Job Requirements POSITION SUMMARY The Radiation Oncology Registered Nurse (RN) functions as part of Radiation Oncology team in an outpatient setting. The Radiation Oncology RN conducts thorough nursing assessments and works with a multidisciplinary team to develop, implement, and evaluate treatment plans for patients. PRIMARY ACCOUNTABILITES Coordinates patient care with licensed practitioners, physicists, dosimetrists, and other applicable clinical professionals to ensure seamless and high-quality treatment. Serves as the central point of contact for all Radiation Oncology navigated patients, including interactions with medical, nursing and ancillary service providers. Assists with simulation and patient positioning to ensure comfort and accurate execution of prescribed therapies. Provides thorough Radiation-specific education and support to patients and families throughout their treatment journey. Assesses and monitors patients during CT procedures, administering emergency medications due to adverse reactions if necessary. Monitors patients compliance and progress with treatment plan and assists patients with referrals to outside resources and care coordination. Supports patients and families with compassionate emotional support and provides resources to patients and families, addressing concerns to enhance overall patient experience. Work Experience MINIMUM QUALIFICATIONS Education: Associate’s degree in Nursing (ASN) or Nursing Diploma. Work Experience: One (1) years’ experience in the Oncology clinic setting. Licensure: Registered Nurse (RN) Licensure in the State of Florida or endorsement. Certification: American Heart Association Basic Life Support (AHA BLS) Healthcare Provider Completion Card prior to start date and maintained. Skills/Knowledge/Abilities: Proficient in Microsoft Office – Outlook, Word, Excel, PowerPoint, and any related programs. Demonstrates proficiency in assessments specific to radiation oncology patients. Demonstrated ability to work in an often stressful environment with patients and their families at various ages and levels of understanding. Expert ability to handle multiple priorities at once. Ability to respond appropriately to life-threatening situations. Utilize critical-thinking and problem-solving skills to resolve issues. PREFFERED QUALIFICATIONS Education: Bachelor’s degree in Nursing (BSN). Work Experience: Three (3) years’ experience in the Oncology clinic setting. Certification: Oncology Certified Nurse (OCN) from the Oncology Nursing Certification Corporation (ONCC). PHYSICAL REQUIREMENTS Physically agile; may require walking, standing, running, bending, stooping, kneeling, climbing, or crouching frequently. May occasionally include lifting or moving objects up to 50 pounds, with or without assistance. May require moving in different positions to accomplish tasks in various environments including tight and confined spaces, including reaching out and above shoulders, or overhead. May lift, turn, pull, push, or ambulate people and/or equipment with or without assistance up to 90% of the assigned shift. May be exposed to inside and outside environments with varied temperatures, air quality, lighting, and/or low to loud noise. May require working with biohazards such as blood/body fluids and airborne particles following OSHA and CDC guidelines. Communicating with others to exchange information. Visual acuity and hand-eye coordination to perform tasks. Workspace may vary from open to confined.. May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle. Benefits ABOUT HEALTH FIRST At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve. Schedule : Full-Time Shift Times : 800am_500pm Paygrade : 37
Job Requirements POSITION SUMMARY Subject matter expert (SME) for clinical staff involved in the Health Plan’s prior authorization process including preservice, concurrent and post-service reviews. Expert in all areas of clinical review including but not limited to inpatient reviews, outpatient reviews and post-service reviews. PRIMARY ACCOUNTABILITIES Intermediate to expert knowledge of all authorization review types that the Prior Authorization department is responsible for. This includes but is not limited to outpatient reviews, inpatient reviews, and post-service reviews. Accurately process authorization requests in accordance with member contract provisions, Medical Policies, departmental policies and procedures, and other plan approved guidelines (i.e. CMS, MCG, Hayes). Expert in out-of-network authorization reviews with a large majority of their workload encompassing these types of reviews. Department liaison that works with other Health Plan departments (i.e. Case Management) to ensure member care continuum is seamless. This involves referrals to Case Management department to assist with transitioning members that are utilizing out-of-network services to an in-network provider. Work with other Senior Prior Authorization Specialists within the department to ensure all aspects of member care are met regarding authorization needs. This includes but is not limited to ensuring all discharge needs of the member (i.e. home care services, durable medical equipment, etc.) are met prior to discharge from inpatient facility. Partner with appropriate professionals to ensure strict adherence to the boundaries and timeframes set by regulatory standards and accreditation guidelines. Demonstrate advanced knowledge of accreditation and regulatory Utilization Management and Case Management standards and requirements. Work Experience MINIMUM QUALIFICATIONS Education: Associates Degree Licensure: Unrestricted Florida Nursing License (LPN or RN) Work Experience: 1 year as a Prior Authorization Nurse Specialist within Health First Health Plans Clinical Operations Department with direct experience with out-of-network authorization requests. 