Clinical Evaluator

  • Location: Seattle, WA
  • Type: Contract
  • Job #34090

Note: This position requires a licensed Clinician in Washington State (LCSW, LMFT, LMHC, or Psych RN)

Note: This position is remote.

Who we need:

Join our team as a (PASRR) Preadmission Screening and Resident Review Clinical Evaluator and be an instrumental force in reshaping healthcare and enriching the lives of patients in our communities.

In this role, you will lead the charge by performing comprehensive, clinical assessments on individuals dealing with mental illness and intellectual disabilities. As a trusted expert, you will have the autonomy to evaluate their care needs and provide invaluable determinations and recommendations for their ongoing level of care, helping to improve patient’s well-being and enhance their quality of life.
 

Responsibilities:

  • Responsible for self-scheduling all Level 2 evaluations.
  • Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for services.
  • Abstracts review related data/information accurately and timely on appropriate review tools by the appropriate means. Accurate and timely submission of all administrative and review-related documents to appropriate parties.
  • Performs ongoing reassessment of the review process to offer opportunities for improvement and/or change.
  • Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process.
  • Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for review.
  • Maintains medical records confidentiality at all times through proper use of computer passwords, maintenance of secured files, and adherence to HIPAA policies.
  • Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following Client policies, procedures, and guidelines.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.

Qualifications

  • Active license in good standing in the Washington State (LCSW, LMFT, LMHC, RN)
  • Graduation from an accredited College with a relevant Degree Program.
  • At least three (3) years of mental health experience within the past five (5) years involving direct patient care presenting a mental health diagnosis is required.

Knowledge, Skills, Abilities

  • Medical record abstracting skills are required.
  • Knowledge of the organization of medical records, medical terminology, and disease processes is required.
  • Strong clinical assessment and critical thinking skills are required.
  • Excellent verbal and written communication skills are required.
  • Ability to work in a team environment.
  • Flexibility and strong organizational skills are needed.
  • Must be proficient in Microsoft Office and Internet/web navigation

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!
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Electronic Technician II

  • Location: Oklahoma City, OK
  • Type: Contract
  • Job #34088

Electronic Technician II
*This is an onsite position

Description:

  • The client is looking for Technician 2 level employees with formal or military electronics training.
  • The selected candidates will have experience repairing aircraft wiring and terminating Amphenol or Cannon plugs by soldering or crimping pins.
  • Manufacturing Mil-Std 1553 Cables is considered a plus.
  • Advance Test Support Solutions (ATSS) department in Oklahoma City, OK.
  • As a member of the Manufacturing team, you’ll work in a fast-paced team environment to build Special Test Equipment, Chassis and aircraft wire harness assemblies.
  • You’ll interface with Design Engineers and other technicians to build this laboratory test Equipment.
  • The products built will support two major defense programs.

Responsibilities:

  • Kit Parts and build Rack Mounted Chassis assemblies
  • Identify, troubleshoot, and remediate equipment issues to support system build-up and Integration Site sell-off.
  • Communicate project status to the Integration and Test (I&T) IPT Lead.
  • Perform general tasks associated with kitting and work movement between three Oklahoma City sites.
  • Design, develop, and implement testing methods for individual pieces of equipment (both custom and COTS) and entire systems.
  • Compile data and help to define changes required in testing methodology, equipment, testing procedures, manufacturing processes, and new testing requirements.

Required Skills/Knowledge/Experience:

  • Formal Electronics Training
  • Working knowledge and experience performing Aircraft Wiring Repairs.
  • Demonstrated problem solving and troubleshooting skills.
  • Demonstrated ability to use basic manual tools and General test Equipment and meters..
  • This position requires the applicant to be a U.S. citizen.

Preferred Skills/Knowledge/Experience:

  • Active Secret or higher security clearance.
  • Working knowledge of Mil-Std 1553 bus hardware and familiarity with using oscilloscopes, and the functions of a Digital Multi-meter .
  • Aircraft Wiring Familiarity and Harness repair.
  • Current IPC/WHMA-A-620 Certification a plus.

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

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Behavioral Health Clinical Reviewer

  • Location: Richmond, VA
  • Type: Contract
  • Job #34087

Behavioral Health Clinical Reviewer

The Clinical Reviewer will use clinical expertise for the review of medical records against appropriate criteria in conjunction with contract requirements, critical thinking, and decision-making skills to determine medical appropriateness while maintaining production goals and QA standards. Ensures day-to-day processes are conducted in accordance with NCQA, URAC, and other regulatory standards.

Responsibilities:

  • Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determine if the medical record documentation supports the need for services.
  • Determines approval or initiates a referral to the physician consultant and processes physician consultant decisions ensuring the reason for the denial is described in sufficient detail in correspondence.
  • Abstracts review related data/information accurately and timely on appropriate review tool by the appropriate means. Accurate and timely submission of all administrative and review related documents to appropriate parties.
  • Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process.
  • Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for review.
  • Maintains medical records confidentiality at all times through proper use of computer passwords, maintenance of secured files, and adherence to HIPAA policies.
  • Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following Client policies, procedures, and guidelines.
  • Actively cross-trains to perform the duties of others within the Client network to provide a flexible workforce to meet client/consumer needs.
     

