato office. Dental Hygienists work collaboratively with the dental team to make quality patient care a priority. Dental Hygienists are licensed oral health care professionals who focus on the assessment, prevention and treatment of oral diseases, both to protect teeth and gums as well as to protect the patient?s total health. Dental Hygienists interact with patients to provide information and education about products and services, and handle and resolve patient concerns with enthusiasm and empathy. Desired Characteristics All team members are expected to contribute to the success of Midwest Dental by demonstrating our core values of Excellence , Integrity , Accountability , Perseverance , and Joy . More specifically, we believe that successful Dental Hygienists must have: Exceptional customer service skills Excellent oral and written communication skills Ability to relate well to a wide variety of people Ability to work well with others Reliability and dependability Ability to maintain confidentiality Good hand and eye coordination, manual dexterity and precision Good judgment and decision making abilities Basic computer skills Excellent organizational skills Confidence Ability to receive constructive criticism Willingness to advance skills through continuing education opportunities The primary functions of a Dental Hygienist include: Greet and prepare patients for treatment in a timely, enthusiastic and professional way Perform accurate oral health assessments Oral inspection and removal of both hard and soft deposits and stains Identify and manage periodontal condition Provide competent non-surgical periodontal therapy and follow up care Present periodontal treatment plans and explain options Educate patients about their overall oral health
MANAGER, WORKFORCE OPERATIONS
The Manager, Workforce Operations, is a leadership role responsible for the development of StubHub's workforce strategy and the implementation and management of a top performing workforce management program and tools. The position will be responsible for defining roles and responsibilities, resource forecasting and team hiring decisions. The Manager, Workforce Ops is responsible for overall forecasting, budget planning and ultimately managing service levels for a multi-channel center. Other responsibilities include capacity planning and new technology implementation and management. This is a position that requires communication and collaboration with other CS managers as well as with StubHub technology and telecom teams. Principle Responsibilities and Duties Development of StubHub's workforce strategy Manage and develop a growing WFM team Coordination and collaboration with other StubHub CS business units Works with the team supervisors and leads to identify areas of improvement and collaborate on ideas and methods for improving service level performance Coordinate, drive and measure results in long and short-term forecasting, resource scheduling, intraday adjustment and real-time adherence management Utilize WFM software tools and planning processes to generate and create optimized agent schedules, plan offline activities and develop hiring plans needed to ensure all SLAs and cost per call metrics are consistently met. Analyze contact center performance history to determine optimum off line activities as well as identifying shrinkage and occupancy issues Review contact volume forecasts and staffing gaps with customer service management team on a daily, weekly, monthly, quarterly and yearly basis. Coordinate with Customer Service Management to develop and maintain call flows, toll free number routing and call prompts, hold messaging and greetings. Maintain relationships with external vendors who supply the software for WFM and phones systems. Establish and maintain communication channels with Business Development, Customer Service Mgmt, Ops Mgmt, Training and Marketing, regarding events that impact call and email volumes. Provide executive level reports on workload trends & staffing requirements Engage in overall customer service strategy and defining how to provide the best customer experience while continuing to drive maximum efficiency. This position must be able to align WFM efforts to overall customer outcomes and support company objectives. Projects may include but not limited to; lead roll on WFM software and Genesys implementation, Projects related to telecommunications, capacity planning, planning and participation in the development in of a StubHub agent work from home program. This position requires at least three years of contact center WFM experience including strategy planning, program implementation and management of direct reports. A demonstrated ability to create forecasts schedules and measure the accuracy of both and adjust when necessary. Expert level background using WFM software and Microsoft Excel. Strong mathematical, analytical, communication and organization skills. Ability to shift priorities as business demands change. Proven ability to manage several projects and tasks at one time. Other requirements include: 3+ year's experience in a multi-site, multimedia call center operations 3+ years of experience in managing a team BS/BA degree or equivalent required (work experience in the workforce management field preferred) Solid working and technical knowledge recent telecommunications products and services Familiarity with Genesys, WFM systems (particularly Aspect) and telecom routing Strong analytical skills. Well developed sense of urgency and follow through. Strong written and oral communication skills that can be demonstrated through the use of email, chat, and all other forms of media channels. Ability to work flexible hours as needed. Strong interpersonal skills, presentation skills, and ability to work productively with all levels in an organization. Good organizational/time management skills.
