Atrium Health Charlotte is seeking a Registered Nurse (RN) PCU - Progressive Care Unit for a nursing job in Charlotte, North Carolina.

Job Description & Requirements

• Specialty: PCU - Progressive Care Unit
• Discipline: RN
• Start Date: ASAP
• Duration: Ongoing
• Employment Type: Staff

Department:

13213 Enterprise Corporate - Payor Relations

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Weekdays Job Summary Manages administration of the contract portfolio and the day-to-day relationships between Carolinas HealthCare System (CHS) and Managed Care Organizations (MCOs) within that portfolio. Coordinates the financial, legal, operation and other administrative processes between the Systems and MCOs that are necessary to secure new contracts and maintain the viability of existing contracts. Supports designated leaders as assigned
  Job Description • Manages administration of the assigned portion of the contract portfolio.
• Maintains current detailed working knowledge of all assigned payor contracts, and manages all activities related to managed care contract administration and compliance including, but not limited to: Chargemaster Increases, Contract Rate Adjustments, Contract Critical Events, CHS Entity and Contract Database, and MHR document distributions.
• Creates and maintains electronic document database as well as original permanent files of all contract documents for all MCO contracts for Carolinas HealthCare System.
• Communicates and educates operational implementation of new contract terms that affect revenue cycle functions.
• Manages the implementation process for all new or renegotiated managed care agreements.
• Manages the secure distribution of confidential contract documents throughout CHS and communicates contract changes to executives, revenue cycle personnel and others within CHS.
• Monitors, reports, resolves and prevents operational issues related to existing managed care contracts. Routinely interacts with CHS revenue cycle staff and MCO provider relations to resolve any trended or escalated operational issues that arise during the term of the contract.
• Serves as advisor and point of contact for all CHS revenue cycle personnel for trended managed care operational and administrative issues. Supports the designated teammates and Managed Health Resources (MHR) Provider Services in their operational roles.
• Initiates and facilitates Joint Operating Committee (JOC) meetings with MCOs and facilitates internal meetings with CHS revenue cycle staff for issue resolution and contract performance improvement. Coordinates all JOC and operational meetings, creates and distributes the agenda, creates performance reports and meeting minutes.
• Reviews assigned payor websites and external information, staying current about changes to payor policies and other initiatives.
• Prepares clear, concise and focused internal communication/correspondence.
• Determines where to gather data based on requests; performs analyses and methodology application, under supervision, noting sources and methods. Physical Requirements Performs most work under normal office conditions; may include sitting for long periods of time, standing, walking, using repetitive wrist/arm motion or lifting articles up to twenty-five pounds. Education, Experience and Certifications Associate's degree or equivalent experience required. Minimum two years’ experience in managed care contracting, operations, or patient financial services for large healthcare provider or managed care organization. Patient Population Served Demonstrates knowledge of the principles of growth and development and demonstrates the skills and competency appropriate to the ages, culture, developmental stages, and special needs of the patient population served. Protected Health Information • Will limit access to protected health information (PHI) to the information reasonably necessary to do the job.
• Will share information only on a need to know basis for work purposes.
• Access to verbal, written and electronic PHI for this job has been determined based on job level and job responsibility within the organization. Computerized access to PHI for this job has been determined as described above and is controlled via user ID and password. Machines, Tools, and Equipment Related office equipment and supplies.

Pay Range

$28.05 - $42.10

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

About Advocate Health 

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Managed Care Specialist

Atrium Health Charlotte Job ID #R​1​6​0​4​2​2. Posted job title: Managed Care Specialist

About Atrium Health Charlotte

Headquartered in Charlotte, NC, Atrium Health is now part of Advocate Health, the third-largest nonprofit, integrated health system in the United States, which was created from the combination with Advocate Aurora Health. In the Southeast Region, Atrium Health provides care under the Atrium Health name in Charlotte, NC, Atrium Health Wake Forest Baptist name in the Winston-Salem, NC, region, as well as Atrium Health Navicent and Atrium Health Floyd in Georgia and Alabama. Together, we are committed to providing equitable care for all. Annually, Advocate Health provides nearly $5 billion in community benefits.

Atrium Health Wake Forest Baptist

Atrium Health Wake Forest Baptist is a pre-eminent academic health system based in Winston-Salem, North Carolina. Atrium Health Wake Forest Baptist is part of Advocate Health, which is headquartered in Charlotte, North Carolina, and is the fifth-largest nonprofit health system in the United States, created from the combination of Atrium Health and Advocate Aurora Health. Atrium Health Wake Forest Baptist's two main components are an integrated clinical system - anchored by Atrium Health Wake Forest Baptist Medical Center, an 885-bed tertiary-care hospital in Winston-Salem - that includes Brenner Children's Hospital, five community hospitals, more than 300 primary and specialty care locations and more than 2,700 physicians; and Wake Forest School of Medicine, the academic core of Atrium Health Enterprise and a recognized leader in experiential medical education and groundbreaking research that includes Wake Forest Innovations, a commercialization enterprise focused on advancing health care through new medical technologies and biomedical discovery.

Atrium Health Navicent

Atrium Health Navicent is the leading provider of healthcare in central and south Georgia and is committed to its mission of elevating health and well-being through compassionate care. Atrium Health Navicent is part of Advocate Health, which is headquartered in Charlotte, North Carolina, and is the third-largest nonprofit health system in the United States, created from the combination of Atrium Health and Advocate Aurora Health. Atrium Health Navicent provides high-quality, personalized care in 53 specialties at more than 50 facilities throughout the region. As part of the largest, integrated, nonprofit health system in the Southeast, it is also able to tap into some of the nation's leading medical experts and specialists with Atrium Health, allowing it to provide the best care close to home - including advanced innovations in virtual medicine and care. Throughout its 125-year history in the community, Atrium Health Navicent has remained dedicated to enhancing health and wellness for individuals throughout the region through nationally recognized quality care, community health initiatives and collaborative partnerships. It is also one of the leading teaching hospitals in the region, helping to ensure viability for rural health care for the next generation. 

Atrium Health Floyd

Atrium Health Floyd Medical Center is a 304-bed, full-service hospital located in Rome, Georgia. Serving as the main campus for Atrium Health Floyd, this hospital provides a certified Chest Pain Center, a designated Bariatric Surgery Center of Excellence and a Breast Imaging Center of Excellence. Atrium Health Floyd also is home to a state-designated Level II Trauma Center and a Level III Neonatal Intensive Care Unit, and has specialty centers for pediatrics, and wound care and hyperbaric therapy.

Benefits

• Medical benefits
• Vision benefits
• Dental benefits
• Life insurance
• 401k retirement plan
• Health savings account