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Sunshine Health Jobs (NOW HIRING)

BAS Healthcare

Internal Medicine Physician

Hesperia, CA

$270K - $290K/yr

... sunshine. Healthcare Organization: Established, physician-friendly multi-site primary care group with 10 outpatient locations throughout Southern California. The organization is known for its ...

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Sunshine Health information

What are some common challenges faced by employees working at Sunshine Health, and how are they addressed?

Employees at Sunshine Health often navigate challenges such as managing a diverse caseload, adapting to regulatory changes in healthcare, and collaborating with multidisciplinary teams across remote and on-site settings. To address these, Sunshine Health provides comprehensive training, fosters a supportive team environment, and utilizes technology platforms to streamline communication and documentation. Additionally, the company encourages ongoing professional development and offers mentorship programs to help staff overcome obstacles and advance in their careers.

What is the difference between Sunshine Health vs Medicaid Specialist?

AspectSunshine HealthMedicaid Specialist
CredentialsVaries by role, often requires healthcare or insurance knowledgeTypically requires knowledge of Medicaid policies, certifications may be preferred
Work EnvironmentHealthcare provider offices, insurance companies, call centersGovernment agencies, insurance companies, healthcare organizations
Employer & IndustryPrivate healthcare plans, insurance providersState Medicaid agencies, healthcare organizations
Common Search & ComparisonSunshine Health vs Medicaid Specialist

Sunshine Health is a healthcare insurance provider offering managed care plans, while a Medicaid Specialist focuses on assisting clients with Medicaid enrollment and benefits. Although both roles involve healthcare and insurance, Sunshine Health operates as a provider, whereas a Medicaid Specialist works within or for government agencies or organizations to support Medicaid recipients.

What are the key skills and qualifications needed to thrive as a Health Insurance Specialist at Sunshine Health, and why are they important?

To excel as a Health Insurance Specialist at Sunshine Health, you generally need a background in healthcare administration, insurance policies, and knowledge of regulatory guidelines, often supported by a degree in health administration or a related field. Familiarity with claims management systems, electronic health records (EHR), and billing software is typically required, along with certifications such as Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS). Strong attention to detail, problem-solving abilities, and effective communication skills help resolve claims issues and assist members efficiently. These competencies ensure accurate claims processing, regulatory compliance, and high-quality service for members.

What is Sunshine Health and what services does it provide?

Sunshine Health is a managed care organization that offers health insurance plans to individuals and families, primarily in Florida. They provide Medicaid, Medicare, and Marketplace plans, helping members access a wide range of healthcare services such as doctor visits, hospital care, prescription drugs, and preventive care. Sunshine Health also offers care coordination, assistance with finding providers, and support for managing chronic conditions. Their goal is to improve health outcomes and make healthcare accessible to their members.
More about Sunshine Health jobs
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What states have the most Sunshine Health jobs? States with the most job openings for Sunshine Health jobs include:
What job categories do people searching Sunshine Health jobs look for? The top searched job categories for Sunshine Health jobs are:
Sunshine Health jobs near you
Rehab RN, on-call

Rehab RN, on-call

Sunshine Health Facilities

Spokane Valley, WA • On-site

$39.69 - $53.34/hr

Per diem

Posted 6 days ago

Job description

Description
  • Per Diem: 12% increase added to base wage for on-call/per diem
    Shift differentials: $1 eve, $4 NOC, $3 weekend
    Are you looking for more than just a job? At Sunshine Health Facilities you'll find a career with purpose-in a place where your contributions are valued, your growth is supported, and your well-being is a priority.
    We're proud to be recognized as a Great Place to Work®, a prestigious designation that reflects the voices of our team and our commitment to building a culture of respect, collaboration, and compassion.
    Job Description
    Sunshine Health and Rehab provides exceptional long term and acute care services for adults in need. We are an award winning, locally owned care facility serving the Spokane community for over 70 years. We are looking to grow our team of resident care professionals with dedicated staff who can deliver quality resident care while growing their skills as a member of our team.
    Benefits
    • Competitive pay
    • Time and a half on major holidays
    • Free access to fully equipped workout facility
    • Employee Assistance Program: This no cost plan provides mental health support, life coaching, wellness resources, legal assistance, financial coaching and identity theft resolution!

    Extra Perks!
    • Free continuing education
    • Free CPR recertification
    • $5 lunch with payroll deduction
    • Annual company events including summer picnic and annual employee recognition meeting
    • Year-round employee appreciation events and activities
    • Employee emergency financial assistance fundraising events
    • Free Flu, COVID, Hep B vaccines
    • Free parking
    Responsibilities
    • Coordinate management of client's outpatient mental health benefits
    • under PHP for persons assigned to primary caseload including monitoring of individual treatment plans and achievement of treatment goals.
    • Assist in establishing and implementing procedures for medication storage, reordering, administration and client compliance.
    • Administer medications as directed. Observe for effectiveness and side effects.
    • Perform routine assessment of physical complaints; monitor ongoing medical problems and make client referrals for medical emergencies and routine follow-ups.
    • Maintain and enhance customer service to ensure that both external and internal customers of the facility have a positive experience.
    • Comply with all state WAC requirements and facility policies and procedures.
    • Ensure assigned staff complies with all state WAC requirements and facility policies and procedures.
    • Perform facility charting requirements, correspondence, SALs and other paperwork in a complete and timely manner.
    • Perform all other nursing duties as assigned.

Requirements
Required Qualifications (Certificates and Licenses)
  • Nursing degree from an accredited program
  • An active RN license in Washington State or Multistate License
  • Current CPR certificate (facility can provide)

Equivalent experience is not accepted in place of required education.

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