Jobs at Hoag

COLLECTOR III - REVENUE CYCLE EPIC (Costa Mesa, CA, US, 92626)

Salary Range: $24.1000 - $37.0500 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

The Collector III serves as the account representative for Hoag in working with insurance companies, government payors, and/or patients for resolution of payments and accounts resolution. Completes assigned accounts within assigned work queues. Obtains the maximum amount of reimbursement by evaluating claims at the contract rate with the use of the contract management tool for proper pricing (Examples: APC, DRG, APRDRG). Reviews and initiates the initial appeal for underpayments observing all timely requirements to secure reimbursement due to Hoag. Reviews and completes payor and/or patient correspondence in a timely manner. Escalates to the payor and/or patient accounts that need to be appealed due to improper billing, coding and/or underpayments. Reports new/unknown billing edits to direct supervisor for review and resolution. Has a strong understanding of the Revenue Cycle processes, from Patient Access (authorizations & admissions) through Patient Financial Services (billing & collections), including procedures and policies. Has thorough knowledge of managed care contracts, current payor rates, understanding of terms and conditions, as well as Federal and State requirements. Interprets Explanation of Benefits (EOBs) and Electronic Admittance Advices (ERAs) to ensure proper payment as well as assist and educate patients and colleagues with understanding of benefit plans. Understanding of hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms. Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation, commercial and government payors (i.e. Medicare, Medi-Cal, TriCare, etc) and how these payors process claims. Demonstrates knowledge of and effectively uses patient accounting systems. Documents all calls and actions taken in the appropriate systems. Accurately codes insurance plan codes. Establishes a payment arrangement when patients are unable to pay in full at the time payment is due. May review for applicable cash rates, special rates, applicable professional and employee discounts. May process bankruptcy and deceased patient accounts. Performs other duties as assigned. Consistently meets individual productivity and quality assurance standards Performs other duties as assigned.

Demonstrates proficiency in the functions of a Collector I & II. Strong knowledge of carrier’s (Federal/State/Private) regulations and guidelines. Assists peers and Supervisor/Manager with escalated situations. Actively participates in training and onboarding of new team members. Identifies ongoing training and recommendations for existing staff. Identifies and makes recommendations for development of processes or protocol changes. Exceeds individual productivity and quality assurance standards for at least 12 consecutive months. No corrective action within the last 12 months.

Education and Experience

High school diploma or equivalent required
Five years' experience in a hospital/medical and or/related field
Working knowledge Epic Resolute, Epic Cer, and Epic CPOE and reporting.
Working knowledge of MS Excel
Highly detail-oriented with proven ability to orangize and prioritize assignments.

Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

EXECUTIVE DIRECTOR - HOAG AMBULATORY SURGERY CENTERS MANAGEMENT & DEVELOPMENT (Newport Beach, CA, US, 92617)

Salary Range: $86.7900 - $143.2500 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

The Executive Director, Ambulatory Surgery Center (ASC) Management & Development, is responsible for strategic planning, financial performance, clinical performance, operations, and the formation, development and optimization of all ambulatory surgery centers and physician joint venture surgery and procedural centers. The Exececutive Director will oversee a team of market-based ASC leaders who serve as the primary leaders for the growth and development of ASCs, joint venture relationship management, and physician partner engagement. Responsibilities include building physician and partner organization relationships, advancing new business development to increase market share and meet consumer demands, developing new business strategies in preparation for value-based care, site of care optimization, and oversight of the recruitment and acquisition and deployment of new ASCs. The Exec Director will provide thought leadership on the position of an ambulatory surgery centers in Hoag’s overall strategic plan and care delivery portfolio.

Responsible for building a cohesive ASC management team that is accountable for deploying the strategic and operational plans in an efficient and effective way.

In partnership with operations leadership, the Exec. Director has responsibility for the development and execution of system capital budgets and system control expenditures. This will include site selection, facility planning, and oversight of financial, clinical, operational, and marketing plans.

