Pyramid Consulting (Travel)

Cincinnati

Job Title: CT TechnologistLocation: Cincinnati, OH 45219Shift: Days, 10:30A-9P, 4x10s every 4th weekendDuration: 13 Weeks Job Description:  To operate CT scanners, obtaining diagnostic images of specified body part as requested. The technologist must be able to produce quality images to present to the radiologist for interpretation and able to function independently with minimal supervision. Job Responsibilities:  <ul><li>Greets patient by introducing self and asking patient to verify their name and birthdate.</li><li>Takes pertinent patient history. Reviews order for procedure and any other documentation, current medications, allergy information and completed questionnaire.</li><li>Explains procedure to the patient and solicits questions to assure understanding.</li><li>Is proactive in anticipating needs of the patient, keeps patient and family informed of delays, answers questions and responds appropriately to concerns following up on issues or contacting someone who can.</li><li>Communicates with all customers, co workers, physicians and their office staff in a professional manner respecting differences.</li><li>Adheres to all hospital/Imaging Center policies and Excel core values striving to exceed expectations.</li><li>Positions patient, scans, and archives procedures according to established protocol producing diagnostic images within quality control parameters.</li><li>Utilizes proper venipuncture techniques to prepare patient for contrast media administration as necessary. Administers contrast media for the proper completion of CT scans according to established protocol or as directed by a physician. Labels syringes appropriately according to policy.</li><li>Properly identify, prepare, administer and document various medications used during procedures.</li><li>Reconciles patient medications to ensure the patients' current medications will not interact with the contrast media used.</li><li>Completes all work in a timely, efficient, productive manner.</li><li>Assists co workers in other modalities as appropriate, starting IV's, completing computer functions, preparation of patients.</li><li>Assists physician with invasive procedures as applicable.</li><li>Verifies physician orders for accuracy and act upon appropriately.</li><li>Utilizes appropriate radiation reducing techniques that do not compromise high quality images.</li><li>Protects patients, self and all other personnel from radiation exposure.</li><li>Wears and stores dosimeter appropriately, switching out monthly and in a timely manner.</li><li>Uses appropriate devices for moving patients to protect the patient as well as self.</li><li>Observe patient and assists as necessary to minimize risk of falls or other injury.</li></ul>Required Skills &amp; Experience:  <ul><li>Knowledge of medical terminology, isolation and sterile techniques/procedures.</li><li>Patient positioning and equipment operation (x-ray machines and printers).</li><li>Minimum 2 years related experience.</li></ul>Required Education:  <ul><li>Graduation from ARRT accredited Radiologic Technology school.</li></ul>Required Certifications &amp; Licensure:<ul><li>ARRT</li><li>Ohio License as Radiographer.</li><li>BLS (American Heart Assoc.)</li></ul>

Local Contract Allied Health Professional - CT Technologist

Job Title: Radiology TechnologistLocation: Cincinnati, OH 45249Shift: Days, Mon- Fri – 7:30AM or 8:00AM- 4:30PM or 5:00PMDuration: 13 WeeksFloating Required: Yes, some days Job Summary:Performs routine radiographic, fluoroscopic and portable examinations in the diagnostic department of Radiology, on nursing units, outpatient areas and the surgery department. Job Responsibilities:<ul><li>Takes radiographs per physician orders.</li><li>Must be versatile within the diagnostic department of Radiology.</li><li>Protects all patients and employees from unnecessary radiation.</li><li>Has knowledge of the front desk operations as well as the computer systems and reports all equipment problems to manager and Clinical Engineers.</li><li>Can schedule all exams done through the whole department-alerting a supervisor when necessary.</li><li>Can use the centralize transport program for patient transportation.</li><li>Can look up pertinent information in the computer systems concerning patient exams, ordering, reprinting or canceling when necessary.</li><li>Able to interact professionally with other departments.</li><li>Can effectively call in needed on call imaging associates as required.</li><li>All equipment problems are called to the clinical engineering 24 hour phone number. Messages are communicated to co-workers, written or verbal.</li><li>Managers are alerted to all equipment problems (paging during periods of on call) if necessary.</li><li>Remains available for assignment as needed.</li><li>Assisting the Radiologic Technologist Students.</li><li>Performs operationally required duties associated with equipment quality assurance, regulatory compliance (ODH, Joint Commission), ordering of supplies, scheduling of staff and hospital and departmental audits.</li><li>Access to patient records in course of normal operations to conduct the business of medical imaging is a responsibility of all designated personnel.</li></ul>Required Skills &amp; Experience:<ul><li>Knowledge of medical terminology, isolation and sterile techniques/procedures.</li><li>Patient positioning and equipment operation (x-ray machines and printers).</li></ul>Required Education:<ul><li>Graduation from ARRT accredited Radiologic Technology school.</li></ul> Required Certifications &amp; Licensure:<ul><li>ARRT</li><li>BLS (American Heart Assoc.)</li></ul>