3 years of direct patient care. Knowledge/Skills/Abilities: Intermediate knowledge of MHK utilization review system, Support Point, Amisys, MCG, Optum EncoderPro, and Hayes. Intermediate knowledge with all aspects of Microsoft Office – Outlook, Word, Excel, PowerPoint. Advanced understanding of procedural and diagnosis codes, claims payment rules, and electronic medical records. PREFERRED QUALIFICATIONS Education: Associates Degree Licensure: Unrestricted Florida Nursing License (LPN or RN) Work Experience: 2 years of prior authorization experience as Prior Authorization Nurse Specialist within Health First Health Plans with extensive out-of-network review knowledge 5 years of direct patient care preferably within multiple specialties (i.e. Med/Surg, Pediatrics, Ortho, Case Management, SNF) Knowledge/Skills/Abilities: Excellent time management skills Attention to detail Excellent oral and written communication skills. PHYSICAL REQUIREMENTS Sedentary work involves sitting most of the time or standing at a stand-up style desk. Walking or lifting more than 10 pounds are required only occasionally. Must be able to tolerate long periods of computer time a day. Must be able to communicate effectively via telephone and electronically (i.e. instant message, email). This position may be a work-from-home position or work from office position depending on specific. departmental needs. Candidates would be expected to work from the office a minimum of 2 days per week. Benefits ABOUT HEALTH FIRST At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve. Schedule : Full-Time Paygrade : 38
Job Requirements POSITION SUMMARY Provides and ensures patients receive whole care in all aspects of an office visit, regarding intake, test results, screenings, labs, medication administration, closure of care gaps (additional duties as assigned) while delivering excellent customer service to the patients/families and other care providers, focusing on patient-centered care. PRIMARY ACCOUNTABILITES Accurately prepares and performs point of care testing such as urine dipstick, blood glucose, etc. Perform clinical intake to include vital signs, medical history, surgical history, social history, and verification of patient’s current medications. Prepare and administer medications as ordered by provider utilizing the “6 Rights” of Medication Administration, to include documentation and coding. Controlled substances, insulin and allergy doses must be checked by LPN, RN or provider. Assist in stocking and ordering of supplies as well as maintenance of equipment. Coordinates medical supply ordering with site manager. Prepare patients for examination and have pre-work available for provider as directed, to include notes, diagnostic test results and imaging. Prepare and perform point of care testing and/or specimen collection as directed by provider. Track and communicate to patients, labs, and diagnostic studies results, as directed by the provider through phone calls, portal messages or EMR buckets. Communicates to physician abnormal findings retrieved from the lab, imaging, specialty offices, etc. and completes accurate documentation. Follow safety processes and policies including applying proper infection prevention procedures, maintaining a clean environment and equipment, to ensure proper care is given. Complete and document adverse events, infection control and quality control measures as required. Complies with office policy and procedure, OSHA Standards and HIPAA Privacy Regulations as Deliver excellent customer service to the patients/families and other care providers. Maintains patient flow after check in. Discuss patient flow with physician according to urgency and daily patient load. Ability to assist more than one provider at a time. May provide coverage in other areas of medical group or office to support other departmental needs including patient registration, payment collections, patient checkout and appointment scheduling. Complies with all office policy and procedures, OSHA Standards and HIPAA Privacy Regulations as stated in HIPAA Policy and Procedure Manual. Answer internal and external customer phone calls and direct messages to the appropriate individuals. Ensure all documentation is complete and documented in the Electronic Medical Record. Act as a liaison between support services and other clinical divisions. Provide customer follow up and education to ensure customer’s participation in their care and showing respect for their needs. Adjust communications to meet the customer’s needs, expectations, age, culture, and individual