Works with leaders, medical group leaders, strategy, finance, and operations to understand the competitive environment, patient selection opportunities, business targets, growth drivers, alignment strategies, and development opportunities.

Establishes system productivity benchmarks, and monitors industry trends to ensure services and strategies contribute to the highest quality and patient experience levels.

Continuously seeks to improve and innovate clinical and operating models.

Develops and implements short term and long-term strategic initiatives.

Designs and implements programs and services that optimize best practices that align with Hoag Health’s initiatives.

Serves as the organizational liaison to existing joint ventures, monitoring operational performance and fostering existing physician relationships.

Conducts financial feasibility and develops proposals for new business opportunities.

Facilitates and manages ASC joint venture integration post transaction in partnership with ASC partners and operations.

Leads integration of corporate functions into operating model for Hoag ASCs, including Managed Care, Rev Cycle Management, Supply Chain, IT, and other functions.

Supports engagement through collaborative and ongoing internal/external communication with executive leaders, physicians, payers, and joint venture boards.

Education and Experience

- Master’s degree in health administration or business administration

- Requires a minimum of 15 years of experience in progressive leadership experience in the healthcare field, preferably with substantial experience in an outpatient and/or medical group setting and including 5 or more years in ambulatory surgery environments.

- Experience with and understanding of joint ventures and ambulatory surgery operations.

- Proven ability to build and cultivate strong relationships and influence with physicians and system executives.

- Demonstrated experience and knowledge of ambulatory surgery operations as well as credible experience with playbook development and implementation.

- Financial acumen and experience with expansion of new sites of care.

- Ability to intersect with multiple key stakeholders in the execution of highly complex arrangements.

CLINIC NURSE (RN) - HSC NB1525 UROLOGY (Newport Beach, CA, US, 92617)

Salary Range: $46.7700 - $72.3000 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

The Clinic Nurse (RN) provides professional nursing services to patients in an outpatient setting. This role performs nursing assessments in providing direct and indirect patient care, provides health advice, patient and family education, and may handle phone triage. Provides detailed evaluation of patient symptoms to determine urgency of situation, facilitates next steps in patient care, and provides medical advice on treating symptoms. Utilizes the nursing process based on research and evidence-based outcomes to meet patient care needs. Administers medications, collects specimen, and performs nursing procedures within scope of practice. Documents all nursing services provided. Collaborates with other members of the health care team to ensure the delivery of quality patient care and when facing ethical or legal issues. Facilitates appropriate utilization of healthcare resources. Enhances the patient experience. Provides services in compliance with all applicable regulatory and professional standards, including the California Nurse Practice Act. Performs other duties as assigned.

Education and Experience

Required:

Successful completion of a nursing program
Basic keyboarding skills basic knowledge of Microsoft Office Suite, including Outlook, Word and Excel

Preferred:

One (1) year clinical nursing experience preferably in an ambulatory care setting
Bachelors of Science in Nursing
Knowledge of registration and order entry systems
Knowledge of patient scheduling and insurance verification and authorization

License Required

Current licensure as a Registered Nurse in good standing in the State of California.

Certifications Required

Current BLS Certification

MEDICAL ASSISTANT III - TUSTIN INTERNAL MEDICINE (Tustin, CA, US, 92606)

Salary Range: $24.8200 - $38.3500 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

Primary Duties and Responsibilities

The Medical Assistant (MA) is responsible for maintaining a highly professional environment, ensuring a collaborative relationship with patients and physicians. The MA will assist with the non-clinical tasks required to ensure smooth patient access and flow including scheduling patients which can include follow up office visits, imaging and lab work, preparation of appropriate chart elements. The responsibilities of this position would also include pre-authorization process and acting as a liaison between the providers and patient. The Medical Assistant will work collaboratively with staff to ensure all proper records are received and all appropriate testing is completed prior to appointment/surgery date. The Medical Assistant will provide updates to the staff and patients on timing and status for all the above tasks that could have an impact on the patient’s health and/or testing and treatment options. Ensures even patient flow and continuous communication within Hoag and referring physician offices.