LOAN ADMINISTRATOR - ANALYST
Summary Rapidly expanding Loan Group is seeking a Loan Administrator to work with a grown and diverse loans portfolio. Client Details Leading International Investment Bank Description Ability to interpret credit agreements and related documentation Experienced in all varieties of loan servicing including agency services and funding responsibilities Ability to manage a deal portfolio of 80-100 facilities Understanding of all aspects of deal/loan administration functions and tasks Experience with construction and amendment of bilateral and syndicated deal structures Complete coordination, review, and LoanIQ input of assigned new deals and amendments daily, to ensure banks books accurately reflect the intentions of the credit agreement and credit approval. Accurately process new drawdowns, paydowns, LC activities and fees daily for syndicated and bilateral deals to provide our lending services to our customers and maintain accurate data. Ensure that past-due principal interest and fees are reported, followed up on, and ultimately collected daily to ensure all monies due and payable to the bank are collected and reconciled. Coordinate daily funding requirements with Treasury Desk for managed loan portfolio daily to support Treasury Desk and its daily requirement to accurately manage its cash and funded positions. Direct working knowledge of LoanIQ, specifically in the area of loan administration Ability to construct bilateral and syndicated deal structures in LoanIQ including amending existing deal structures Ability to construct fixed rate loans and manage airline lease transactions in LoanIQ Able to trouble-shoot basic LoanIQ functional problems/issues Basic knowledge of general ledger account structure and LoanIQ sub-ledger accounts Working knowledge of Ad-Hoc Query and Ticklers Profile Bachelor's Degree Minimum of 2-7 years of experience in loan administration Strong knowledge & experience with LoanIQ Highly organized, detail-oriented, team-oriented Strong communication skills, both written and verbal. Experienced in communicating with external/internal customers Experience interfacing with agent banks, relationship managers and treasury personnel Strong Excel skills Job Offer Competitive compensation package
DRIVER / CUSTOMER SERVICE REPRESENTATIVE II
Are you passionate about customer service? Do you want to work for a reputable, environmentally conscious company? Are you willing to work hard to play hard? If you answered yes to these questions - you are just the professional we are looking for! We are looking for highly motivated, passionate individuals to join our organization. You want to join a growing, aggressive and dynamic company that rewards success and challenges you to grow. Most importantly, you want to join a team that is full of people like you - "A" players, who are passionate about providing high quality customer service, with a drive to succeed! SUMMARY The Shred-it Route Service Driver is responsible for providing industry leading levels of service to our clients while performing secure on-site destruction of sensitive material. The integrity of every Route Service Driver is essential to maintaining goodwill and building new bonds of trust with our clients. The Route Service Driver is a member of the Operations team and plays an integral role as the face of Shred-it. S/he is also responsible for general truck duties, such as circle checks and repair requests. Responsibilities Overall responsibility for performing on-site document destruction of confidential information using mobile-based shredding equipment. Point out security risk areas, and ways to correct them, to the customer. Answer questions about security and our industry or point customers to where they can get the answers. Operate company equipment in a safe and efficient manner in an effort to minimize the risk of injury or equipment damage. Drive mobile shredder to and from client locations. Requirements Skills and Knowledge Class B CDL is required . Must be at least 21 years of age, in accordance with CDL requirements. Excellent physical ability; must be able to lift material between 80 - 100 pounds. Ability to withstand the physically strenuous demands of lifting, pulling and managing heavy equipment and objects. Education High School Diploma or equivalent. Experience Minimum 1 - 2 years of previous driving experience; preferably in information management. 1 - 2 years face-to-face customer service experience Personal Characteristics Ability to communicate effectively with customers in a professional manner. Ability to maintain the highest level of customer service in all aspects of the job. Comfortable in a fast-paced dynamic environment. Understands the importance of detail and accuracy. Background Check / Drug Test Successful completion of comprehensive background check at time of application and throughout employment. Successful completion of drug testing in accordance with company policies and applicable law. Shred-it is an Equal Employment Opportunity / Affirmative Action Employer that values diversity and inclusiveness in the workplace. Women, minorities, individuals with disabilities and veterans are encouraged to apply.
