CareNational Medical Management Blog

Work From Home or Work in the Office: Why Not Both?

Posted by Amanda Sowards on Apr 21, 2017 3:18:53 PM

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Written by Amanda Sowards, Search Consultant, East Coast
Contact her at 1.800.974.4828 x110, or amanda@carenational.com.

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Topics: Medical Management, Managed Care, Healthcare Services, Health Care Services

Medical Management Job Searching in a Mobile World

Posted by Steve Thornley on Apr 14, 2017 2:07:39 PM

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Written by Steve Thornley, CSC, CEO of CareNational 
Contact him at 1.800.974.4828 ext 101, or steve@carenational.com

 

As a Healthcare Recruiter, my experience dates to a time when resumes from job seekers were received primarily by fax or hand delivered to my office. Similarly, when conveying candidate information to a potential employer, this too was done by fax or couriered to the hiring manager’s office. How the times have changed!

Now that we are firmly in the digital age, more and more job seekers in the healthcare industry are searching, reviewing, and applying for jobs via mobile applications than ever before.  According to Beyond.com, 77% of all job seekers use mobile job search apps.  According to 24% of those job seekers they are going mobile “due to their ability to job search anytime, anywhere.” Another nearly 18% of the same respondents indicated they use mobile job searching as a “discreet way to search for a job.” When the referenced article was published, mobile job seeking had increased by 100% in just two years.

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Topics: Medical Management, Managed Care

Managed Care and Working From Home: Part Skill, Part Personality

Posted by Ron Amodio on Apr 7, 2017 4:04:58 PM

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Written by Ron Amodio, Regional VP-Clinical, West Coast
Contact him at 1.800.974.4828 x104, or ron@carenational.com.

 

According to a recent survey, 80% of all U.S. companies now offer non-traditional, flexible work arrangements. In addition to that, remote work, or telecommuting, in particular has grown 103% in the last 10 years.  In keeping with that idea, the CareNational staff wanted to dedicate a series of blogs to the idea of these non-traditional arrangements, and the pros and cons that face the individual employee, as well as the challenges that arise to effective management.

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Topics: Medical Management, Managed Care, Healthcare Services, Health Care Services

Non-Traditional Work Arrangements and Medical Management Professionals

Posted by Tom Hasara on Mar 31, 2017 2:39:13 PM

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“Would you consider a position with this Health Plan if you could work from home?  What if there was flexibility on start times, or if you could work 4 x 10-hour days a week?” Of course there is also the reverse side of the same coin:  “You really like this candidate, and she is perfect for your company.  If you allowed even 1 day a week to be Telecommute (or Work-From-Home) I know we could help bring her talent to your team.”

These are excerpts of conversations here at CareNational that happen regularly.  Sometimes we are talking to candidates and trying to help your Managed Care Organization secure the best talent for your open positions.  Other times we are consulting with a hiring manager, like the Director of Healthcare Services, and letting them know the challenges they are facing in the local market which hinder their recruiting goals.  It does not matter if you are speaking with a LPN in Utilization Review or the VP of Medical Management, I guarantee they have an opinion on non-traditional work arrangements.

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Topics: Medical Management, Managed Care, Healthcare Services, Health Care Services

March Madness is like hiring Medical Management Professionals

Posted by Tom Hasara on Mar 17, 2017 10:53:45 AM

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As the nation once again falls victim to the annual and acute affliction of March Madness, I felt inspired by the many correlations to the hiring process. I know that for some, the hiring process may feel more like a surprise game of dodgeball at an anger management retreat than the elegant brackets of the NCAA tournament. But in the clinical and non-clinical Medical Management niche that CareNational specializes in, it often has the appearance of an intense and culminating competition. By the time the best candidates have moved into the final round of interviews, I am emotionally invested in seeing my favorite win that title; much like the Final Four.  I thought I would look at a few other similarities between the landmark collegiate basketball tournament and the recruiting and hiring process for Managed Care professionals in Case Management, Utilization Management, and Quality Management.