Education and Experience

Required:

High school graduate or equivalent; Graduate of Medical Assistant program or one year previous medical back-office experience, preferably within an acute healthcare system environment.
Basic keyboarding skills and knowledge of Microsoft Office Suite, including Outlook, Word and Excel
Basic knowledge of medical terminology

Preferred:

Associate or Bachelors’ degree in healthcare-related field
Minimum one (1) year previous medical back-office experience, preferably within an acute healthcare system environment
Working Knowledge of EPIC or other Electronic Medical Record system ‘EMR’
Qualified bilingual or multilingual candidates

Certifications Required

Current BLS Certification

Certifications Preferred

Medical Assistant Certification
CPR certification required or willing to obtain within 30 days of hire
Current Limited Phlebotomy Certification

About Hoag

Hoag is a nonprofit, regional healthcare delivery system in Orange County, California. Delivering world-class, comprehensive, personalized care, Hoag consists of 1,800 top physicians, 15 urgent care facilities, 10 health and wellness centers, and two award-winning hospitals. Hoag offers a comprehensive blend of health care services that includes seven institutes providing specialized services in the following areas: cancer, digestive health, heart and vascular, neurosciences, spine, women's health, and orthopedics through Hoag's affiliate, Hoag Orthopedic Institute, which consists of an orthopedic hospital and four ambulatory surgical centers. Hoag is the highest-ranked hospital in Orange County by U.S. News & World Report and the only OC hospital ranked in the Top 10 in California, as well as a designated Magnet® hospital by the American Nurses Credentialing Center (ANCC). For more information about Hoag careers, visit careers.hoag.org.

EPIC AMBULATORY APPLICATIONS ANALYST III - EPIC - IT HOAG CLINIC (Costa Mesa, CA, US, 92626)

Salary Range: $54.1800 - $83.7000 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

Primary Duties and Responsibilities
The Epic Ambulatory Application Analyst III is responsible for configuring, testing, implementing and supporting the clinical, financial, or administrative Epic modules within their area of support.
Oversees practices and processes to ensure integrity, safety and availability of all data and applications as part of the organization’s systems. Responsible for planning and system development, project management, and application administration. Collaborates with key stakeholders, end users and other members of the business teams to optimize system conﬁguration, function and access. Facilitates team discussions and completion of tasks that require multiple resources. Must be knowledgeable about the organization’s policies, procedures, and business operations.
Evaluates problem tickets and service requests, customer requests for system changes, data retrieval requests, system performance problems and optimization opportunities, and participate in the timely resolution of these activities. Independently resolves the most complex, multi-function application errors and other system issues. Primary responsibility for the build and maintenance of various system dictionaries, proﬁles, tables and other conﬁguration points. Identifies system enhancement requests and works with the team to implement as applicable. Independently manages the full lifecycle of medium to large optimizations. Coordinates with the vendor as appropriate.
Tests the system, including any conﬁgurations, customizations and new releases, prior to production implementation. Works with end-users to assist with the design and testing of system reports and communicate changes to end users and other staﬀ as applicable. Leads or facilitates system design, validation or remediation sessions. Advanced understanding of how assigned application impacts other systems and works with integration teams to resolve complex data integration issues.
Leads large projects and functions as a subject matter expert on complex, cross-functional projects. Provides guidance to level I and II analysts.
Performs above functions with minimal oversight. Performs other duties as assigned.
Education and Experience
Required:
High School Diploma or equivalent required.
Minimum ﬁve (5) years’ experience working as an Epic Ambulatory Certified Build Analyst.
Proﬁcient with Microsoft oﬃce tools, including Word, Excel, PowerPoint, Visio, and Project
Expert EPIC Ambulatory Module knowledge in the assigned application in at least one functional area.
Preferred:
Bachelor’s Degree in Computer Science, Information Systems or equivalent experience in a related ﬁeld.
EpicCare Link Experience or Certification.
Certifications Required
Epic Ambulatory Certification
Certifications Preferred
Epic Ambulatory and EpicCare Link Certifications a plus.