Local Contract Allied Health Professional - Radiology Technologist

Philadelphia

Job Summary:The Care Management Coordinator primary responsibility is to evaluate a member’s clinical condition through the review of medical records (including medical history and treatment records) to determine the medical necessity for patient’s services based on advanced knowledge and independent analysis of those medical records and application of appropriate medical necessity criteria. If necessary, the Care Management Coordinator directly interact with providers to obtain additional clinical information. The Care Management Coordinator has the authority to commit the company financially by independently authorizing services determined to be medically necessary based on their personal review. For those cases that do not meet established criteria, the Care Management Coordinator provides relevant information regarding members medical condition to the Medical Director for their further review and evaluation. The Care Management Coordinator has the authority to approve but cannot deny the care for patients. The Care Management Coordinator is also responsible for maintaining regulatory compliance with federal, state and accreditation regulations. Additionally, the Care Management Coordinator acts a patient advocate and a resource for members when accessing and navigating the health care system. Key Responsibilities§ Applies critical thinking and judgement skills based on advanced medical knowledge to cases utilizing specified resources and guidelines to make case determination. Utilizes resources such as; InterQual, Care Management Policy, Medical Policy and Electronic Desk References to determine the medical appropriateness of the proposed plan.§ Utilizes the medical criteria of InterQual and/or Medical Policy to establish the need for inpatient, continued stay and length of stay, procedures and ancillary services.§ Note: InterQual - It is the policy of the Medical Affairs Utilization Management (UM) Department to use InterQual (IQ) criteria for the case review process when required. IQ criteria are objective clinical statements that assist in determining the medical appropriateness of a proposed intervention which is a combination of evidence-based standards of care, current practices, and consensus from licensed specialists and/or primary care physicians. IQ criteria are used as a screening tool to support a clinical rationale for decision making.§ Contacts servicing providers regarding treatment plans/plan of care and clarifies medical need for services.§ Reviews treatment plans/plan of care with provider for requested services/procedures, inpatient admissions or continued stay, clarifying medical information with provider if needed.§ Identifies and refers cases in which the plan of care/services are not meeting established criteria to the Medical Director for further evaluation determination.§ Performs early identification of members to evaluate discharge planning needs.§ Collaborates with case management staff or physician to determine alternative setting at times and provide support to facilitate discharge to the most appropriate setting.§ Reports potential utilization issues or trends to designated manager and recommendations for improvement.§ Appropriately refers cases to the Quality Management Department and/or Care Management and Coordination Manager when indicated to include delays in care.§ Appropriately refers cases to Case and Disease Management.§ Ensures request is covered within the member’s benefit plan.§ Ensures utilization decisions are compliant with state, federal and accreditation regulations.§ Meets or exceeds regulatory turnaround time and departmental productivity goals when processing referral/authorization requests.§ Ensures that all key functions are documented via Care Management and Coordination Policy.§ Maintains the integrity of the system information by timely, accurate data entry.§ Performs additional duties assigned. QualificationsEducationActive PA Licensed RN requiredBSN PreferredExperienceMinimum of three (3) years of acute care clinical experience in a hospital or other health care setting. Prior discharge planning and/or utilization management experience is desirable.Medical management/precertification experience preferred.Knowledge, &amp; Skills§ Exceptional communication, problem solving, and interpersonal skills.§ Action oriented with strong ability to set priorities and obtain results.§ Team Player - builds team spirit and interdepartmental rapport, using effective problem solving and motivational strategy.§ Open to change, comfortable with new ideas and methods; creates and acts on new opportunities; is flexible and adaptable.§ Embrace the diversity of our workforce and show respect for our colleagues internally and externally.§ Excellent organizational planning and prioritizing skills.§ Ability to effectively utilize time management.§ Oriented in current trends of medical practice.§ Proficiency utilizing Microsoft Word, Outlook, Excel, SharePoint, and Adobe programs. Ability to learn new systems as technology advances.