differences. Work Experience MINIMUM QUALIFICATIONS Education: Technical Diploma in Medical Assisting. Work Experience: None Licensure: Medical Assistant Certification (CMA) in the State of Florida. Certification: American Heart Association Basic Life Support (AHA BLS) Healthcare Provider Completion Card prior to start date and maintained. Skills/Knowledge/Abilities: Must be able to pass colorblind testing to perform point-of-care (POC) tests requiring color change. Strong customer service skills including knowledge of recovery techniques. Knowledge of Medical Terminology. Keyboarding skills. PHYSICAL REQUIREMENTS Physically agile; may require walking, standing, running, bending, stooping, kneeling, climbing, or crouching frequently. May occasionally include lifting or moving objects up to 50 pounds, with or without assistance. May require moving in different positions to accomplish tasks in various environments including tight and confined spaces, including reaching out and above shoulders, or overhead. May lift, turn, pull, push, or ambulate people and/or equipment with or without assistance up to 90% of the assigned shift. May be exposed to inside and outside environments with varied temperatures, air quality, lighting, and/or low to loud noise. May require working with biohazards such as blood/body fluids and airborne particles following OSHA and CDC guidelines. Communicating with others to exchange information. Visual acuity and hand-eye coordination to perform tasks. May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle. Benefits ABOUT HEALTH FIRST At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve. Schedule : Part-Time Shift Times : 800am430pm Paygrade : CMA
Job Requirements POSITION SUMMARY Provides and ensures patients receive whole care in all aspects of an office visit, regarding intake, test results, screenings, labs, medication administration, closure of care gaps (additional duties as assigned) while delivering excellent customer service to the patients/families and other care providers, focusing on patient-centered care. PRIMARY ACCOUNTABILITES Accurately prepares and performs point of care testing such as urine dipstick, blood glucose, etc. Perform clinical intake to include vital signs, medical history, surgical history, social history, and verification of patient’s current medications. Prepare and administer medications as ordered by provider utilizing the “6 Rights” of Medication Administration, to include documentation and coding. Controlled substances, insulin and allergy doses must be checked by LPN, RN or provider. Assist in stocking and ordering of supplies as well as maintenance of equipment. Coordinates medical supply ordering with site manager. Prepare patients for examination and have pre-work available for provider as directed, to include notes, diagnostic test results and imaging. Prepare and perform point of care testing and/or specimen collection as directed by provider. Track and communicate to patients, labs, and diagnostic studies results, as directed by the provider through phone calls, portal messages or EMR buckets. Communicates to physician abnormal findings retrieved from the lab, imaging, specialty offices, etc. and completes accurate documentation. Follow safety processes and policies including applying proper infection prevention procedures, maintaining a clean environment and equipment, to ensure proper care is given. Complete and document adverse events, infection control and quality control measures as required. Complies with office policy and procedure, OSHA Standards and HIPAA Privacy Regulations as Deliver excellent customer service to the patients/families and other care providers. Maintains patient flow after check in. Discuss patient flow with physician according to urgency and daily patient load. Ability to assist more than one provider at a time. May provide coverage in other areas of medical group or office to support other departmental needs including patient registration, payment collections, patient checkout and appointment scheduling. Complies with all office policy and procedures, OSHA Standards and HIPAA Privacy Regulations as stated in HIPAA Policy and Procedure Manual. Answer internal and external customer phone calls and direct messages to the appropriate individuals. Ensure all documentation is complete and documented in the Electronic Medical Record. Act as a liaison between support services and other clinical divisions. Provide customer follow up and education to ensure customer’s participation in their care and showing respect for their needs. Adjust communications to meet the customer’s needs, expectations, age, culture, and individual differences. Work Experience MINIMUM QUALIFICATIONS Education: Technical Diploma in Medical Assisting. Work Experience: None Licensure: Medical Assistant Certification (CMA) in the State of Florida. Certification: American Heart Association Basic Life Support (AHA BLS) Healthcare Provider Completion Card prior to start date and maintained. Skills/Knowledge/Abilities: Must be able to pass colorblind testing to perform point-of-care (POC) tests requiring color change. Strong customer service skills including knowledge of recovery