1. Open to hybrid work arrangement.
2. Graduate of a Bachelor’s Degree of any allied medical profession.
3. License is preferred – RN, PTRP, RPH or OD.
4. 3+ years medical, healthcare or clinical experience in an inpatient hospital setting is required.
5. Minimum of one year Philippine or US healthcare insurance and claims experience is required,
6. Knowledge of healthcare insurance and medical terminology; Codes–ICD-9, CPT, HCPCS; CMS/ADA Claims Forms; Medicare and NCCI guidelines’ Fee Schedules and HIPAA are preferred.
7. Computer literate and proficient in MS Office Applications.
8. Outstanding oral and written communication skills.
9. Strong ethics and a high level of personal and professional integrity.
10. Excellent customer service skills.
11. Effective team player and good interpersonal skills.
12. Supports organizational and departmental philosophy, objectives and goals.
13. Able to work independently and with minimal supervision.
14. Ability to prioritize and organize multiple tasks.
15. Capable of handling demands and time pressure workload.
16. Must be able to meet set deadlines and goals.
17. Ability to work on full time schedule including extended hours, weekends, and holidays.

• Reviews claims daily based on medical necessity, coverage guidelines, coding & payment standard and applicable regulatory and compliance requirements.
• Reviews claims above $25,000 in estimated payments
• Reviews services for appropriateness of charges and ensures payments are consistent with authorization information during claims processing.
• Reviews and interprets medical records to determine appropriateness of care and its level, identifies any excessive & unchartered charges, non-covered or excluded services, services exceeding benefit limitation and appropriate application of benefit coverage. 
• Ensures appropriate coding guidelines are applied to all claims prior to payment

• Analyzes, processes, researches, adjusts, and adjudicates claims with the use of accurate procedure/revenue and ICD-10 codes, under the correct provider and member benefits, i.e., co-payments, deductibles, etc.
• Responsible for maintaining a 98% claims processing accuracy rate.
• Strict compliance of all HIPAA rules and regulations.
• Ensures all Protected Healthcare Information (PHI) is secured.

• Responds to inquiries from internal departments and external providers in a timely and courteous manner based on any follow up questions and/or appeals on payments and/or coding issue. 
• Responds and solves issues referred by the Customer Service Dept within 2-5 working days.
• Resolve provider or physician group claims inquiries and executes resolution in a timely fashion.

• Creates and maintains a daily production report of all reviewed claims 
• Updates and prepares reports for Management Team as required.
• Informs and reports to Claims Team Lead, Claims Supervisor and/or Claims Manager issues that impact quality and claims payment accuracy.
• Routinely updates milestones and goals within the performance goal system.

1. Process enrollment transactions, including receiving, logging, screening, verifying, and coding data for input into the enrollment system(s) based on department policies and group/individual policy contracts.
2. Handle premium A/R requests per established department guidelines.
3. Collect group premiums, address receivables, and issue collection notices, maintaining accounts within required time frames.
4. Educate members and employers on plan guidelines, eligibility updates, and the premium collection process.
5. Conduct aging analysis, review revenue/eligibility reports, and resolve receivable balances through collection efforts or revenue adjustments.
6. Resolve day-to-day issues in Membership Accounting and Enrollment operations, including member/dollar-level account reconciliation, auditing, and billing adjustments.
7. Perform data entry of approved enrollment requests and premium payments when needed.
8. Support the department in meeting or exceeding performance metric targets and goals.
9. Assist the department supervisor with new priorities and opportunities from managing partners.
10. Conduct MAS audit functions.
11. Complete special projects as assigned in a timely manner.
12. Perform other duties as assigned.