MEDICAL ASSISTANT II - HSC NB1525 UROLOGY (Newport Beach, CA, US, 92617)

Salary Range: $22.4900 - $34.7700 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

The Medical Assistant II (MA) is responsible for maintaining a highly professional environment, ensuring a collaborative relationship with patients and physicians. The MA will assist with the non-clinical tasks required to ensure smooth patient access and flow. This includes but is not limited to the following tasks: Scheduling patients which can include follow up office visits, imaging and lab work, preparation of appropriate chart elements, checking vital signs, rooming patients, and assisting with procedures. The non-clinical responsibilities of this position would also include pre-authorization process and acting as a liaison between the providers and patient. The Medical Assistant will work collaboratively with staff to ensure all proper records are received and all appropriate testing is completed prior to appointment/surgery date. The Medical Assistant will provide updates to the staff and patients on timing and status for all the above tasks that could have an impact on the patient’s health and/or testing and treatment options. Ensures even patient flow and continuous communication within Hoag and referring physician offices.

May be required to start at a different location throughout the workweek or travel to multiple sites.

Oncology and Specialty Clinics: Follows clinic guidelines for handling instruments and equipment utilized in clinic procedures.

Required:

High school graduate or equivalent GED,

Graduate of a Medical Assistant Program OR equivalent medical back-office experience as defined below.

Ability to anticipate provider needs/ critical thinking skills that come from experience.

HMG /OCW

HMG Primary Care : Must have 4 years experience in Primary care.

HUC

Hoag Urgent Care: Must have 4 years' experience in Primary or Urgent Care.

Diabetes Center

Must have 2+ years' experience as a Medical Assistant

Oncology/Gastro/Digestive Specialty Clinics

Must have 2+ years of experience as a Medical Assistant

Certifications Required

Current BLS Certification
Certifications Preferred
Medical Assistant Certification
CPR certification

Diabetes, Oncology, Gastro, Digestive Specialty Clinics

Current Limited Phlebotomy Certification

MEDICAL ASSISTANT - SAN CLEMENTE FAMILY MEDICINE (San Clemente, CA, US, 92672)

Salary Range: $20.8200 - $32.0300 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

Primary Duties and Responsibilities

Education and Experience

Required:

High school graduate or equivalent; Graduate of Medical Assistant program or one year previous medical back-office experience, preferably within an acute healthcare system environment.
Basic keyboarding skills and knowledge of Microsoft Office Suite, including Outlook, Word and Excel
Basic knowledge of medical terminology

Preferred:

Associate or Bachelors’ degree in healthcare-related field
Minimum one (1) year previous medical back-office experience, preferably within an acute healthcare system environment
Working Knowledge of EPIC or other Electronic Medical Record system ‘EMR’
Qualified bilingual or multilingual candidates

Certifications Required

Current BLS Certification

Certifications Preferred

Medical Assistant Certification
CPR certification required or willing to obtain within 30 days of hire
Current Limited Phlebotomy Certification

About Hoag

CLINICAL NURSE I-IV - LABOR AND DELIVERY - NEWPORT BEACH (Irvine, CA, US, 92602)

Salary Range: $47.8400 - $74.1700 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

Essential Responsibilities:

The Clinical Nurse – Maternal Child Health role provides direct patient care in accordance with the Nurse Practice Act for assigned patients in maternal child departments including Perinatology, LDR, Mother/Baby, LDRP and NICU. The nurse collaborates with other disciplines of the health care team to ensure the delivery of safe, timely and appropriate quality patient care. This includes providing physical assessments, nursing interventions, pain management, medication administrations, specimen collection, meeting nutritional and emotional needs, and education and discharge needs of the patients assigned. Utilizes the nursing process based on evidence-based best practices to meet patient care needs. Evaluates and adjusts the nursing care process as necessary with consultation as needed and confers with the appropriate resource personnel when making ethical/legal/medical dilemma decisions. Maintains a working knowledge of departmental and hospital standards, policies, and procedures. Performs other duties as assigned.