DIRECTOR OF BUSINESS DEVELOPMENT
OCCUPATIONAL THERAPIST - OT
Occupational Therapist - OT Job Description As an Occupational Therapist / OT, your goal is to restore, enhance and increase functionality. Our goal is to give you the support you need to make a positive impact on every patient in your care, providing you with adaptive tools and technologies that help patients regain the ability to perform all types of activities whether you work in a skilled nursing environment, assisted living, providing outpatient therapy, home healthcare, or in a blend of all rehabilitation settings. And as an Occupational Therapist / OT with Aegis Therapies, you may work in any or all of these settings. Aegis is as committed to making a difference as you are across the full continuum of care, from post-acute and sub-acute through home care. Putting patients first. It's what building a career with Aegis Therapies is all about. Duties of Occupational Therapist-OT : Duties of this position include following, in accordance with established policies and therapy standards: Meets the resident's goals and needs to provide quality care by assessing and interpreting evaluations and test results; determining treatment plans in consultation with physicians, and by prescription Administers therapy statements according to a treatment plan approved by the attending physician. Directs treatments given by aids and assistants. Evaluates effects of therapy treatments by observing, noting and evaluating resident's progress Completes discharge planning by consulting with physicians, nurses, social workers and other health care workers Manage the appropriate therapy minutes per RUGS category for patients/residents Assures continuation of therapeutic plan following discharge by designing resident specific maintenance programs; instructing residents, families, and/or caregivers in follow-up maintenance programs Documents resident care services by charting in resident and department records according to accepted regulatory, corporate and professional guidelines Ensures operation of equipment by completing preventive maintenance requirements
CLASS A CDL DRIVER
Our client, one of the largest integrated equipment dealerships in the nation, has an opening for a Class A CDL Driver in Mesquite, TX. The CDL Driver responsibilities include safely and efficiently delivering freight and goods to service centers, customers and loading and unloading the distributing freight. Searching for a solid, growth-oriented company that values its employees? Join our client! They offer competitive salaries, excellent benefits and 401K retirement savings plan with company match. Our client is an Affirmative Action / Equal Opportunity Employer and believes that its employees should be provided with the tools for success, which, first and foremost, includes a working environment that enables each individual to be productive and to work to the best of his or her ability. They are committed to the principle of equal employment opportunity for all employees and applicants, and to providing a work environment free of any form of unlawful discrimination and harassment.
JOB SUMMARY: The Physician Review Services (PRS) Coordinator I is responsible for coordinating appeals and grievances from receipt to resolution, this is to include all health care services reviews from internal and external customers with assigned physician reviewers. The Coordinator I ensures all reviews are logged individually for each client immediately, according to client specifications. This position requires constant monitoring of client systems for updates and awareness of all technical equipment functioning and reporting of any service delays according to HI processes. All staff in the unit are cross trained and required to know each clients? requirements according to the department?s operational manual. The position requires basic knowledge of medical and behavioral health terminology. The most important service area required by all clients is Turnaround Times (TAT) standards that must be honored as failure to do so obligate Health Integrated (HI) in some instances, to pay a financial penalty. These TAT may be according to healthcare industry standards; however, client contractual standards supersede, and may be more stringent than industry standards. Coordinators are responsible and accountable for knowing and keeping standards in compliance. Knowledge and some familiarity with the Utilization Review Accreditation Commission and National Committee of Quality Assurance are required, as are HIPAA compliance standards and the implications inherent in the handling of PHI information. This position may not conduct any activities that require evaluation or interpretation of clinical information . CORE COMPETENCIES: Contributing to Team Success, Managing Work (including Time Management), Continuous Improvement, Technical/Professional Knowledge and Skills Minimum Qualifications: Education/License/Certification: High School Diploma or GED required. Bachelor?s Degree in administration or a healthcare services field preferred or 3 years of managed care experience in a physician review service department handling appeals and grievances. Experience: 3 years practical work experience: preferably exposure to a managed care environment, physicians office, hospital business office, claims adjudication, or a medical/behavioral health services environment Knowledge/Skills: Equipment: Must have demonstrated excellent computer skills. Skilled in operating many types of business machines (computers, copiers, scanners, faxes, etc.) Proficient in utilizing Microsoft Office, PDF/MS Word documents, ability to produce MS Excel spreadsheets and Visio Workflows Able to quickly grasp and implement newly acquired knowledge of PRS managed care software platforms Able to demonstrate