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Topics: Medical Management

Provider Offices and the HEDIS Process

Posted by Tom Hasara on Mar 10, 2017 3:36:50 PM

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With H.E.D.I.S. ( Healthcare Effectiveness Data and Information Set) season well under way, CareNational has been very successful in finding qualified nurses and clerical support staff to fill assignments for our clients related to this critically important Quality Improvement audit. We make it our mission to find quality individuals with the appropriate backgrounds to best suit our clients’ needs. When considering a large-scale project like HEDIS, it is important to recognize that it is really a year-round team effort, that requires the support of both the health plan and the contracted network of providers. This week we asked our resident HEDIS expert to answer a common question:   What are some ways a Managed Care Organization can get providers to understand the importance of HEDIS initiatives occurring year round?  Here is what she had to say:
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Topics: Medical Management, HEDIS, Managed Care, Healthcare Services, Health Care Services

HEDIS & Health Plan Reimbursement

Posted by Tom Hasara on Mar 3, 2017 11:30:19 AM

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 As the 2017 H.E.D.I.S. (Healthcare Effectiveness Data and Information Set) season continues, CareNational is dedicating a series of blogs to help health plans. This segment comes from out talks with La' Chanda Plummer, a highly qualified and experienced HEDIS Program Manager and Quality Improvement leader that we placed at a medium sized health plan in the Pacific Northwest recently. It was her job to see that this growing plan achieved NCQA accreditation and improved HEDIS Scores.  Under her direction, that health plan improved their Medicare Stars Ratings by 1.5 Stars in just 1 season!

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Topics: HEDIS

Journey up the HEDIS Mountain

Posted by Prashant Patel on Feb 3, 2017 1:02:26 PM

Written by Prashant Patel, Associate Regional Director.
Contact him at 1.800.974.4828 x106 or prashant@carenational.com

 

With the 2017 H.E.D.I.S. (Healthcare Effectiveness Data and Information Set) work already started for some and quickly approaching for others, CareNational has been on a quest to find qualified nurses and clerical support staff to fill assignments for our clients related to this critically important Quality Improvement survey. Since we are experts in providing top-tier talent, but not in actually doing Quality Improvement or HEDIS functions, we are tapping into the extensive knowledge of our candidates using an ‘Ask the Expert’ format.

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Topics: Medical Management, HEDIS, Managed Care, Healthcare Services, Health Care Services

Vendors for HEDIS: Production vs Staffing

Posted by Prashant Patel on Jan 27, 2017 2:32:59 PM

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Written by Prashant Patel, Associate Regional Director.
Contact him at 1.800.974.4828 x106 or prashant@carenational.com

As one of the nation’s top HEDIS agencies, CareNational is always committed to providing the finest service possible to our candidates and our clients. This includes continuing education through interactive conversations with contacts from both the client and candidate perspective. As the 2017 H.E.D.I.S. (Healthcare Effectiveness Data and Information Set) season approaches, CareNational is dedicating a series of blogs to help leaders and staff-level workers involved in the HEDIS process.

Get the HEDIS Staffing Vendor Checklist

For many Managed Care Organizations, some pre-HEDIS activities are already underway. Additionally the bulk of the work, Chart Abstraction and Over-Reading, is right around the corner. I wanted to address the substantial role that outside vendors play during the HEDIS season. There are many vendors out there that provide different HEDIS services. Identifying what exactly is needed and who can provide it is paramount, as some vendors are involved in one or more phases of HEDIS: Data Validation, Chart Abstraction, or Over-Reading. Selecting the right vendor to partner with your health plan can make all the difference for having the right people in place, meeting established deadlines, and generally surviving the season with no new ulcers.

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Topics: HEDIS, HEDIS Staffing

I was sent to a Doctor's Office to do a HEDIS Audit

Posted by Aaron Lebovitz on Jan 13, 2017 3:12:16 PM

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Written by Aaron Lebovitz, President
Contact him at 1.800.974.4828 ext 102, or aaron@carenational.com

 

With H.E.D.I.S. (Healthcare Effectiveness Data and Information Set) production work right around the corner, CareNational has been on a quest to find qualified nurses and clerical support staff to fill assignments for our clients related to this critically important Quality Improvement survey. We make it our mission to find quality individuals with the appropriate backgrounds to best suit our clients’ needs. When considering a large-scale project like HEDIS, it is important to recognize the efforts of all of the positions involved that allow the audit to run smoothly. This week we wanted to highlight a topic encountered every year, the dynamic between provider office staff and the clinical or non-clinical HEDIS professional charged with extracting required information for this annual audit.

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Topics: Medical Management, HEDIS, Managed Care, Healthcare Services, Health Care Services