The Sue & Bill Gross Women’s Pavilion at Hoag Newport Beach is home to the county’s largest and most respected maternal child services program, with nearly 200,000 babies born to date. Our renowned maternal child services program remains focused on delivering family-centered care through its experienced obstetrical team, maternal-fetal medicine specialists and certified nursing staff. This exceptional birthing center was specifically designed to create a first-class experience for all patients and their families. Included in the Women’s Pavilion at Hoag Hospital Newport Beach is an advanced fetal diagnostic testing unit; a 14-bed antepartum unit; 18 fully equipped labor, delivery, and recovery suites; and a state-of-the-art Neonatal Intensive Care Unit (NICU) providing specialized, around-the-clock care for infants born prematurely, or with complications.

Schedule

Positions available (as needed): Full Time and Per Diem
Hours/Pay Period: 72 (Full Time) and 24 (Per Diem)
Shift Length: 12-hour shifts

License Required

Registered Nurse in the State of California - Current and in good standing required.

Certifications Required

BLS, NRP, ACLS, and Basic Fetal Monitoring are required.
AWHONN Fetal Monitoring certification required upon hire (employees hired before 4/1/2025 only: Fetal Monitoring must be obtained within six months of hire); AWHONN Advanced Fetal Monitoring certification required within two years from hire and must be renewed every 3 calendar years.

Education and Experience

Level 1
- BSN required or BSN program started within one year of hire date and attained within two years of starting the BSN program
- 6 months of experience as NICU RN required
Level 2
- BSN required.
- 1 year of experience as NICU RN required
Level 3
- BSN required.
- National certification is required.
- 3 years of experience as NICU RN required
Level 4
- MSN required.
- National Certification is required.
- 4 years of experience as NICU RN required

Salary Range

Level 1: $49.27 - $76.77
Level 2: $51.73 - $80.54
Level 3: $54.34 - $84.63
Level 4: $57.06 - $88.84

FOUNDATION SPECIALIST - ADVANCEMENT SERVICES (Newport Beach, CA, US, 92617)

Salary Range: $31.6700 - $48.9400 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

Primary Duties and Responsibilities

The Foundation Specialist is responsible for advancing the Hoag Hospital Foundation’s mission through the planning, coordination, and implementation of assignments in collaboration with internal and external partners to achieve overall Foundation goals.

The Foundation Specialist specializes in overseeing projects, focusing on coordinating and facilitating operations for both internal and external stakeholders. With a strong emphasis on organization, meticulous planning, and attention to detail, this role ensures streamlined processes and fosters effective communication among team members. The specialist ensures a standard of excellence in service delivery to staff, donors volunteers, and both internal and external stakeholders, nurturing strong relationships and trust. Key responsibilities include:

Actively contributing to the strategic planning process, ensuring alignment with organizational goals and initiatives.
Executing various projects assigned by supervisor, including developing presentation decks, talking points, meeting agendas, and departmental reports.
Serve as a strategic liaison across the organization advancing the progress of our organizational goals and initiatives by creating efficiencies, proactively developing solutions and maximizing interdependent relationships across departments
Facilitating small-scale events, from strategic pre-event planning to post-event analysis of Return on Investment (ROI), ensuring successful outcomes
Manage and analyze donor information within internal systems including SalesForce, as related to specific department/area
Maintains a working knowledge of departmental standard operating procedures
Other duties as assigned.

