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APS Health Care PR
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  • HP3 Nurse  

    - 00612
    Job DescriptionJob DescriptionPosition Summary: The Health Professiona... Read More
    Job DescriptionJob Description

    Position Summary:

    The Health Professional 3/RN provides health and wellbeing services as part of the clinic’s multidisciplinary team. This key individual promotes and restores patients' health in collaboration with physicians and multidisciplinary team members. The main responsibility will be integrate de psychological and physical areas of our patient.

    Essential Functions:

    1. Completes initial interview with the patient; reviews and analyzes data collected in order to identify specific needs, strengths and limitations. Recognizes and carefully manages urgent patients, as well as implements the necessary actions in case of emergency or hospitalization, based on Law 408 and the company’s procedures. Coordinates patient transfers to the appropriate health care setting.
    2. Develops a patient treatment plan with a multidisciplinary focus, while promoting patient participation in treatment strategies. Discusses clinical cases and procedures with other team members in order to collect important information for treatment strategy elaboration.
    3. Assures that all patients at the clinic triage have completed an arterial pressure, pulse, and vital signs check. Collaborates in urine test collection in order to determine drug abuse/use as needed.
    1. Controls and administers the Drug Deposit and evaluates patients for the clinics depot. Contacts and monitors the attendance of depot patients. Keeps drug inventory and temperature monitoring in accordance with Pharmacy regulations.
    2. Maintains communication with patient’s family members and provides supplementary treatment as needed. Provides individual or group advice to patients and family members about use and abuse of medication, or in any topic needed for treatment.
    3. Documents patient intervention and properly stores all suitable forms in the patient’s file. Maintains registry of all patient care medication.
    4. Identifies potential treatment side effects and reports findings do Clinic Administrator, Physician and or Pharmacy Department.
    5. Coordinates and performs medical communication with patient Physical PCP ad necessary. Transfers patients to other facilities when needed.
    6. Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable.
    7. In addition, all other duties assigned by the manager and/or supervisor.

    Education:

    • Bachelor’s degree in Nursing required
    • Must have current, unrestricted PR License to practice in Puerto Rico territory, with current Professional Nursing College Membership.

    Experience:

    • Minimum 2+ years of experience in the mental health and or/nursing field.

    Knowledge:

    • Knowledge of medication, drug interactions, side effects, incompatibilities and all issued related to proper treatment.
    • Knowledge of diagnosis and pharmacology.
    • Knowledge of mental health regulations and related laws.
    • Must be able to prioritize and target interventions, consistent with state licensure scope of practice requirements designed to support long-term behavioral change.
    • Personal computer experience should include working with Microsoft Word, Excel, Power Point and Outlook at the intermediate level at a minimum.
    • Knowledge regarding nursing process and correct administration guidelines.


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  • Administrative Assistant  

    - 00674
    Job DescriptionJob DescriptionPosition Summary: The Administrative Ass... Read More
    Job DescriptionJob Description

    Position Summary:

    The Administrative Assistant provides support for the Clinic Administrator duties, which may include but are not limited to patient admission, completion of patient demographic sheets, preparation of claim forms, keeping record of patient appointments and visits, among others. This key individual will collaborate with the Clinical Administrator for the effective completion of claims, inventory preparations and ordering necessary supplies.

    Essential Functions:

    1. Responds calls and arranges proper solutions.

    2. Receives patients for admission and completes initial demographic forms. Completes patient information and billing forms such as: health plan information, authorization for disclosure, payment options, guides regarding treatment, etc.

    3. Assists in initial patient orientation about services and offerings as needed. Collaborates in the preparation of certifications solicited by patients and plans for patient signature is necessary.

    4. Collaborates in the preparation of deductibles and/or co-payments as established by the patients’ health plan. Maintains and monitors the accuracy of patient admission registries within the system.

    5. Completes reconciliation of deductibles and provides timely reports for the Billing Department.

    6. Organizes and archives records, as well as ensures that patient records are up to date.

    7. Assembles and monitors a proper stock of materials and forms for clinic daily utilization.

    8. Collaborates with the EMR audit process.

    9. Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable.