1. Associate degree or equivalent two-year course, or a minimum of three years' experience in customer service resolving eligibility and premium accounts receivable issues.
2. Flexibility to work evenings and weekends.
3. Effective team player with strong interpersonal skills.
4. Ability to address complex situations with maturity, diplomacy, and tact, especially when dealing with irate customers.
5. Excellent oral and written communication skills.
6. High level of personal and professional integrity with strong ethics.
7. Basic knowledge of federal and state healthcare laws and regulations.
8. Proficient in MS Office programs and general computer literacy.

• Reviews and analyzes medical information and provides oversight in reviewing, evaluating and determining the medical necessity of service treatment request to ensure that treatments are consistent with patient’s diagnosis, treatment plans, coverage guidelines and policies.
• Determines appropriateness of services based on consistent application of decision support and effective delivery system and takes responsibility in communicating to providers and patients in a timely and effective manner.
• Reviews financial and utilization data and prepares a comparative analysis of actual and benchmark/goals. Develops and recommends initiatives, strategies and programs in developing improvement action plans as appropriate.
• Performs telephonic and/or onsite review of concurrent patient services and retrospective quality of care issues, access and outcome studies i.e., HEDIS, NCQA.
• Maintains ongoing database/documentation to monitor all activities/treatment and outcome plans for patients. This should be in conformance with organizational policies and guidelines and compliant with government regulations.
• Develops and maintains quality assurance measures to ensure consistency in application of decisions on requests for health care services, utilizing evidenced-based guidelines and criteria and decision support systems.
• Develops and implements tracking and control procedures to ensure that services being provided to eligible members are within the scope of the benefit plan and contracted providers are being utilized.
• Oversees the coordination and concurrent review of patients to ensure services are provided at the appropriate level of care utilizing evidence-based guidelines and criteria in the review and decision process.
• Provides feedback to physicians, providers, facilities and members regarding coordination and authorization process and treatment plan.
• Provides oversight of Case Management Program to proactively identify and refer catastrophically and chronically ill patients to case management using established criteria.
• Assist in developing industry recognized benchmarks for program tracking of caseloads, cost savings,and utilization.
• Coordinates and manages relationship with third parties to ensure timely and cost-effective services are delivered and routed to the appropriate health care delivery systems.
• Collaborates and reviews on-going cases with reinsurance partners to manage risks and costs.
• Collaborates and reviews potential high dollar cases to ensure that appropriate treatments are provided at cost effective delivery systems.

• Evaluates and reviews staffing requirements and responsible for scheduling to ensure adequate department coverage.
• Evaluates staff performance and conducts reviews according to company guidelines and protocol.
• Supervise daily department activities to ensure completion of deliverables based on established benchmarks and goals.
• Monitors team performance and develops streamlined and efficient processes through workflow improvement and process re-engineering.
• Coordinates and liaison with the Health Plan Administrator, Medicare Director and/or Peer Reviewer to ensure utilization strategies and initiatives are developed and implemented to support overall cost effectiveness and health care quality is achieved consistent with company’s goals and objectives.
• Monitors and trouble shoot moderate to complex department issues in collaboration with the Health Plan Administrator and/or Medical Director
• Organizes and implements a regular communication session with Medical Management Staff, and other health care team members, and provides a venue whereby issues and concerns are discussed in a timely and effective manner.
• Conducts departmental staff development and enrichment training as needed keeping individual goals aligned with department and organizational goals and objectives.

1. Graduate of Bachelor’s Degree in Nursing or other related field; License required.
2. Minimum of 3 years (supervisory) or 5 years (managerial) experience with impressive track record in performing routine to complex utilization management activities and strategies relating to coordination, concurrent review, discharge planning, prior authorization, case management and retrospective reviews to ensure effective and efficient provision of quality and appropriate health care services
3. Minimum of 3 years management experience.
4. Effective team player. With very good interpersonal relationship skills and can work and relate well with co-employees, patients and customers.
5. Must have behavioral sensitivity, maturity, diplomacy and tact to address complex situations and handling irate customers.
6. Outstanding oral and written communication skills.
7. Strong ethics and a high level of personal and professional integrity.
8. Must have basic familiarity of federal and state laws and requirements relating to healthcare management.
9. Computer literate and very highly proficient in using MS office programs.

