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TriStar Health

Inpatient Auth Review Services RN or LPN -NICU

Description Introduction This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA). Do you want to join an organization that invests in you as an Inpatient Authorization Review Services Registered Nurse or Licensed Practical Nurse -NICU (Code Pink)? At Parallon, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years. Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Inpatient Authorization Review Services Registered Nurse or Licensed Practical Nurse -NICU (Code Pink) like you to be a part of our team. Job Summary and Qualifications The Inpatient Authorization Review Services Registered Nurse or Licensed Practical Nurse NICU (Code Pink) will review post discharge, prebill accounts that do not have authorization on file, ALOS versus days authorized variances, and/or other account discrepancies identified that will result in the account being denied by the payor that require clinical expertise. Communicates with third party payors to resolve discrepancies prior to billing. Accurately and concisely documents all communications and action taken on the account in accordance with policies and procedures. Escalate medical review request and /or denial activities to management as needed. What you will do in this role: Work post discharge, prebill accounts efficiently and effectively daily to resolve accounts with “no auth numbers, ALOS vs. authorized days or other discrepancies. Evaluates clinical documentation on multiple patient accounts and escalates issues through the established channels. Perform accurate and timely documentation of all review activities based on policy and procedure. Demonstrates a working knowledge of managed care agreements based on available resources which may include and not be limited to payer UM Manual, policy and procedure, facility contract information. Escalates variations timely. Work assigned accounts in eRequest to resolve outstanding issues. Report insurance denial trends identified during daily operational assignments. Contact facilities, physicians’ offices and/or insurance companies to resolve denials/appeals if needed. Demonstrates knowledge of regulatory requirements, Ethics and Compliance policies, and quality initiatives; monitors self-compliance and implements process changes to ensure compliance to such regulations and quality initiatives. Assess CPT code(s) for outpatient accounts that require authorization when accounts have not been coded. Qualifications that you will need: Registered Nursing degree and current licensure or Vocational nursing degree required. Healthcare experience in an acute care hospital. Utilization Review, appeals, denials, managed care contracting, experienced preferred. Currently licensed as a registered nurse (RN) in the state(s) of practice and/or has an active compact license, in accordance with law and regulation or Licensed Practical Nurse -Currently licensed as a licensed practical nurse in the state in which he or she resides and practices, in accordance with law and regulation. Multi-state nursing licensure for compact states Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Good people beget good people." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Inpatient Auth Review Services RN or LPN -NICU opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
NP Outpatient Full-time
TriStar Health

General Outpatient Cardiology Nurse Practitioner

Description Specialization: Cardiology Electrophysiology Job Summary: TriStar Centennial Medical Center is seeking an experienced cardiac advanced practice provider to join our employed cardiology group in Nashville, Tennessee. Qualified Candidates: Nurse practitioner or physician assistant certification Tennessee licensure or ability to obtain Cardiology nursing or ICU experience required Ability to work independently Full time, 4-10s per week, plus optional call rotation Primary role providing outpatient cardiology support Incentive/Benefits Package: Competitive salary Comprehensive benefits package including paid malpractice Annual CME and dues allowance About TriStar Centennial Medical Center: 741-bed comprehensive facility offering programs including behavioral health, 24-hour emergency, heart and vascular, imaging, neurosciences, oncology, orthopedics, rehabilitation, sleep disorder and women’s services 43-acre campus, home to TriStar Centennial Heart & Vascular Center, TriStar Centennial Women’s Hospital, The Children’s Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion 32,500 + annual patient admissions, 87,500+ annual ER visits, 3,100+ staff, and over 1,000+ physicians Nashville is home to nearly 2 million people, more than 53,000 businesses, and over 500 healthcare companies are headquartered in the Nashville region, making healthcare the #1 industry. Tennessee has the second lowest state and local tax burden per capita, and no state income tax. Nashville ranked “Top 10 city to live after the pandemic” by Today and the Wall Street Journal ranked Nashville the second hottest job market in the country (2020).
LPN Med-Surg Full-time
TriStar Health

LPN Medical Surgical

Description 5,000 Sign-On Bonus available for external candidates! Are you looking for a place to deliver excellent care patients deserve? At TriStar Hendersonville Medical Center we support our colleagues in their positions. Join our Team as a(an) LPN Medical Surgical and access programs to assist with every stage of your career. Benefits TriStar Hendersonville Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Are you a continuous learner? With more than 94,000 nurses throughout HCA Healthcare, we are one of the largest employers of nurses in the United States. Education is key to excellence! As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills. Apply today for our LPN Medical Surgical opening and continue to learn! Job Summary and Qualifications The Licensed Practical Nurse/Licensed Vocational Nurse (LVN/LPN) delivers high quality, patient-centered care by performing a variety of delegated basic patient care services. In collaboration with the RN and other members of the care team, the LPN/LVN provides individualized, comprehensive care consistent with the scope and standards of the specialty. What you will do in this role: Provide direct, evidence-based care to patients as directed by the physician or RN. Assist with procedures, monitoring, or other functions as directed. Perform lab and procedural tests within the LVN/LPN scope of practice, after demonstrating competency. Document the administration of care in the patient medical record in a timely and thorough manner. Serve as a resource to department staff, students and volunteers to help deliver quality patient care. What qualifications you will need: Licensed Practical / Vocational Nurse (LPN / LVN) Basic Cardiac Life Support, or CPR must be obtained within 30 days of employment start date TriStar Hendersonville Medical Center is a 150 bed hospital that has provided high-quality health care for over 40 years. The facility is the first Accredited Chest Pain Center in Sumner County and a Certified Primary Stroke Center. The Birth Center at TriStar Hendersonville, featuring Sumner County’s only Level II NICU services which hosts spacious LDRP suites and a lactation boutique for inpatient and outpatient services. In addition, our facility is Gold Seal Certified in Total Hip and Total with The Joint Commission. "Good people beget good people." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If growth and continued learning is important to you, we encourage you to apply for our LPN Medical Surgical opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
NP Full-time
TriStar Health

