Medical Policy Specialist jobs in Bridgeport, CT

Medical Policy Specialist researches and designs criteria to determine policy guidelines used in review of patient cases to ensure only medically appropriate services are reimbursed. Recommends a policy and process that ensure alignment with company guidelines and nationally accepted medical/coding standards. Being a Medical Policy Specialist establishes the proper codes to use for claims processing. Responds to questions from medical staff and communicates details about policy and guidelines. Additionally, Medical Policy Specialist requires a bachelor's degree. Typically reports to a supervisor or manager. Requires Registered Nurse RN. The Medical Policy Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Medical Policy Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Cardiovascular Invasive Specialist / Electrophysiology (Per Diem)
  • St. Vincent's Medical Center
  • Bridgeport, CT PER_DIEM
  • Description

    Job Schedule: Per Diem
    Standard Hours: 1
    Job Shift: Shift 1
    Shift Details: Monday-Friday 10 HR shift, no call, weekends or holidays.


    Cardiovascular Invasive Specialist - RCES/RCIS

    Work where every moment matters.

    Every day, almost 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.

    St. Vincent's Medical Center in Bridgeport has more than 3,200 employees. It includes a 473-bed community teaching hospital, a 76-bed inpatient psychiatric facility in Westport, a large multispecialty provider group, and special needs services for adults and children. St. Vincent's is the first hospital in Fairfield County to be integrated into the Hartford HealthCare network, and is the system's second-largest hospital.

    Summary

    This position is an integral member of the EP Lab team; providing quality support care during electrophysiology procedures.

    Responsibilities

    • Prepares procedure room ensuring proper working equipment and adequate supplies.
    • Reviews and validates patient and procedure information (e.g. patient medical record, verify physician's orders and patient consent), transport patients, prepares patient for procedure, etc.
    • Assist physician during diagnostic studies and therapeutic procedures (including complex EP interventions) by monitoring vital signs and hemodynamics during the case.
    • Perform scrub duties under direct supervision of the physician, set up of sterile environment and hand off instruments.
    • Provides intra-procedural patient care support such as, but not limited to, maintaining patient comfort, maintaining patient positioning, monitoring patient vital signs, evaluating patient response to diagnostic or interventional EP maneuvers. Maintains RCES/RCIS Certification and functions under the certification guiding principles.
    • Works with the team to maintain sterile environment during procedures.
    • Enters hemodynamic data into electronic medical record.
    • Assist in emergency procedures by operating emergency equipment. Uses BLS techniques in emergent cases. Test emergency equipment.
    • Participates in performance improvement and continued Quality improvements.

    Qualifications

    • High School diploma or general education diploma. Associate or Baccalaureate degree in health science preferred.
    • One (1) year full time work experience in Electrophysiology or invasive cardiology technology with specialty training (minimum of 800 clinical hours) in electrophysiology or interventional cardiology procedures. Two (2) years full time work experience in Electrophysiology with competency in Advanced ECG interpretation with EP mapping and ablation system.
    • Registered Cardiovascular Electrophysiology Specialist (RCES) or Registered Cardiovascular Interventional Specialist (RCIS) by CCI Certified in Basic Life Support (BLS). Certified in Advanced Life Support (ACLS) preferred.

    Knowledge, Skills and Ability Requirements

    • Working knowledge of normal and abnormal anatomy, physiology, radiation safety, interventional supplies and equipment operation.
    • Knowledge of regulatory and compliance standards
    • Knowledge of patient interaction and management including knowledge and behaviors, to meet age specific patient needs.
    • Demonstrates familiarity and proficiency with the setup and operation of all equipment associated within cardiovascular catheterization Electrophysiology procedures performed at HHC.
    • Ability to use professional judgment and critical thinking when assisting in procedures.

    We take great care of careers.

    Committed to nursing excellence, St. Vincent's Medical Center in Bridgeport is a twice-designated Magnet hospital. With more than 3,200 employees, it includes a 473-bed teaching hospital, a 76-bed inpatient psychiatric facility and special needs services for adults and children. St. Vincent's is also a Level 2 Trauma Center, certified by the American College of Surgeons, Committee on Trauma. Now part of Hartford HealthCare, it is the fastest growing hospital in the state providing more advanced surgical procedures and expanding access to care. A large provider group, comprised of the region's foremost experts, provides convenient patient access from Stamford to Milford and nearly everywhere in between. Founded in 1903, St. Vincent's remains steadfast in its mission to provide compassionate, personalized care to the community.