• Serve as liaison between customer service team, management and customer to improve customer service and business productivity.
• Analyze customer complaints and provide appropriate corrective actions.
• Assist in training peers on improving customer service.
• Receives, documents, researches and responds to member inquiries, complaints, appeals, and grievances from callers and visitors.
• Prepares and/or initiates a variety of correspondence/documents in response to inquiries, complaints, appeals and grievances.
• Gathers and presents all relevant data of case for medical review and makes recommendations for resolution and/or determination of next step.
• Coordinates problem resolution for members, providers, and employer groups amongst various internal departments and external resources/contacts.
• Authorizes payment of claims within pre-establish limits or guidelines.
• Educates members on benefits, use of plan, premiums and status of claims, appeals, and grievances.
• May contact providers to notify them of overturned appeals and changes of financial responsibility.
• Handles primary duties of the Coordinator, when necessary.
• Acts as designated department resource with extensive knowledge of simple matters and provides guidance to other staff members.
• Accumulates and collects updated member demographics.
• May be assigned special project, such as Grievance Coordinator/Appeal Coordinator. Responsible for receiving and documenting all written grievances/appeals and for facilitating timely review and responses from respective parties.
• Performs other duties that may be assigned from time to time.

1. High school diploma or equivalent.
2. 1 year experience in Customer Support.
3. Healthcare experience and/or clinic administration preferred but not required.
4. Must have the behavioral sensitivity, maturity, diplomacy and tact in addressing complex situations and handling irate customers.
5. Exceptional customer service skills including effective and efficient problem solving and analyzing skills.
6. Ability to perform essential job functions with high degree of independence, flexibility, and creative problem solving techniques.
7. Ability to effectively handle and prioritize multiple tasks, frequent interruptions and details with accuracy.
8. Must have strong organizational skills.
9. Outstanding oral and written communication skills.
10. Skill with interpersonal relationships and ability to effectively interact with all levels of  staff and outside contacts.
11. Strong ethics and a high level of personal and professional integrity.
12. Must have basic familiarity on federal and state laws and requirements relating to healthcare management.
13. Computer-literate and very highly proficient in using MS office programs.

• Review and analyze medical information either through telephonically or onsite, to determine the medical necessity of continued stay according to review standards. Also, in conducting further review and analysis to determine whether treatments are consistent with patients’ diagnosis.
• Determine medical necessity and length of stay based on the consistent application of decision support system, and communicates decisions to providers and patients.
• Initiate/coordinate discharge planning goals with physicians, members, families, caregivers and ancillary providers to support the member’s continuity of care needs.
• Provide customer/member support through benefit education to ensure accurate administration of member’s benefits and coverage.
• Identify day and cost outliers and prepares documents as well as provides reports on quality-of- care issues.
• Submit reports and communicates in a timely and effective manner to the Health Plan Administrator, Medical Director or designee, Medical Management Staff and other health team members.
• Perform onsite review of concurrent patient services and retrospective review of quality care issues, access and outcome studies.
• Determine and develop discharge plans and goals with providers and ensure implementation of identified discharge plan appropriately and timely.
• Maintain ongoing database/documentation to monitor all activities/treatment and outcome plans for patients’ conformance with organizational and government regulations.
• Conduct pre-contractual and other assessment surveys and a variety of quality management, utilization and claims audit.
• Ensure that services provided to eligible members are within benefit plan and appropriate contracted providers are being utilized.
• Identify and refer catastrophically and chronically ill patients to case management when appropriate.
• Coordinate out of area and off-island in-patient cases ensuring patient receives cost-effective quality care and monitor patient for return to work or service area.
• Assists and support the Concurrent Review staff in performing the tasks assigned to him/her
• Performing other duties as assigned.