Requirements:

  • Active unrestricted license in Virginia:  Psychiatric/Mental Health RN, Licensed Clinical Social Worker (LCSW), Licensed Mental Health Professional (LMHP), or Licensed Marriage and Family Therapist (LMFT), 
  • Knowledge of InterQual or ASAM criteria
  • Knowledge of current NCQA/URAC standards
  • 2+ years of Utilization Review and/or Prior Authorization experience
  • 3+ years of direct experience in a clinical setting or other applicable State Clinical experience.
  • Experience in Community Mental Health, Crisis Mental Health, Residential Services, or Inpatient Behavioral health/Psychology

Required Skills:

  • Excellent verbal and written communication skills
  • Ability to problem solve.
  • Proficient computer skills, including Microsoft Office.
  • Ability to provide technical consultation and policy interpretation.
  • Excellent customer services

 

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

#AC

Epic Clinical Project Manager

  • Location: Raleigh, NC
  • Type: Contract
  • Job #34081

Epic Clinical Project Manager
*This is a hybrid position with 1 week/month onsite

Description:

  • The client requires the services of an EXPERT Epic Clinical project manager to manage the planning and implementation of an EHR implementation project for the Division of State Operated Healthcare Facilities and transition from the legacy and siloed clinical applications.
  • This project management role will work with other EHR project managers and executive leadership team multiple internal and external stakeholders and selected vendors to analyze plan and implement the clinical components required for an Epic EHR system.
  • This position will be responsible for working with senior-level business executives IT management and personnel business program resources and vendor staff to define and execute requirements and manage stakeholder expectations.
  • This position will manage the day-to-day activities for the assigned portion of the project and complete all input into overall EHR program reporting and the State’s Project Portfolio Tool MS Project Server as needed.

Responsibilities:

  • Maintaining the scope schedule and quality of the project for the Clinical EHR build team. Modules in scope are:
  • IP ClinDoc with Secure Chat Rover
  • IP Clinical Case Management
  • Orders
  • Behavioral Health
  • Long-Term Care
  • Willow IP and Amb plus Inventory
  • Ambulatory and EpicCare Link
  • Wisdom
  • MyChart
  • Healthy Planet
  • Bugsy
  • Setting clear expectations for team members including defining what they should do at each phase of the project.
  • Working closely with the EHR Program Director and other project managers/team managers to coordinate activities.
  • Ensuring that the business community is engaged in the project.
  • Advising and coaching team members by providing guidance on project issues key success factors of the project and lessons learned.
  • Sharing with team members the positive effects of innovation and system capabilities.
  • Reinforcing the importance of the project together with the EHR program executives and the Program Director and providing consistent communication to the project team
  • Organizing resources within the organization
  • Motivating and showing appreciation for the team
  • Appropriately matching team member skills to team responsibilities
  • Managing the project from an organizational perspective while attending to detailed tasks
  • Assisting as a support contact for revenue cycle.
  • Identifying and troubleshooting issues.
  • Guiding workflow design building and testing the system and analyzing other technical issues associated with Epic software.
  • Serving as a liaison between organizational needs and Epic implementation staff
  • Maintaining regular communication with Epic representatives including participating in weekly project team meetings
  • Working with Epic representatives the business community and end users to ensure the system meets the organization’s business needs in regard to the project deliverables and timeline.
  • Developing an understanding of operational needs to set the direction for the organization’s workflows.
  • Participating in training and working with end users.
  • Reporting and reviewing the status of projects and issues on an ongoing basis with leadership.
  • Holding weekly communications with team members to discuss the status of deliverables shared issues end-user concerns budget and upcoming milestones.
  • Developing and maintaining all required State CIO and the clients PMO project documentation in coordination with other EHR PMO PM resources

Required Skills/Knowledge/Experience:

  • Certified by Epic in at least one Clinical Inpatient or Ambulatory application., Required
  • Experience working on IT projects to deliver and/or enhance Electronic Health Record clinical applications., Required 5 Years
  • Experience working on clinical healthcare information technology projects, Required 5 Years
  • Ability to create simple to complex project plans, timelines and work breakdown structures using project management tools (Microsoft Project), Required 7 Years
  • Very strong work ethic and ability to work at a fast pace to meet aggressive mandated timelines, Required 7 Years
  • Must have strategic planning skills with good understanding of roadmap development, Required 5 Years
  • Capable of leading effective project meetings that are tailored to the audience, Required 7 Years
  • Negotiation, written/oral communication and problem-solving skills, Required 7 Years
  • Ability to write and present effective project materials, including presentations and status reports, Required 7 Years
  • Ability to work effectively with all levels of staff, clients and other IT personnel including vendors, Required 7 Years
  • Proven experience with working collaboratively with business/program partners, Required 7 Years
  • Ability to identify and resolve effectively system or business process/project issues, Required 7 Years
  • Ability to build, influence, lead and motivate effective teams towards end results, Required 7 Years
  • Flexibility, adaptability, and ability to work in a high-demand dynamic environment, Required 7 Years
  • Strong analytical skills, Required 7 Years
  • Experience managing or supervising legacy system replacement projects, Required 5 Years
  • Experience planning and managing data conversion activities, Required 5 Years
  • Experience building rollout plans, Required 7 Years
  • Epic clinical EHR experience, Highly desired 5 Years
  • PMP Certification, Highly desired 7 Years
  • State Government experience, Desired 3 Years
  • Ability to assist the state in identifying areas where clinical workflows could be improved., Required 5 Years