proficiency in various client managed care software platforms Able to type 50 words per minute with at least 95% accuracy Communication Attributes: Demonstrated strong/accurate documentation skills Attention to detail critical Able to demonstrate excellent English language proficiency skills and put skills into practice: spelling, grammar, syntax, punctuation. Strong verbal and written communication skills Ability to develop and maintain effective working relationships with peers, clients and providers Techniques Demonstrated problem solving and decision making skills Demonstrated willingness to accept new challenges such as master new accounts Ability to work effectively to meet departmental goals with minimal supervision Ability to handle multiple assignments, prioritize and meet deadlines Self-directed with strong organizational skills Highly motivated/initiative Team player a must Excellent telephonic customer service skills and ability to troubleshoot calls Responsiveness to internal and external customers Accountabilities: Job Performance/Responsibilities: 95% Process Review Requests : Preparation : Demonstrate an ability to facilitate both medical and behavioral health reviews in coordination with physician consultant Researches and responds to the need for additional information for all medical and behavioral cases received Facilitates and coordinates with internal and external customers in a proactive manner to bring request to a satisfactory resolution in a timely fashion Generates and maintains database of high risk/high volume members Reports on high risk/high volume members at case conferences, utilization review and quality improvement meetings or provides this information to the unit manager Responds to phones as assigned, meeting or exceeding the standards for phone access and availability in order to meet the needs of members served by the department. Organizes a variety of administrative and clinical task and prioritizes job tasks in the order of importance and understand the impact it may have on members and providers Process : Work independently and ensure 100% accuracy of all communications and processes Maintains accurate daily logging of all reviews for self and ensures that peers are logging timely and appropriately Demonstrates ability to handle majority of processes in department Provides clerical support as preparing correspondence/filing/faxing/reports/mail Maintains/submits reports/ on review activities Logs, tracks, and processes appeals and grievances forwarded to the Appeals & Grievance Department Conducts research, including requesting member records, and organizes documentation, and prepares written summaries of cases including the resolutions for appeal and grievance file when required Output : Serves as a liaison in corresponding and communicating with providers and members or members? representatives Maintains all documentation associated with the processing and handling of appeals and grievances to comply with regulatory standards while maintaining an accurate, complete appeals/grievance record in the electronic database Coordinates review of appeals to include preparing the case with all relevant documentation, scheduling the case processing the review conducted by the department?s consultant Tracks appeals and grievances cases by line of business for compliance and review Maintains files for all denial/appeal/reconsideration letters-enters copy of Physician Referral into database Provides high level of quality customer service and acts as role model for peers Honors all individual clients? TAT standards and special case handling requirements Mails letters meeting clients? content and TAT specification standards, as well as, accreditation requirements. Coordinates written communication to U/M department Develops and presents ideas for performance and process management improvement within the department Coordinates Appeals & Grievance Committee meetings including providing suggestions for the agenda, notifying participants and maintaining minutes of the meeting 05% Other Duties Completes ad-hoc and scheduled reports as requested Retrieves files and other support materials for client audits Performs other duties as assigned by Manager Customer Services-Internal: Provides health services triage services including referrals to specialist providers, linkage to available services, and coordination of care and services Monitors, tracks, and reports on high risk/high volume members as determined by care managers Coordinates health services of members by providing triage, referrals, and linkage to appropriate health providers, other departments, or care managers when appropriate Supports a positive working environment; Identifies and resolves potential personnel/peer problems and issues proactively with Manager Communicates to PRS Manager all problems, issues and/or concerns as they arise; Communicates to the CM or UM Supervisor/Manager any issues or concerns related to quality of care, using the HI Statement of Concern procedure; Maintains a courteous and professional attitude when working with all HI staff members and the management team; and, Actively participates in team meetings . Customer Services-externaL: Timely identifies and communicates to applicable practitioners, providers and the Manager all issues and concerns related to the case at hand; Identifies point of contact with each client and establishes daily working relationship related to job responsibility Communicate immediately any client dissatisfaction to manager and work together to resolve issue Update all communication vehicles in department pertaining to client phone #/addresses/fax# Interacts with other departments including Member Services, Claims and Provider Relations resolve member and provider issues
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