Philadelphia PA Pennsylvania 1 Position is remote - candidate must reside in the tri-state area (PA, DE, NJ)

Must have an active PA license or a Nurse Licensure Compact to include PA.

This req will be for our General Precert team- training will be streamlined for PT/OT/ST requests and bariatric requests.

Local Contract RN - Acute Care

Title: Care Management Coordinator/RNDuration: 6 Months Contract (Temp to hire) Work Location Address: Remote DEPARTMENT: Care Management and Coordination PA RN license (only) required! Job Summary <ul><li>The Care Management Coordinator primary responsibility is to evaluate a member’s clinical condition through the review of medical records (including medical history and treatment records) to determine the medical necessity for patient’s services based on advanced knowledge and independent analysis of those medical records and application of appropriate medical necessity criteria.  </li><li>If necessary, the Care Management Coordinator directly interacts with providers to obtain additional clinical information.  </li><li>The Care Management Coordinator has the authority to commit the company financially by independently authorizing services determined to be medically necessary based on their personal review.  </li><li>For those cases that do not meet established criteria, the Care Management Coordinator provides relevant information regarding members medical condition to the Medical Director for their further review and evaluation.  </li><li>The Care Management Coordinator has the authority to approve but cannot deny the care for patients.  </li><li>The Care Management Coordinator is also responsible for maintaining regulatory compliance with federal, state and accreditation regulations. </li><li>Additionally, the Care Management Coordinator acts a patient advocate and a resource for members when accessing and navigating the health care system.</li></ul> Key Responsibilities<ul><li>Applies critical thinking and judgement skills based on advanced medical knowledge to cases utilizing specified resources and guidelines to make case determination. </li><li>Utilizes resources such as InterQual, Care Management Policy, Medical Policy and Electronic Desk References to determine the medical appropriateness of the proposed plan. </li><li>Utilizes the medical criteria of InterQual and/or Medical Policy to establish the need for inpatient, continued stay and length of stay, procedures and ancillary services.<ul><li>Note:  InterQual - It is the policy of the Medical Affairs Utilization Management (UM) Department to use InterQual (IQ) criteria for the case review process when required. IQ criteria are objective clinical statements that assist in determining the medical appropriateness of a proposed intervention which is a combination of evidence-based standards of care, current practices, and consensus from licensed specialists and/or primary care physicians. IQ criteria are used as a screening tool to support a clinical rationale for decision making.</li></ul></li><li>Contacts servicing providers regarding treatment plans/plan of care and clarifies medical need for services.</li><li>Reviews treatment plans/plan of care with provider for requested services/procedures, inpatient admissions or continued stay, clarifying medical information with provider if needed.</li><li>Identifies and refers cases in which the plan of care/services are not meeting established criteria to the Medical Director for further evaluation determination.</li><li>Performs early identification of members to evaluate discharge planning needs.</li><li>Collaborates with case management staff or physicians to determine alternative setting at times and provide support to facilitate discharge to the most appropriate setting.</li><li>Reports potential utilization issues or trends to designated manager and recommendations for improvement.</li><li>Appropriately refers cases to the Quality Management Department and/or Care Management and Coordination Manager when indicated to include delays in care.</li><li>Appropriately refers cases to Case and Disease Management.</li><li>Ensures request is covered within the member’s benefit plan.    </li><li>Ensures utilization decisions are compliant with state, federal and accreditation regulations.</li><li>Meets or exceeds regulatory turnaround time and departmental productivity goals when processing referral/authorization requests.</li><li>Ensures that all key functions are documented via Care Management and Coordination Policy.</li><li>Maintains the integrity of the system information by timely, accurate data entry.</li><li>Performs additional duties assigned.</li></ul>

Pyramid Consulting (Travel)

Pyramid Consulting (Travel)

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