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

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Provider Services Agent

  • Location: Richmond, VA
  • Type: Contract
  • Job #34076

Provider Enrollment Specialist/Clerk

Description:

Astyra is seeking a Provider Enrollment Agent who will be responsible for supporting provider enrollment/screening into the Virginia Medicaid program. Their primary responsibilities include:

  • Reviewing and processing Medicaid, provider enrollment applications according to Virginia Medicaid program approved enrollment guidelines, ACA, and other federal requirements and procedures.
  • Update and maintain accurate provider files which includes documenting information such as license, addresses, billing, and other provider demographic changes to the provider file.
  • Respond to written correspondence and incoming telephone inquiries received from providers relating to enrollment issues as needed.
  • Ensure all departmental and Virginia Medicaid program quality and quantity standards are met.
  • Upholds customer confidence and protects operations by keeping information confidential.

The role will require knowledge of Windows based programs and a familiarity with basic call center and office equipment.
Position will allow for cross-training on the clerk and agent positions.

Knowledge and Skill Requirements:

  • 2+ Years’ experience in Call Center/Healthcare environment
  • Proven customer service experience and professionalism in the workplace
  • Ability to perform extensive research independently
  • Ability to follow written policies, procedures, and guidelines, and give feedback to leadership.
  • Intermediate-level knowledge of operating systems.
  • Experience with MS Office Suites
  • Must have good decision making skills
  • Self-motivated with good time management and organizational skills.
  • Ability to read and interpret basic to moderately complex documents such as operating and maintenance instructions, procedure manuals, and government/healthcare guidelines.
  • Excellent written and verbal communication skills

Education:

  • HS Diploma or GED Required

 

Competitive benefits such as *Parking covered; Paid time off; Health, vision, and dental insurance options*

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!
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Production Controller 1

  • Location: Goleta, CA
  • Type: Contract
  • Job #34046

Production Controller 1

*This position is on-site with a 6-month contract, Goleta, CA candidate only, please!

*WORK SHIFT: Day Shift (9/80A)

Description:
We have incredible opportunities to work on revolutionary systems that impact people’s lives around the world today, and for generations to come. Our pioneering and inventive spirit has enabled us to be at the forefront of many technological advancements in our nation’s history – from the first flight across the Atlantic Ocean, to stealth bombers, to landing on the moon. We look for people who have bold new ideas, courage, and a pioneering spirit to join forces to invent the future and have fun along the way.

Production Controller 1 to support our Mission Enabling Products – inventory control department. As a member of the inventory control department, you’ll work in a fast-paced team environment.

Responsibilities:

  • Maintains schedules for material requirements and availability for the manufacture of industrial and commercial products to support production control.
  • Compiles records concerning quantity, cost, and type of material received, shipped, in stock or inventory, and/or in production. Expedites flow of materials, parts, and assemblies within or between departments in accordance with production and shipping schedules.
  • Assists in determining possible and actual shortages may initiate action to correct these deficiencies.
  • Uses knowledge of production, procurement, and engineering departments to alert proper authorities regarding potential problems and appropriate remedial action.
  • Estimates and logs production rate and time expenditures, and may be required to establish the sequence and lead time of each operation to meet shipping dates.

Basic Qualifications:

  • Expedites flow of materials, parts, and assemblies within or between departments in accordance with production and shipping schedules
  • Assists in determining possible and actual shortages may initiate action to correct these deficiencies.
  • Uses knowledge of production, procurement, and engineering departments to alert the proper authorities
  • Day shift position 9/80 schedule
  • High school diploma or equivalent and 0 years additional education and or related experience
  • Experience with inventory operations within an Enterprise Resource Planning (ERP)/(Deltek Costpoint) system and Microsoft applications
  • Capable of using forklift and other inventory-related equipment
  • May require off Friday and Weekend support

Preferred Qualifications:

  • Ability to work effectively in a team environment
  • Prefer experience with Kiting
  • Liaising between manufacturing and inventory
  • Excellent verbal and written communication

Attention Applicants: Please be advised that proper email communication will only be sent from email addresses ending in @astyra.com. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. It is important to communicate within our guidelines and proper channels to expedite possible interview considerations.
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Clinical Evaluator

  • Location: Port Townsend, WA
  • Type: Contract
  • Job #33819

Note: This position requires a licensed Clinician in Washington State (LCSW, LMFT, LMHC, or Psych RN)

Note: This position is remote.

Who we need:

Join our team as a (PASRR) Preadmission Screening and Resident Review Clinical Evaluator and be an instrumental force in reshaping healthcare and enriching the lives of patients in our communities.