• Acting as a coordinator with TakeCare's Pharmacy Benefit Manager to include but not limited to the following duties:
• Interfaces on all issues and solutions
• Manage reporting and disseminate reports and information
• Monitors transparency/payment issues
• Represent the Health Plan by participating in the Pharmacy and Therapeutics (P&T) team.
• Driving recommendations to execution and deliver cost savings for Health Plan and FHP Clinic
• Act as resource on pharmacy claims adjudication, drug pricing, or reimbursement for any on-island and off-island claim
• Closely working with the PBM to review all pharmacy utilization and tracks prescribing trends that lend themselves to improvement clinically and financially by utilizing pharmacy data to identify outliers and trends. Segments findings to identify high utilization by physician, clinic, and  patient and develops reports to translate findings.
• Performing reviews and provides recommendations and/or approvals of drug therapies through a consistent application of guidelines aligning them with member's approved benefit plan and coverage.
• Compiling and reports on findings of utilization review and collaborates with the Medical Management Supervisor, Medical Director or Health Plan Administrator to develop solutions to segmented high utilization by physician, clinic, patient, drug, etc.
• Managing the implementation of solutions in collaboration with the Medical Management Supervisor, Medical Director or Health Plan Administrator that may include educational discussions, seminars, one-on-one discussions with physicians, use of patient educational materials, in designing and implementation of improvement methodologies.
• Engaging the network pharmacists/pharmacies on Guam to provide plan education and drive change management initiatives to ensure member satisfaction and streamlined communication.
• Interfacing with PBM’s Pharmacy and Therapeutic committee in the development and monitoring of TakeCare’s formulary by providing data on utilization, prescribing trends, and other related updates.
• Maintaining content responsibility of TakeCare’s formulary by addressing issues and initiating development of solutions and assumes formulary responsibility through proper and approval of new drugs, dissemination, update and management of TakeCare's formulary.
• Interfacing with other plan initiatives such as case and disease management to optimize pharmacy utilization and actively collaborate with disease management coordinator and case managers to develop effective program interventions that will optimize pharmacy resources and drug therapies
• Providing customer support through member education on formulary and plan benefits, prior authorization process, and coordinates with other network pharmacies to address customer concerns related to pharmacy benefit administration.
• Assisting with member open enrollment events by supporting the sales team effort to drive membership by educating new, renewing, and existing groups regarding our pharmacy benefit and the PBM programs we have in place.
• Performing other duties as assigned.

1. Graduate of Bachelor’s Degree in any related medical field.
2. Minimum of 2-year experience and must have impressive track record in reviewing treatment plans and services in order to ensure the efficient use of patient utilization systems and quality care using appropriate medical resources; and pharmacy benefit management.
3. Preferably a Nurse, LPN or a Pharmacy Tech.
4. Prior medical and clinical pharmacy experience or background.
5. Effective team player. With very good interpersonal relationship skills and can work and relate well with co-employees, patients and customers.
6. Must have the behavioral sensitivity, maturity, diplomacy and tact in addressing complex situations and irate customers with outstanding oral and written communication skills.
7. Strong ethics and a high level of personal and professional integrity.
8. Must have basic familiarity on federal and state laws and requirements relating to healthcare management.
9. Computer literate and very highly proficient in using MS office programs.

• Provides direct medical services to patients in Family Practice /Adult Medicine for patients in ambulatory, and inpatient settings.
• Serves as an advisor to the Medical Director in the development of programs and services, improvement of services and in troubleshooting problems at the FHP Health Center.
• Participates in the overall clinical management of patients seen in Family Practice, Urgent Care, Preventive Care and Diabetes clinics. As well as assists in the overall leadership of the clinical services with other staff providers in various activities including but not limited to: written clinical protocols, managed care and preventative health guidelines.
• Prescribes or administer treatment, therapy, medication, vaccination and other specialized medical care to treat or prevent illness, disease or injury.
• Order, perform and interpret test and analyze records, reports and examination information to diagnose patients’ condition.
• Collect, record and maintain patient information such as medical history, reports and examination results.
• Monitor patients’ conditions and progress and re-evaluation treatments as necessary
• Explain procedures and discuss test results or prescribed treatments with patients.
• Advise patients and community members concerning diet, activity, hygiene and disease prevention.
• Refer patients to medical specialists or other practitioners when necessary.
• Works with underserved and underinsured diverse populations.