Advancement Services Dept: Manages detailed project lifecycles, including scope, timeline, budget, and resources, while coordinating cross-functional teams to align with strategic goals. They support the Executive Director in maintaining the project roadmap and managing small to moderate projects, contributing to the creation of project management frameworks and documentation.

Education and Experience

Bachelor’s Degree or equivalent Experience
Minimum five years of professional and/or administrative experience
Microsoft Suite knowledge (Word, Excel, PowerPoint, teams, Outlook)
Canva knowledge
Salesforce or equivalent database knowledge

ULTRASOUND TECH I - HHC ISC BREAST CARE & IMAGING (Irvine, CA, US, 92602)

Salary Range: $46.7700 - $72.3000 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

Under the direction of the technical supervisor and medical director, the Ultrasound Technologist I demonstrates competency and proficiency in all skills required to perform level I routine ultrasound procedures as defined by department protocols. All technologists utilize independent judgment and required knowledge to obtain high quality diagnostic ultrasound images. The technologist competently evaluates the technical quality of the images obtained and prior to submitting to interpreting radiologist. They educate the patient/family about the procedure and report all changes in patient’s status, including initiating emergency response if required. They accurately document patient information in the appropriate hospital systems. Hospital based positions may require call responsibility and rotation to hospital adjacent imaging center locations. Performs other duties as assigned.

Cardiology department only: On-call employees are required to respond to call within 15 minutes, troubleshoot problem, provide services off-site as needed and be available to provide services on-site as needed within 1 ½ hours of being called to respond.

EXPERIENCE:

Minimum one year of experience is preferred but will consider new grads.

REQUIRED EDUCATION:

Associates degree or higher. Graduate of an ARDMS approved ultrasound program.

Hospital/OP Imaging locations only: Experience may be considered in lieu of education if licensure and certification requirements are met. Graduate of a Commission of Accreditation of Allied Health Education Programs approved program (exception for programs completed prior to 1994).

Cardiology department only: Experience with adult, neonate, and pediatric cardiac ultrasound as well as stress echocardiograms, TEEs, and Intra-Operative TEE preferred.

MEDICAL ASSISTANT - LAGUNA HILLS FAMILY MEDICINE (Laguna Hills, CA, US, 92637)

Salary Range: $21.4400 - $33.1600 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

Primary Duties and Responsibilities

Education and Experience

Required:

High school graduate or equivalent; Graduate of Medical Assistant program or one year previous medical back-office experience, preferably within an acute healthcare system environment.
Basic keyboarding skills and knowledge of Microsoft Office Suite, including Outlook, Word and Excel
Basic knowledge of medical terminology

Preferred:

Associate or Bachelors’ degree in healthcare-related field
Minimum one (1) year previous medical back-office experience, preferably within an acute healthcare system environment
Working Knowledge of EPIC or other Electronic Medical Record system ‘EMR’
Qualified bilingual or multilingual candidates

Certifications Required

Current BLS Certification

Certifications Preferred

Medical Assistant Certification
CPR certification required or willing to obtain within 30 days of hire
Current Limited Phlebotomy Certification

About Hoag

MEMBER ADVOCATE I - HOAG CLINIC ENGAGEMENT SERVICE (Costa Mesa, CA, US, 92626)

Salary Range: $21.4400 - $33.1600 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

Job Summary:

The Customer Service Specialist serves our patients, members, and providers.
Responsible for answering phone calls and scheduling patient appointments. Triages phone calls as necessary. May conduct patient/member pre-certification to ensure coverage for appointments and medical care. With the assistance of data and technology, they function as a liaison and ensures a high value and personalized experience.

For Hoag Clinic: Member Advocate I
For Revenue Cycle: CPS Specialist

Education and Experience:

High School Diploma or equivalent
1-3 years of customer service experience

License Required: N/A

License Preferred: N/A

Certifications Required: N/A

Certifications Preferred: N/A