In this role, you will lead the charge by performing comprehensive, clinical assessments on individuals dealing with mental illness and intellectual disabilities. As a trusted expert, you will have the autonomy to evaluate their care needs and provide invaluable determinations and recommendations for their ongoing level of care, helping to improve patient’s well-being and enhance their quality of life.
 

Responsibilities:

  • Responsible for self-scheduling all Level 2 evaluations.
  • Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for services.
  • Abstracts review related data/information accurately and timely on appropriate review tools by the appropriate means. Accurate and timely submission of all administrative and review-related documents to appropriate parties.
  • Performs ongoing reassessment of the review process to offer opportunities for improvement and/or change.
  • Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process.
  • Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for review.
  • Maintains medical records confidentiality at all times through proper use of computer passwords, maintenance of secured files, and adherence to HIPAA policies.
  • Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following Client policies, procedures, and guidelines.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.

Qualifications

  • Active license in good standing in the Washington State (LCSW, LMFT, LMHC, RN)
  • Graduation from an accredited College with a relevant Degree Program.
  • At least three (3) years of mental health experience within the past five (5) years involving direct patient care presenting a mental health diagnosis is required.

Knowledge, Skills, Abilities

  • Medical record abstracting skills are required.
  • Knowledge of the organization of medical records, medical terminology, and disease processes is required.
  • Strong clinical assessment and critical thinking skills are required.
  • Excellent verbal and written communication skills are required.
  • Ability to work in a team environment.
  • Flexibility and strong organizational skills are needed.
  • Must be proficient in Microsoft Office and Internet/web navigation

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!
#AC

Support Intensity Scale Assessor

  • Location: Allentown, PA
  • Type: Contract
  • Job #33818

As an independent contractor, you will be responsible for conducting face-to-face SIS assessments of individuals with intellectual and developmental disabilities and/or Autism ages 14 and above. Although assessments are conducted at a variety of sites, there is no office you report to, affording you the opportunity to schedule, finalize and submit assessments from your home. Schedules are flexible and can, in most instances, be tailored to meet your availability.

We are seeking candidates available to travel throughout the Lehigh County area.

Accountabilities

  • Conducts assessments on individuals with IDD and/or Autism as assigned.
  • Ensures scheduling, administration and submission processes are conducted within identified performance standards, demonstrating fidelity to the assessment tool.
  • Uses independent judgment, clinical knowledge/competence, communication skills, problem-solving and conflict resolution to ensure optimal interviews for the individual, family and respondent teams.
  • Manages schedule and availability calendar, and ensures assessments are scheduled and completed in accordance with contract guidelines.
  • Fosters positive and professional relationships and acts as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the completion and review of assessments.
  • Participates in regular quality calls, attends training and scheduled meetings and ensures maintenance and use of current/updated information as provided.
  • Maintains confidentiality of all scheduling and assessment materials at all times through proper use of computer passwords, maintenance of secured files and adherence to HIPAA polices. 

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that contract needs may dictate.

Qualifications

  • Bachelor’s Degree in Human Service Field
  • Minimum two years of direct experience working with individuals with IDD/Autism required.
  • Basic computer/technology skills and MS Office proficiency required.

Knowledge, Skills, Abilities

  • Must have strong organizational skills and be able to meet required deadlines
  • Knowledge of medical terminology, behavioral supports and PA ODP waiver programs strongly desired.
  • Strong clinical/social assessment and critical thinking skills required.
  • Excellent verbal and written communication skills required.
  • Ability to use independent judgment and discretion to address, resolve and process problems impeding assessment process/completion.
  • Proactively identify and resolves delays and obstacles.
  • Access to necessary technology – laptop (Processor: Intel Core i5 or newer; Operating System: Microsoft Windows 8 or newer; Memory: 4 GB RAM minimum, 6GB recommended; Internal Drive Storage: 250 GB minimum, 500 GB recommended; Free Hard Disk Space: 32 GB or greater), printer and scanner.
  • Must have broadband internet connection at home (no dial-up).
  • Must be willing to travel and have active, unrestricted license, reliable transportation and active auto insurance.
  • Must have dedicated home workspace committed to confidentiality of PHI.

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

#AC

Support Intensity Scale Assessor

  • Location: Reading, PA
  • Type: Contract
  • Job #33799

As an independent contractor, you will be responsible for conducting face-to-face SIS assessments of individuals with intellectual and developmental disabilities and/or Autism ages 14 and above. Although assessments are conducted at a variety of sites, there is no office you report to, affording you the opportunity to schedule, finalize and submit assessments from your home. Schedules are flexible and can, in most instances, be tailored to meet your availability.

We are seeking candidates available to travel throughout the Berks County area.

Accountabilities

  • Conducts assessments on individuals with IDD and/or Autism as assigned.
  • Ensures scheduling, administration and submission processes are conducted within identified performance standards, demonstrating fidelity to the assessment tool.
  • Uses independent judgment, clinical knowledge/competence, communication skills, problem-solving and conflict resolution to ensure optimal interviews for the individual, family and respondent teams.
  • Manages schedule and availability calendar, and ensures assessments are scheduled and completed in accordance with contract guidelines.
  • Fosters positive and professional relationships and acts as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the completion and review of assessments.
  • Participates in regular quality calls, attends training and scheduled meetings and ensures maintenance and use of current/updated information as provided.
  • Maintains confidentiality of all scheduling and assessment materials at all times through proper use of computer passwords, maintenance of secured files and adherence to HIPAA polices. 