1. Graduate of Doctor of Medicine. Guam license is required
2. Must be US Board Certified or US Board Eligible
3. Must have completed Residency and/or Fellowship in the US and passed the US qualifying exam (USMLE or FLEX).
4. Must be eligible to work in the US.
5. Minimum of 3 years experience in planning and carrying out medical care program
6. Must have the appropriate level of behavioral maturity and patience in handling patients.
7. Must have the diplomacy and tact in handling difficult and irate patients.
8. Very good interpersonal relationship skills and can work and relate well with co-employees, patients and customers.
9. Outstanding communication skills and persuasiveness, ability to communicate instructions and procedures for treatments, keeping the patients and giving them the desired level of comfort and confidence.
10. Must have strong sensitivity to the needs and anxieties of patients and the ability to motivate patients to undergo treatments and procedures.
11. Strong ethics and a high level of personal and professional integrity.
12. Knowledgeable of federal and state laws and requirements relating to healthcare management.

Location: Manila, Metro Manila, Philippines

Job Summary:

Reports directly to the Utilization Management Team Lead and responsible for reviewing treatment plans and services that are already underway in order to ensure the efficient use of patient utilization systems and quality care using appropriate medical resources. Also, evaluates the quality of care and its conformance with organizational policies, procedures and guidelines, as well as compliance with government regulations.

Duties and Responsibilities

1. Medical Referral

1. Inputs and processes authorization requests and authorizations per guidelines and according to defined time and accuracy standards.
2. Reviews the health plan and other guidelines to ensure that services being provided to eligible members are within the scope of the benefit plan and contracted providers are being utilized.
3. Issues letters of authorization and applies appropriate contracted or negotiated rates using established criteria.
4. Provides members with verification of eligibility, interpretation of benefits, and appropriate contracted provider/facility.
5. Screens and troubleshoots calls or walk-in’s regarding member care within scope of position. Routes members and provider concerns outside that scope to appropriate department or co-employees.
6. Maintains effective communication with members, providers, and other TakeCare staff to ensure adherence to company policies, guidelines and processes.
7. Corresponds with TakeCare Guam for coordination of members’ off-island referrals.
8. Administers reports and maintains files of correspondence, medical records, and other documentation, as appropriate, to report status and to support workflow.

2. Medical Review/Medical Management

1. Supports the Medical Review Specialist II, Medical Review Supervisor and other members of the Medical Review/Medical Management Team in the review and analysis of medical information in order to determine the medical necessity of continued stay according to review standards.
2. Works with the Medical Review/Medical Management Team to determine medical necessity and length of stay based on the consistent application of decision support system and communicates decisions to providers and patients.
3. Works with the Medical Review/Medical Management Team in the coordination of discharge planning with physicians, members, families, caregivers and ancillary providers to support the member’s continuity of care needs.
4. Provides reports on quality-of-care issues. Submits reports and communicates in a timely and effective manner to the Manager of the Medical Referral Office.
5. Performs telephonic and onsite review of concurrent patient services and retrospective quality care issues, access, and outcome studies.
6. Maintains ongoing database/documentation to monitor all activities/treatment and outcome plans for patients’ conformance with organizational and government regulations.
7. Ensures that services provided to eligible members are within the benefit plan and appropriate contracted providers are being utilized.
8. Coordinates out of area cases ensuring patient receives cost-effective quality care and monitor patient for return to work.
9. Performs other duties that may be assigned from time to time.