    10. In addition, all other duties assigned by the manager and/or supervisor.

    Education:

    · Associate degree in secretarial science preferred

    · High School degree

    Experience:

    · Minimum 2 years of experience in administrative assistant position or similar.

    Knowledge:

    · Knowledge in medical billing, preferably in healthcare setting.

    · Personal computer experience should include working with Microsoft Word, Excel, Power Point and Outlook at the intermediate level at a minimum.

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  • Administrative Assistant  

    - 00674
    Job DescriptionJob Description Position Summary: The Administrative As... Read More
    Job DescriptionJob Description

    Position Summary:

    The Administrative Assistant provides support for the Clinic Administrator duties, which may include but are not limited to patient admission, completion of patient demographic sheets, preparation of claim forms, keeping record of
    patient appointments and visits, among others. This key individual will collaborate with the Clinical Administrator for the effective completion of claims, inventory preparations and ordering necessary supplies.

    Essential Functions:

    1. Responds calls and arranges proper solutions.

    2. Receives patients for admission and completes initial demographic forms. Completes patient information and billing forms such as: health plan information, authorization for disclosure, payment options, guides regarding treatment, etc.

    3. Assists in initial patient orientation about services and offerings as needed. Collaborates in the preparation of certifications solicited by patients and plans for patient signature is necessary.

    4. Collaborates in the preparation of deductibles and/or co-payments as established by the patients’ health plan. Maintains and monitors the accuracy of patient admission registries within the system.

    5. Completes reconciliation of deductibles and provides timely reports for the Billing Department.

    6. Organizes and archives records, as well as ensures that patient records are up to date.

    7. Assembles and monitors a proper stock of materials and forms for clinic daily utilization.

    8. Collaborates with the EMR audit process.

    9. Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable.

    10. In addition, all other duties assigned by the manager and/or supervisor.

    Education:

    · Associate degree in secretarial science preferred

    · High School degree

    Experience:

    · Minimum 2 years of experience in administrative assistant position or similar.

    Knowledge:

    · Knowledge in medical billing, preferably in healthcare setting.

    · Personal computer experience should include working with Microsoft Word, Excel, Power Point and Outlook at the intermediate level at a minimum.

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  • Administrative Assistant  

    - 00908
    Job DescriptionJob Description Position Summary:The Administrative Ass... Read More
    Job DescriptionJob Description

    Position Summary:

    The Administrative Assistant receives and routes incoming calls, greets visitors, maintains visitor log & badges and provides general information and assistance to the public. This key individual receives incoming mail and assists in preparation and distribution of company materials. The Administrative Assistant performs routine office support functions, including word processing and filing. This employee is not responsible for conducting any UM review activities that require interpretation of clinical information.

    Essential Functions:

    1. Performs administrative and office support activities for multiple supervisors, such data entry, word processing, creating spreadsheets, reports and presentations, and/or filing.
    2. Receives and screens all incoming calls and channels calls to the appropriate personnel.
    3. Greets internal and external clients promptly, while maintaining visitor log and badge preparation.
    4. Provides general information and guidance to callers and visitors.
    5. Receives incoming mail and distributes documents appropriately.
    6. Coordinates outbound mail and packages while ensuring efficient and timely delivery.
    7. Provides clerical support such as word processing, faxing, copying, data entry and mailings, to organizational staff. Orders office supplies and arranges business equipment services with other facility-related vendors as needed.
    8. Use of clinical data is limited to: Performance of review of service request for completeness of information; Collection and transfer of non-clinical data; and Acquisition of structured clinical data; and Activities that do not require evaluation or interpretation of clinical information.
    9. Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable.
    10. In addition, all other duties assigned by the manager and/or supervisor.

    Education:

    · Associate degree in Secretarial Science or equivalent experience preferred

    · High School degree

    Experience:

    · Minimum 2 years of experience in administrative assistant position or similar; call center customer service experience.