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that contract needs may dictate.

Qualifications

  • Bachelor’s Degree in Human Service Field
  • Minimum two years of direct experience working with individuals with IDD/Autism required.
  • Basic computer/technology skills and MS Office proficiency required.

Knowledge, Skills, Abilities

  • Must have strong organizational skills and be able to meet required deadlines
  • Knowledge of medical terminology, behavioral supports and PA ODP waiver programs strongly desired.
  • Strong clinical/social assessment and critical thinking skills required.
  • Excellent verbal and written communication skills required.
  • Ability to use independent judgment and discretion to address, resolve and process problems impeding assessment process/completion.
  • Proactively identify and resolves delays and obstacles.
  • Access to necessary technology – laptop (Processor: Intel Core i5 or newer; Operating System: Microsoft Windows 8 or newer; Memory: 4 GB RAM minimum, 6GB recommended; Internal Drive Storage: 250 GB minimum, 500 GB recommended; Free Hard Disk Space: 32 GB or greater), printer and scanner.
  • Must have broadband internet connection at home (no dial-up).
  • Must be willing to travel and have active, unrestricted license, reliable transportation and active auto insurance.
  • Must have dedicated home workspace committed to confidentiality of PHI.

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

#AC

Clinical Evaluator

  • Location: Aberdeen, WA
  • Type: Contract
  • Job #33635

Note: This position requires a licensed Clinician in Washington State (LCSW, LMFT, LMHC, or Psych RN)

Note: This position is remote.

Who we need:

Join our team as a (PASRR) Preadmission Screening and Resident Review Clinical Evaluator and be an instrumental force in reshaping healthcare and enriching the lives of patients in our communities.

In this role, you will lead the charge by performing comprehensive, clinical assessments on individuals dealing with mental illness and intellectual disabilities. As a trusted expert, you will have the autonomy to evaluate their care needs and provide invaluable determinations and recommendations for their ongoing level of care, helping to improve patient’s well-being and enhance their quality of life.
 

Responsibilities:

  • Responsible for self-scheduling all Level 2 evaluations.
  • Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for services.
  • Abstracts review related data/information accurately and timely on appropriate review tools by the appropriate means. Accurate and timely submission of all administrative and review-related documents to appropriate parties.
  • Performs ongoing reassessment of the review process to offer opportunities for improvement and/or change.
  • Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process.
  • Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for review.
  • Maintains medical records confidentiality at all times through proper use of computer passwords, maintenance of secured files, and adherence to HIPAA policies.
  • Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following Client policies, procedures, and guidelines.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.

Qualifications

  • Active license in good standing in the Washington State (LCSW, LMFT, LMHC, RN)
  • Graduation from an accredited College with a relevant Degree Program.
  • At least three (3) years of mental health experience within the past five (5) years involving direct patient care presenting a mental health diagnosis is required.

Knowledge, Skills, Abilities

  • Medical record abstracting skills are required.
  • Knowledge of the organization of medical records, medical terminology, and disease processes is required.
  • Strong clinical assessment and critical thinking skills are required.
  • Excellent verbal and written communication skills are required.
  • Ability to work in a team environment.
  • Flexibility and strong organizational skills are needed.
  • Must be proficient in Microsoft Office and Internet/web navigation

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!
#AC

Clinical Evaluator

  • Location: Centralia, WA
  • Type: Contract
  • Job #33631

Note: This position requires a licensed Clinician in Washington State (LCSW, LMFT, LMHC, or Psych RN)

Note: This position is remote.

Who we need:

Join our team as a (PASRR) Preadmission Screening and Resident Review Clinical Evaluator and be an instrumental force in reshaping healthcare and enriching the lives of patients in our communities.

In this role, you will lead the charge by performing comprehensive, clinical assessments on individuals dealing with mental illness and intellectual disabilities. As a trusted expert, you will have the autonomy to evaluate their care needs and provide invaluable determinations and recommendations for their ongoing level of care, helping to improve patient’s well-being and enhance their quality of life.
 

Responsibilities:

  • Responsible for self-scheduling all Level 2 evaluations.
  • Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for services.
  • Abstracts review related data/information accurately and timely on appropriate review tools by the appropriate means. Accurate and timely submission of all administrative and review-related documents to appropriate parties.
  • Performs ongoing reassessment of the review process to offer opportunities for improvement and/or change.
  • Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process.
  • Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for review.
  • Maintains medical records confidentiality at all times through proper use of computer passwords, maintenance of secured files, and adherence to HIPAA policies.
  • Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following Client policies, procedures, and guidelines.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.

Qualifications

  • Active license in good standing in the Washington State (LCSW, LMFT, LMHC, RN)
  • Graduation from an accredited College with a relevant Degree Program.
  • At least three (3) years of mental health experience within the past five (5) years involving direct patient care presenting a mental health diagnosis is required.