Job Specifications

1. Graduate of Bachelor’s Degree – RN License is required.
2. Minimum of 2 years experience and must have impressive track record in reviewing treatment plans and services to ensure the efficient use of patient utilization systems and quality care using appropriate medical resources.
3. Effective team player.
4. Excellent interpersonal skills.
5. Must have behavioral sensitivity, maturity, diplomacy and tact in addressing complex situations and handling irate customers.
6. Outstanding oral and written communication skills.
7. Strong ethics and a high level of personal and professional integrity.
8. Must have basic familiarity on government rules and regulations relating to healthcare management.
9. Proficient in using MS Office programs.

Location: Manila, Metro Manila, Philippines

Job Summary:

Reports directly to the Customer Service Lead and responsible for receiving, documenting, researching, and responding to member inquiries, complaints, appeals and/or grievances. Gathers and presents all relevant data of cases for medical review and makes recommendations for resolution and/or determination of next step. Also responsible for coordinating problem resolution for members, providers, and employer groups amongst various internal departments and external resources/contacts. Responsible for accurate and timely entry of claims data, as well as following regulatory and internal guidelines in conjunction with TakeCare policies and procedures as they apply to claims receipt and adjudication. Will accurately enter data from the medical and dental claim forms, audit and validate the accuracy of the claims data from the scanned batches. This position has analytical and/or administrative responsibilities specific to the functional area to which it is assigned.

Duties and Responsibilities

1. Customer Service Functions

1. Receives documents, researches and responds to member inquiries, complaints, appeals and/or grievances.
2. Prepares and/or initiates a variety of correspondences/documents in response to inquiries, complaints, appeals and/or grievances.
3. Gathers and presents all relevant data of cases for medical review and makes recommendations for resolution and/or determination of next step.
4. Coordinates problem resolution for members, providers, and employer groups amongst various internal departments and external resources/contacts.
5. Authorizes payment of claims within pre-established limits or guidelines.
6. Educate federal members on benefits, use of plan, premiums and status of claims or appeals/grievances.
7. May contact providers to notify them of overturned appeals and changes of financial responsibility.
8. Acts as designated department resource with extensive knowledge of products and provides guidance to other staff members.
9. Accumulates and collects updated member demographics.
10. Acts as operator as well as messaging entity.
11. Performs other duties that may be assigned from time to time.

2. Quality Review

1. Maintain quality and productivity standards as set by management.
2. Alert supervisor of any issues that impact production and quality.
3. Ensure all Protected Healthcare Information (PHI) is secured.

Job Specifications

1. Graduate of Bachelor's Degree.
2. Minimum of two years' experience in receiving, documenting, researching and responding to member inquiries, complaints, appeals and/or grievances. Gathers and presents all relevant data of cases for medical review and makes recommendations for resolution and/or determination of next step. Also responsible for coordinating problem resolution for members, providers, and employer groups amongst various internal departments and external resources/contacts. Knowledge of medical terminology ICD-9; CPT; HCPCS; Revenue Codes and ADA Codes. Call Center experiences a plus.
3. Able to work any shifts including graveyard.
4. Use 10-key by touch.
5. Effective team player.
6. Excellent interpersonal skills.
7. Must have behavioral sensitivity, maturity, diplomacy, and tact in addressing complex situations and handling irate customers.
8. Outstanding oral and written communication skills.
9. Strong ethics and a high level of personal and professional integrity.
10. Must have basic familiarity with federal and state laws and requirements relating to healthcare management.
11. Proficient with MS Office, database and e-mail systems.

Location: Manila, Metro Manila, Philippines

Duties and Responsibilities:

1. Reviews, codes, bills and collects on all services provided at the clinic (Medical, Dental, Vision, Home Health), hospital and birthing center and posts payments received for those services.
2. Makes sure that insurance claim forms (CMS1500) and patient billing statements are sent out on a timely manner to ensure optimal reimbursement and payment while adhering to regulations.
3. Issues collection notices to insurance companies and patients with delinquent account balances.
4. Performs other duties that may be assigned from time to time.