    Knowledge:

    · Knowledge in medical billing, preferably in healthcare setting.

    · Personal computer experience should include working with Microsoft Word, Excel, Power Point and Outlook at the intermediate level at a minimum.

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  • QI Coordinator 2  

    - 00926
    Job DescriptionJob DescriptionPosition Summary:The Quality Coordinator... Read More
    Job DescriptionJob Description

    Position Summary:

    The Quality Coordinator 2 assist the QI Supervisor and in the development, coordination, and implementation of the local quality improvement program, ensuring that performance objectives and standards meet and exceed quality expectations. This key individual assist with complaints, appeals, adverse incidents, training scheduling and reporting processes. The Quality Coordinator is fully dedicated to duties of the Quality Department.

    Essential Functions:

    1. Coordinates, organizes, analyses, and provides follow up for the TRR, as well as prepare corrective action plans.
    2. Assist QI Supervisor in the development, coordination and implementation of quality indicators tools, such as silent monitoring, internal audits, and quality committee meetings, among others.
    3. Compiles case information for the investigation and resolution of Adverse Events and Quality of Care.
    4. Collect data, maintain databases, and assist in identifying opportunities for improvement.
    5. Development of monthly, quarterly and annual reports.
    1. Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable.
    1. In addition, all other duties assigned by the manager and/or supervisor.

    Education:

    • Master’s Degree in a Behavioral Health field or bachelor’s degree in Nursing.
    • Current, unrestricted clinical license(s) to practice in Puerto Rico territory.

    Experience:

    • Minimum 2 years of experience in Managed Care, Behavioral Health Management and or Healthcare Quality Improvement preferred.

    Knowledge:

    • Personal computer experience should include working with Microsoft Word, Excel, Power Point and Outlook at the intermediate level at a minimum.
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  • Coordinador de Calidad 2  

    - 00926
    Job DescriptionJob DescriptionResumen del puesto:El Coordinador de Cal... Read More
    Job DescriptionJob Description

    Resumen del puesto:

    El Coordinador de Calidad 2 asiste al Supervisor de Calidad y en el desarrollo, coordinación e implementación del programa local de mejora de la calidad, garantizando que los objetivos y estándares de rendimiento cumplan y superen las expectativas de calidad. Esta persona clave colabora en los procesos de quejas, apelaciones, incidentes adversos, programación de la formación y elaboración de informes. El Coordinador de Calidad se dedica plenamente a las tareas del Departamento de Calidad.

    Funciones esenciales:

    1. Coordina, organiza, analiza y realiza el seguimiento de los TRR, así como la preparación de planes de acciones correctivas.
    2. Asistir al Supervisor de QI en el desarrollo, coordinación e implementación de herramientas de indicadores de calidad, tales como monitoreo silencioso, auditorías internas y reuniones del comité de calidad, entre otras.
    3. Recopila información de casos para la investigación y resolución de Eventos Adversos y Calidad Asistencial.
    4. Recopila datos, mantiene bases de datos y colabora en la identificación de oportunidades de mejora.
    5. Elaboración de informes mensuales, trimestrales y anuales.
    6. Cumple con todas las directrices establecidas por los Centros de Medicare y Medicaid (CMS) y las directrices establecidas por otras agencias reguladoras, en su caso.
    7. Además, todas las demás tareas asignadas por el gerente y/o el supervisor.

    Formación:

    • Maestría en un campo de salud conductual o licenciatura en enfermería.
    • Licencia(s) clínica(s) vigente(s) y sin restricciones para ejercer en el territorio de Puerto Rico.

    Experiencia:

    • Mínimo 2 años de experiencia en Atención Gestionada, Gestión de Salud Mental y/o Mejora de la Calidad Sanitaria preferiblemente.

    Conocimientos:

    • La experiencia informática personal debe incluir el trabajo con Microsoft Word, Excel, Power Point y Outlook a nivel intermedio como mínimo.
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