Knowledge, Skills, Abilities

  • Medical record abstracting skills are required.
  • Knowledge of the organization of medical records, medical terminology, and disease processes is required.
  • Strong clinical assessment and critical thinking skills are required.
  • Excellent verbal and written communication skills are required.
  • Ability to work in a team environment.
  • Flexibility and strong organizational skills are needed.
  • Must be proficient in Microsoft Office and Internet/web navigation

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!
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Support Intensity Scale Assessor

  • Location: Lock Haven, PA
  • Type: Contract
  • Job #33613

As an independent contractor, you will be responsible for conducting face-to-face SIS assessments of individuals with intellectual and developmental disabilities ages 14 and above. Although assessments are conducted at a variety of sites, there is no office you report to, affording you the opportunity to schedule, finalize and submit assessments from your home. Schedules are flexible and can, in most instances, be tailored to meet your availability.

We are seeking candidates available to travel throughout the Lycoming/ Clinton Co. area.

Accountabilities

  • Conducts assessments on individuals with IDD and/or Autism as assigned.
  • Ensures scheduling, administration and submission processes are conducted within identified performance standards, demonstrating fidelity to the assessment tool.
  • Uses independent judgment, clinical knowledge/competence, communication skills, problem-solving and conflict resolution to ensure optimal interviews for the individual, family and respondent teams.
  • Manages schedule and availability calendar, and ensures assessments are scheduled and completed in accordance with contract guidelines.
  • Fosters positive and professional relationships and acts as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the completion and review of assessments.
  • Participates in regular quality calls, attends training and scheduled meetings and ensures maintenance and use of current/updated information as provided.
  • Maintains confidentiality of all scheduling and assessment materials at all times through proper use of computer passwords, maintenance of secured files and adherence to HIPAA polices. 

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that contract needs may dictate.

Qualifications

  • Bachelor’s Degree in Human Service Field
  • Minimum two years of direct experience working with adults with IDD required.
  • Basic computer/technology skills and MS Office proficiency required.

Knowledge, Skills, Abilities

  • Must have strong organizational skills and be able to meet required deadlines
  • Knowledge of medical terminology, behavioral supports and PA ODP waiver programs strongly desired.
  • Strong clinical/social assessment and critical thinking skills required.
  • Excellent verbal and written communication skills required.
  • Ability to use independent judgment and discretion to address, resolve and process problems impeding assessment process/completion.
  • Proactively identify and resolves delays and obstacles.
  • Access to necessary technology – laptop (Processor: Intel Core i5 or newer; Operating System: Microsoft Windows 8 or newer; Memory: 4 GB RAM minimum, 6GB recommended; Internal Drive Storage: 250 GB minimum, 500 GB recommended; Free Hard Disk Space: 32 GB or greater), printer and scanner.
  • Must have broadband internet connection at home (no dial-up).
  • Must be willing to travel and have active, unrestricted license, reliable transportation and active auto insurance.
  • Must have dedicated home workspace committed to confidentiality of PHI.

9-month independent contractor role

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!
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Home Health Nurse Assessor

  • Location: Henderson, NC
  • Type: Contract
  • Job #33569

Are you an RN ready to make a difference in the lives of North Carolinians? Astyra is looking for passionate Home Health Registered Nurses  to join our team statewide! Keep reading to see if this is the right fit for you:

Why us? This opportunity is a chance to change your career and own your schedule. There is an added opportunity for growth within an innovative, person-centric healthcare organization.

We have engage and support North Carolina Medicaid Linking individuals & Families for Long Term Services and Supports (NC LIFTSS) project. NC LIFTSS was created to streamline access to LTSS programs. It covers a variety of services:

  • Process referrals and perform option counseling
  • Conduct assessments and quality assurance reviews
  • Provide service plan management and customer service
  • Conduct provider training for the following LTSS programs: State Plan Personal Care Services (PCS), Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA). 

This exciting role requires you to travel within your region to conduct assessments, as well as, work out of your home office when needed. This offers flexibility in your weekly schedule. As part of the Personal Care Services (PCS) program, you’ll provide vital services to NC Medicaid Beneficiaries with medical conditions, cognitive impairments, or disabilities, ensuring they receive the hands-on assistance they need for daily living activities (ADLs).
As a PCS Home Health Registered Nurse, you’ll play a crucial role in determining needs-based eligibility for Medicaid-funded personal care services, whether in-home, adult care, or supervised living homes. This role is documentation-intensive to meet the needs of beneficiaries. Join us in this rewarding opportunity to help our community thrive and make a significant impact on the lives of those in need.
What you’ll need:

  • Registered Nurse, licensed by the state of North Carolina
  • Minimum of two years’ experience in home care setting is required.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work is required
  • Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.
  • Experience conducting PCS assessments highly preferred.
  • Experience with OASIS tool (or similar) highly preferred.
  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual highly desired
  • Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT highly desired

What you’ll do:

  • Conducts assessment to determine whether the beneficiary meets eligibility, using state-approved standardized assessment tool(s).
  • Ensures that PCS are provided on a “needs basis” in quantities appropriate to the Beneficiary’s unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
  • Ensures that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.
  • Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
  • Include an interview with family members and informal caregivers who are present at the time of the assessment.
  • Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
  • Conduct service plan reviews as needed.
  • Submit the completed assessments using state-approved interface
  • Participate in the Beneficiary’s mediation and appeal processes.
  • Respond to state inquiries regarding assessments conducted.
  • Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
  • Develops level of care recommendations based upon clinical evaluations.
  • Participates in training of PCS stakeholders as needed.
  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work.