techniques. Knowledge of Medical Terminology. Keyboarding skills. PHYSICAL REQUIREMENTS Physically agile; may require walking, standing, running, bending, stooping, kneeling, climbing, or crouching frequently. May occasionally include lifting or moving objects up to 50 pounds, with or without assistance. May require moving in different positions to accomplish tasks in various environments including tight and confined spaces, including reaching out and above shoulders, or overhead. May lift, turn, pull, push, or ambulate people and/or equipment with or without assistance up to 90% of the assigned shift. May be exposed to inside and outside environments with varied temperatures, air quality, lighting, and/or low to loud noise. May require working with biohazards such as blood/body fluids and airborne particles following OSHA and CDC guidelines. Communicating with others to exchange information. Visual acuity and hand-eye coordination to perform tasks. May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle. Benefits ABOUT HEALTH FIRST At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve. Schedule : Full-Time Shift Times : 800am430pm Paygrade : PG-CMA
Job Requirements POSITION SUMMARY The Registered Nurse (RN) provides direct and in-direct patient care by adhering to the nursing process in a collaborative environment, promoting optimal patient outcomes through evidence-based practice, care coordination, and patient and family engagement. PRIMARY ACCOUNTABILITIES Provides safe and effective nursing care based on assessment, planning, implementation, and evaluation of patient needs across the care continuum. Administers medications, perform treatments, and document care activities in accordance with Health First’s policies and procedures. Collaborates with interdisciplinary team members to coordinate care, participate in rounds, and support discharge planning. Applies critical thinking to promptly identify changes in patient condition and initiate the appropriate interventions. Educates patients and families using teach-back to promote engagement in care and safe transitions. Adheres to safety protocols and infection prevention practices to protect patients and Associates. Utilizes Health First technology systems to enter clinical documentation and care plans. Participates in quality improvement, patient safety, and High Reliability Organization (HRO) initiatives. Supports precepting, mentoring, and onboarding of new Associates and students as appropriate. Promotes a culture of purpose, rounding, and communication at the bedside (e.g., whiteboard use, bedside shift report). Work Experience MINIMUM QUALIFICATIONS Education: Associate’s degree in Nursing (ASN) or Nursing Diploma. Work Experience: Meets unit specific care requirements; new graduates taken under consideration based on the needs of the unit. Licensure: Registered Nurse (RN) licensure in the State of Florida or endorsement. Certification: American Heart Association Basic Life Support (AHA BLS) Healthcare Provider Completion Card prior to start date and maintained. Additional certifications to meet unit specific care requirements (e.g., ACLS, PALS, NRP, NIHSS). Skills/Knowledge/Abilities: Strong clinical assessment and critical thinking skills. Proficiency in EMR systems and patient documentation. Demonstrated initiative in quality and patient safety improvements. Ability to work autonomously and collaboratively in complex environments. Must maintains compliance with competency validations and continuing education. Demonstrate flexibility, reliability, and a commitment to a collaborative work environment. PREFERRED QUALIFICATIONS Education: Bachelor’s degree in Nursing (BSN). Work Experience: One (1) year or more of acute care or specialty setting. Certification: National certification in specialty area (e.g., CCRN, CMSRN, CEN). PHYSICAL REQUIREMENTS Physically agile; requires walking, standing, running, bending, stooping, kneeling, climbing, or crouching majority of the shift. Heavy work that frequently includes lifting or moving objects up to 100 pounds or more with or without assistance. May require moving self in different positions to accomplish tasks in various environments including tight and confined spaces, including reaching out and above shoulders or overhead. May lift, turn, pull, push, or ambulate people and/or equipment with or without assistance up to 90% of the assigned shift. May be exposed to inside environments and outside environments with extreme temperatures, air contamination, dirt, grease, or water. May require working with biohazards such as blood/body fluids and airborne particles following OSHA and CDC guidelines. May operate various types of manual and motorized equipment used in the transportation of materials. May be exposed to intense noise or vibration and awkward or confined work position. Communicating with others to exchange information. Visual acuity and hand-eye coordination to perform tasks. Workspace may vary from open to confined. May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle. Benefits ABOUT HEALTH FIRST At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve. Schedule : Part-Time Shift Times : 700pm_700am Paygrade : 29B