Job Specifications:

1. Graduate of Bachelor’s Degree. License is not required.
2. Minimum of one year experience in billing and collection and ensuring that overall revenue base goals are met through strategic collection efforts of all unsettled and delinquent accounts within TakeCare/FHP Health Center.
3. Effective team player.
4. Excellent interpersonal skills, can work and relate well with co-employees, patients and customers.
5. Must have the behavioral sensitivity, maturity, diplomacy and tact in addressing complex situations and handling irate customers.
6. Outstanding oral and written communication skills.
7. Strong ethics and a high level of personal and professional integrity.
8. Must have basic familiarity with federal and state laws and requirements relating to healthcare management.
9. Proficient in using MS Office programs.

Education & Experience:

1. Graduate of Bachelor’s Degree in Mathematics, Applied Mathematics, Actuarial Science, Statistics or any equivalent.
2. Must have at least three (3) years health insurance Actuarial and Underwriting experience.
3. Must have passed at least two (2) Actuarial or Underwriting certification and/or examination.
4. Must have the capability to initiate, organize and manage actuarial/underwriting projects independently. Also responsible for conducting research health care cost trends and applying actuarial analysis and techniques to arrive at recommended ways to reduce health care costs.
5. Superior judgment, negotiation and decision-making skills.
6. Strong ethics and a high level of personal and professional integrity.
7. Strong analytical skills and adept in interpreting strategic vision into an operational and tactical model.
8. An effective communicator with strong oral, written and persuasive skills and capability to deal with people at all levels in the organization.
9. Computer literate and very highly proficient in using MS office programs.

Location: Tamuning, Guam

Job Summary:

Reports directly the HCD Administrator. Responsible for examining patients to obtain information about their physical condition, interpreting diagnostic test results for deviations from normal and making diagnoses and decisions about management and treatment of patients.

Essential Duties and Responsibilities:

• Provide clinical services and management of pediatric, adolescent and adult patients as defined in the standing orders, policies, procedures and standard of care.
• Obtain patient health histories and complete physical examinations.
• Document findings noting pertinent normal and abnormal findings.
• Order and interpret appropriate diagnostic and laboratory tests.
• Obtain, compile and record patient medical data, including health history, progress notes and results of physical examination.
• Administer or order diagnostic tests, such as x-ray, electrocardiogram, and laboratory tests.
• Prescribe therapy or medication and perform approved therapeutic procedures based upon patient's clinical status.
• Perform therapeutic procedures, such as injections, immunizations, suturing and wound care, and infection management.
• Instruct and counsel patients about prescribed therapeutic regimens, normal growth and development, family planning, emotional problems of daily living, and health maintenance.
• Explain the necessity, preparation, nature and anticipated effects of procedure(s) to patient, family, staff, and healthcare learners.
• Collaborate with physician and nursing colleagues and document in medical records and appropriate narrative summaries.
• Document all prescriptions in patient's medical record.
• Initiate necessary emergency interventions to stabilize patient.
• Utilize current research and evidence-based decision-making in all clinical practice.
• Incorporate clinical research findings in the development and implementation of standards of care.
• Perform and participate in quality/performance improvement activities.
• Serve as an expert consultant to nursing, members of the healthcare team and to the larger community.
• Participate in and support accreditation, compliance, and regulatory activities of the organization.
• Models professional healthcare provider through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, and problem-solving skills.
• Demonstrate responsibility for professional practice through active participation in professional organizations and continuing education.
• Enhance the body of knowledge of medicine or area of specialization through continuing education, exchange of ideas and knowledge in professional organizations, oral presentations, posters, research activities, and written publications.
• Perform other related duties that may be assigned from time to time.