Skills & Abilities:

  • Insightful Understanding of public sector services and supports.
  • Interact and Collaborate with various office staff as needed to support necessary workflows, as well as healthcare professionals, patients, their families and other supports.
  • Effective Communication to individuals and groups through spoken, written and electronic media.
  • Attention to Detail and Highly Organized in documentation to effectively prioritize and execute tasks in a timely manner.
  • Person-Centered thinking, planning, and competency in awareness of the needs of persons with disabilities.

If this opportunity sounds like a bullseyes, apply today!  

Mileage reimbursement at the ready for all travel.  

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

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Business Systems Analyst

  • Location: Richmond, VA
  • Type: Contract
  • Job #33539

Business Systems Analyst
*This is a remote position

Description:

  • The Business Systems Analyst will play a pivotal role in the successful implementation and support of the Cityworks AMS platform.
  • This position involves collaborating with stakeholders to analyze business processes, gather requirements, configure the Cityworks system, provide testing, and ensure it aligns with organizational objectives.

Responsibilities:

  • Gather and document business requirements for the Cityworks AMS implementation.
  • Review and provide feedback on system design, data conversion, and integration documents.
  • Conduct testing for system configurations, data conversions, and integrations.
  • Develop and deliver training materials and provide support during training sessions.
  • Maintain and update project documentation, including system design, test cases, and training materials.

Education:

  • Bachelor’s degree in Information Systems, Business Administration, or a related field.

Skills/Knowledge/Experience:

  • 3+ years of experience in business analysis, system design, or a related role.
  • Experience with Cityworks AMS or other municipal asset management systems is preferred.
  • Prior experience working on projects in the water industry or with water utilities is a significant plus.
  • Familiarity with data conversion and system integration processes.
  • Experience with GIS systems and spatial data analysis is preferred
  • Familiarity with software development life cycle (SDLC) methodologies.
  • Proficiency in system configuration and documentation tools.
  • Familiarity with data mapping, conversion processes, and integration design
  • Knowledge of training development and delivery methods specific to municipal software.
  • Strong analytical skills to assess business needs and system requirements.
  • Proficiency in documenting meeting minutes, system designs, test cases, and training materials.
  • Excellent communication and collaboration skills to work with stakeholders and team members.
  • Experience with testing methodologies and tools for system configuration, data conversion, and integration testing.

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

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Outbound Scheduler

  • Location: Cary, NC
  • Type: Contract
  • Job #33526

Job Summary:
As a Scheduling Coordinator at Astyra, you will play a crucial role in our business operations by ensuring timely assessments for Medicaid beneficiaries. You will work directly with beneficiaries, providers, and assessors to meet required assessment turnaround times and address customer needs related to scheduling.
This is a full-time hybrid role, requiring 4 days of remote work and 1 day onsite in Cary, NC, after completing the onsite new hire training.

Job Responsibilities:

  • Utilize automated systems to schedule assessments for completion by Registered Nurses for both in-home and facility settings, in line with contracted metrics and deliverables.
  • Ensure accurate and timely documentation of all interactions during the scheduling process within both the states and proprietary systems.
  • Initiate outbound communication with beneficiaries and providers to efficiently schedule all assessments for completion and ensure routing efficiency.
  • Respond to inquiries and requests regarding assessments, scheduling conflicts, and complaints, providing prompt and effective resolutions.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary.

Required Qualifications/Experience:

  • High school diploma or GED equivalent.
  • Minimum 2-3 years of customer service experience with outbound calling.
  • Minimum 1 year of scheduling experience.
  • Minimum 2 years of experience within the healthcare industry. 
  • Proven ability to multitask and prioritize tasks effectively, even with variable and conflicting deadlines.
  • Excellent communication skills, both written and verbal, along with strong interpersonal, organizational, and time management abilities.
  • Strong computer skills, including proficiency in Microsoft Office programs and working with multiple systems.

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

#AC

Clinical Evaluator

  • Location: Port Angeles, WA
  • Type: Contract
  • Job #32778

Note: This position requires a licensed Clinician in Washington State (LCSW, LMFT, LMHC, or Psych RN)

Note: This position is remote.

Who we need:

Join our team as a (PASRR) Preadmission Screening and Resident Review Clinical Evaluator and be an instrumental force in reshaping healthcare and enriching the lives of patients in our communities.

In this role, you will lead the charge by performing comprehensive, clinical assessments on individuals dealing with mental illness and intellectual disabilities. As a trusted expert, you will have the autonomy to evaluate their care needs and provide invaluable determinations and recommendations for their ongoing level of care, helping to improve patient’s well-being and enhance their quality of life.