Cardiology Electrophysiology Nurse Practitioner

Description Specialization: Cardiology Electrophysiology Job Summary: TriStar Centennial Medical Center is seeking an experienced EP cardiac advanced practice provider to join our employed cardiology group in Nashville, Tennessee. Qualified Candidates: Nurse practitioner or physician assistant certification Tennessee licensure or ability to obtain Cardiology nursing or ICU experience required Ability to work independently Full time, 4-10s per week, plus optional call rotation Primary role providing inpatient and outpatient cardiology support Incentive/Benefits Package: Competitive salary Comprehensive benefits package including paid malpractice Annual CME and dues allowance About TriStar Centennial Medical Center: 741-bed comprehensive facility offering programs including behavioral health, 24-hour emergency, heart and vascular, imaging, neurosciences, oncology, orthopedics, rehabilitation, sleep disorder and women’s services 43-acre campus, home to TriStar Centennial Heart & Vascular Center, TriStar Centennial Women’s Hospital, The Children’s Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion 32,500 + annual patient admissions, 87,500+ annual ER visits, 3,100+ staff, and over 1,000+ physicians Nashville is home to nearly 2 million people, more than 53,000 businesses, and over 500 healthcare companies are headquartered in the Nashville region, making healthcare the #1 industry. Tennessee has the second lowest state and local tax burden per capita, and no state income tax. Nashville ranked “Top 10 city to live after the pandemic” by Today and the Wall Street Journal ranked Nashville the second hottest job market in the country (2020).
LPN Full-time
TriStar Health

LPN Post Surgical Acute Care

Description 5K Sign On Bonus for Eligible Hires Do you have the career opportunities as a LPN Post Surgical Acute Care you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every stage in your career. We have an exciting opportunity for you to join TriStar Centennial Medical Center which is a part of the nation’s leading provider of healthcare services, HCA Healthcare. Do you want to work where you have a voice? Nurses are at the forefront of our commitment to the care and improvement of human life. At HCA Healthcare, there are many ways for nurses to have a voice through professional practice councils, advisory councils, vital voices surveys, and units of distinction. We learn from our multi-generational nursing family. We partner with our Nurses at TriStar Centennial Medical Center! Job Summary and Qualifications As a Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) at HCA Healthcare, you’ll play a key role in delivering safe, high-quality care that puts patients first. Your clinical skills, attention to detail, and compassionate presence help create healing experiences and support a team that’s committed to the care and improvement of human life. Your responsibilities will include: Providing focused nursing care for patients with complex needs by administering medications, managing lines or drains, and assisting with interventions like cardiac monitoring or respiratory support Closely observing patients for subtle changes in status — including shifts in heart rhythm, oxygen levels, or neurological signs — and escalating concerns quickly to support early intervention Documenting timely, accurate updates that help the care team coordinate effectively in a high-acuity environment Helping patients and families understand complex conditions and recovery steps with clarity and comfort Working closely with RNs, providers, and specialists to stabilize patients and guide them through the transition from intensive care toward recovery What qualifications you will need: Basic Cardiac Life Support must be obtained within 30 days of employment start date (LPN/LVN) Licensed Practical or Vocational Nurse (LPN-IV) LPN with IV Certification must be obtained within 6 months of employment start date Benefits TriStar Centennial Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. "Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing." Sammie Mosier, DHA, MA, BSN, NE-BC Senior Vice President and Chief Nursing Executive, HCA Healthcare TriStar Centennial Medical Center is a 740+ bed comprehensive facility. We offer medical and surgical programs. These include behavioral health and 24-hour emergency. These also include heart and vascular and imaging. These also include neurosciences, oncology, orthopedics, pediatrics, rehabilitation, sleep disorder, and womens services. We are an affiliate of TriStar Health. TriStar Centennial Medical Center is a 43-acre campus. We are home to TriStar Centennial Heart & Vascular Center. We are home to TriStar Centennial Womens Hospital. Our campus includes The Childrens Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion. HCA Healthcare has been named one of the World’s Most Ethical Companies by Ethisphere Institute for ten consecutive years (2010-2019). In 2019, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. If this opportunity is your next step in your career path, we encourage you to apply for our LPN Post Surgical Acute Care opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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