    St. Vincent's Medical Center is part of Hartford HealthCare, a system that includes 7 acute care hospitals, a comprehensive Behavioral Health Network, Home Care services, Senior Services, and an extensive Medical Group network. Hartford HealthCare's unified culture enhances access, affordability, equity and excellence. Its care-delivery system of over 37,000 employees- in more than 500 locations serving 185 towns across Connecticut offers unparalleled expertise-touching more than 23,000 lives every single day. Here you'll learn, grow, and contribute to healing and health as part of one of Connecticut's premier health systems. No matter where you work in the Hartford HealthCare system, you're connected to the team that's redefining care. Start here, where every moment matters.

  • 1 Month Ago

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Surgical Scheduler / Prior Authorizations Specialist- Neurosurgery
  • Hartford HealthCare Medical Group Specialists
  • Bridgeport, CT FULL_TIME
  • Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Monday -Friday Work where every moment matters. Every day, almost 30,000 Hartford HealthCare employees come to ...
  • 14 Days Ago

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Medical Assistant
  • Healing pulse medical
  • Shelton, CT FULL_TIME
  • ```Job Overview:We are seeking a skilled and compassionate Medical Assistant to join our healthcare team. As a Medical Assistant, you will play a crucial role in providing quality patient care and ens...
  • 1 Month Ago

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Manager Graduate Medical Education Program / Medical Education
  • St. Vincent's Medical Center
  • Bridgeport, CT FULL_TIME
  • Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Full time Work where every moment matters. Every day, over 30,000 Hartford HealthCare colleagues come to work w...
  • 28 Days Ago

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Travel Registered Nurse RN Medical Surgical
  • OneStaff Medical
  • BRIDGEPORT, CT FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 1 Month Ago

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Travel Registered Nurse RN Medical Surgical
  • OneStaff Medical
  • Trumbull, CT FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 1 Month Ago

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0 Medical Policy Specialist jobs found in Bridgeport, CT area

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Professional_US - Claim Examiner - US Claim Examiner - US
  • Generis Tek, Inc.
  • Garden City, NY
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/23/2024 12:00:00 AM

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Junior to Mid-Level Litigation Associate
  • Kaufman Borgeest & Ryan LLP
  • Valhalla, NY
  • Job Title: Junior to Mid-Level Litigation Associate Role: Associate in Medical Malpractice/Healthcare Expertise: 1-4 yea...
  • 4/22/2024 12:00:00 AM

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Claims Examiner –Remote
  • Generis Tek Inc
  • Garden City, NY
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/22/2024 12:00:00 AM

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Senior Mechanical Engineer, Medical Devices
  • Applikate Technologies Inc
  • Fairfield, CT
  • Job Description Job Description APPLIKATE TECHNOLOGIES INC. www.applikate.com Job Posting: Senior Mechanical Engineer, M...
  • 4/22/2024 12:00:00 AM

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Junior to Mid-Level Litigation Associate
  • Kaufman Borgeest & Ryan LLP
  • Garden City, NY
  • Job Title: Junior to Mid-Level Litigation Associate Role: Associate in Medical Malpractice/Healthcare Expertise: 1-4 yea...
  • 4/22/2024 12:00:00 AM

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Mobile Phlebotomist - PRN (as needed) - Bronxville, NY
  • Getlabs
  • Bronxville, NY
  • Getlabs is the nationwide leader for at-home diagnostics. Healthcare organizations use our all-in-one technology platfor...
  • 4/22/2024 12:00:00 AM

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Junior to Mid-Level Litigation Associate
  • Kaufman Borgeest & Ryan Llp
  • Valhalla, NY
  • Job Title: Junior to Mid-Level Litigation Associate Role: Associate in Medical Malpractice/Healthcare Expertise: 1-4 yea...
  • 4/21/2024 12:00:00 AM

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Mid-Level to Senior Litigation Associate
  • Kaufman Borgeest & Ryan LLP
  • Garden City, NY
  • Job Title: Mid-Level to Senior Litigation Associate Role: Associate in Medical Malpractice/Healthcare Expertise: 4-7 yea...
  • 4/21/2024 12:00:00 AM

Bridgeport is a historic seaport city in the U.S. state of Connecticut. It is in Fairfield County, at the mouth of the Pequonnock River on Long Island Sound, 60 miles from Manhattan and 40 miles from The Bronx. It is bordered by the towns of Trumbull to the north, Fairfield to the west, and Stratford to the east. As of 2017, Bridgeport had an estimated population of 146,579, which made it the largest city in Connecticut and the fifth-most populous in New England. The Greater Bridgeport area is the 48th-largest urban area in the United States. The showman P. T. Barnum was a resident of the cit...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$101,341 to $123,703
Bridgeport, Connecticut area prices
were up 1.7% from a year ago

Medical Policy Specialist in Norfolk, VA
Guideline 9 – specialist medical procedures provides that applications for the separate representation of children with an intellectual impairment in relation to applications for special medical procedures are not subject to the means test or merits test.
February 20, 2020