Responsibilities:

  • Responsible for self-scheduling all Level 2 evaluations.
  • Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for services.
  • Abstracts review related data/information accurately and timely on appropriate review tools by the appropriate means. Accurate and timely submission of all administrative and review-related documents to appropriate parties.
  • Performs ongoing reassessment of the review process to offer opportunities for improvement and/or change.
  • Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process.
  • Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for review.
  • Maintains medical records confidentiality at all times through proper use of computer passwords, maintenance of secured files, and adherence to HIPAA policies.
  • Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following Client policies, procedures, and guidelines.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.

Qualifications

  • Active license in good standing in the Washington State (LCSW, LMFT, LMHC, RN)
  • Graduation from an accredited College with a relevant Degree Program.
  • At least three (3) years of mental health experience within the past five (5) years involving direct patient care presenting a mental health diagnosis is required.

Knowledge, Skills, Abilities

  • Medical record abstracting skills are required.
  • Knowledge of the organization of medical records, medical terminology, and disease processes is required.
  • Strong clinical assessment and critical thinking skills are required.
  • Excellent verbal and written communication skills are required.
  • Ability to work in a team environment.
  • Flexibility and strong organizational skills are needed.
  • Must be proficient in Microsoft Office and Internet/web navigation

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!
#AC

Clinical Evaluator

  • Location: Yakima, WA
  • Type: Contract
  • Job #32777

Note: This position requires a licensed Clinician in Washington State (LCSW, LMFT, LMHC, or Psych RN)

Note: This position is remote.

Who we need:

Join our team as a (PASRR) Preadmission Screening and Resident Review Clinical Evaluator and be an instrumental force in reshaping healthcare and enriching the lives of patients in our communities.

In this role, you will lead the charge by performing comprehensive, clinical assessments on individuals dealing with mental illness and intellectual disabilities. As a trusted expert, you will have the autonomy to evaluate their care needs and provide invaluable determinations and recommendations for their ongoing level of care, helping to improve patient’s well-being and enhance their quality of life.
 

Responsibilities:

  • Responsible for self-scheduling all Level 2 evaluations.
  • Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for services.
  • Abstracts review related data/information accurately and timely on appropriate review tools by the appropriate means. Accurate and timely submission of all administrative and review-related documents to appropriate parties.
  • Performs ongoing reassessment of the review process to offer opportunities for improvement and/or change.
  • Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process.
  • Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for review.
  • Maintains medical records confidentiality at all times through proper use of computer passwords, maintenance of secured files, and adherence to HIPAA policies.
  • Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following Client policies, procedures, and guidelines.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.

Qualifications

  • Active license in good standing in the Washington State (LCSW, LMFT, LMHC, RN)
  • Graduation from an accredited College with a relevant Degree Program.
  • At least three (3) years of mental health experience within the past five (5) years involving direct patient care presenting a mental health diagnosis is required.

Knowledge, Skills, Abilities

  • Medical record abstracting skills are required.
  • Knowledge of the organization of medical records, medical terminology, and disease processes is required.
  • Strong clinical assessment and critical thinking skills are required.
  • Excellent verbal and written communication skills are required.
  • Ability to work in a team environment.
  • Flexibility and strong organizational skills are needed.
  • Must be proficient in Microsoft Office and Internet/web navigation

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!
#AC

Clinical Evaluator

  • Location: Seattle, WA
  • Type: Contract
  • Job #32240

Note: This position requires a licensed Clinician in Washington State (LCSW, LMFT, LMHC, or Psych RN)

Note: This position is remote.

Who we need:

Join our team as a (PASRR) Preadmission Screening and Resident Review Clinical Evaluator and be an instrumental force in reshaping healthcare and enriching the lives of patients in our communities.

In this role, you will lead the charge by performing comprehensive, clinical assessments on individuals dealing with mental illness and intellectual disabilities. As a trusted expert, you will have the autonomy to evaluate their care needs and provide invaluable determinations and recommendations for their ongoing level of care, helping to improve patient’s well-being and enhance their quality of life.
 

Responsibilities:

  • Responsible for self-scheduling all Level 2 evaluations.
  • Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for services.
  • Abstracts review related data/information accurately and timely on appropriate review tools by the appropriate means. Accurate and timely submission of all administrative and review-related documents to appropriate parties.
  • Performs ongoing reassessment of the review process to offer opportunities for improvement and/or change.
  • Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process.
  • Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for review.
  • Maintains medical records confidentiality at all times through proper use of computer passwords, maintenance of secured files, and adherence to HIPAA policies.
  • Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following Client policies, procedures, and guidelines.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.

Qualifications

  • Active license in good standing in the Washington State (LCSW, LMFT, LMHC, RN)
  • Graduation from an accredited College with a relevant Degree Program.
  • At least three (3) years of mental health experience within the past five (5) years involving direct patient care presenting a mental health diagnosis is required.

Knowledge, Skills, Abilities

  • Medical record abstracting skills are required.
  • Knowledge of the organization of medical records, medical terminology, and disease processes is required.
  • Strong clinical assessment and critical thinking skills are required.
  • Excellent verbal and written communication skills are required.
  • Ability to work in a team environment.
  • Flexibility and strong organizational skills are needed.
  • Must be proficient in Microsoft Office and Internet/web navigation

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!
#AC