Education & Experience:

1. Graduate of Physician Assistant in an accredited PA program. License is required.
2. BLS and ACLS certification required. PALS certification encouraged.
3. Must have the appropriate level of behavioral maturity and patience in handling patients.
4. Must have the diplomacy and tact in handling difficult and irate patients.
5. Very good interpersonal relationship skills and can work and relate well with co-employees, patients and customers.
6. Outstanding communication skills and persuasiveness, specially the ability to communicate instructions and procedures for treatments, keeping the patients and giving them the desired level of comfort and confidence.
7. Must have strong sensitivity to the needs and anxieties of patients and the ability to motivate patients to undergo treatments and procedures.
8. Strong ethics and a high level of personal and professional integrity.
9. Knowledgeable of federal and state laws and requirements relating to healthcare management.

Location: Tamuning, Guam

Job Summary:

Reports directly to the Sr. Business Manager and responsible for conducting eye examination to determine nature and degree of vision problem or eye disease and prescribes corrective lenses or procedures. Also performs various tests to determine visual acuity and perception and to diagnose diseases and other abnormalities, such as glaucoma and color blindness as well as prescribes eyeglasses, contact lenses, and other vision aids or therapeutic procedures to correct or conserve vision.

I. Essential Duties and Responsibilities

1. Examines eyes to determine nature and degree of vision problem or eye disease and prescribes corrective lenses or procedures.
2. Examines eyes and performs various tests to determine visual acuity and perception and to diagnose diseases and other abnormalities, such as glaucoma and color blindness.
3. Prescribes eyeglasses, contact lenses, and other vision aids or therapeutic procedures to correct or conserve vision.
4. Consults with and refers patients to other eye health care professional i.e., Ophthalmologist, if additional medical treatment is determined necessary. May prescribe medications to treat eye diseases if state laws permit.
5. Specializes in type of services provided, such as contact lenses, low vision aids or vision therapy, or in treatment of specific groups, such as children or elderly patients.
6. Performs other duties that may be assigned from time to time.

II. Experience & Specifications

1. Graduate of Doctor in Optometry; Licensed is required; US Education and Board Certified required;
2. Minimum of 3 years experience and must have proven track record as a professional specializing in optometry and therefore with expertise in conducting eye examination to determine nature and degree of vision problem or eye disease and prescribes corrective lenses or procedures. Must also have sufficient expertise in performing various tests to determine visual acuity and perception and to diagnose diseases and other abnormalities, such as glaucoma and color blindness as well as prescribes eyeglasses, contact lenses, and other vision aids or therapeutic procedures to correct or conserve vision.
3. Must have the appropriate level of behavioral maturity and patience in handling patients.
4. Must have the diplomacy and tact in handling difficult and irate patients.
5. Very good interpersonal relationship skills and can work and relate well with co-employees, patients and customers.
6. Outstanding communication skills and persuasiveness, specially the ability to communicate instructions and procedures for treatments, keeping the patients and giving them the desired level of comfort and confidence.
7. Must have strong sensitivity to the needs and anxieties of patients and the ability to motivate patients to undergo treatments and procedures.
8. Very good manual dexterity skills.
9. Strong ethics and a high level of personal and professional integrity.
10. Knowledgeable of federal and state laws and requirements relating to healthcare management.
11. Computer-literate and very highly proficient in using MS office programs.

Location: Tamuning, Guam

Job Summary:

Dentists are medical healthcare professionals who focus specifically on the oral and dental hygiene of their patients. The General Dentist reports directly to the Sr. Business Manager and responsible for conducting examination on teeth, gums, and related tissues, using dental instruments, x-rays, and other diagnostic equipment, to evaluate dental health, diagnose diseases or abnormalities, and plan appropriate treatments. Designs, makes and fits prosthodontic appliances such as space maintainers, bridges, and dentures, or write fabrication instructions or prescriptions for denturists and dental technicians.

I. Essential Duties and Responsibilities

1. Examines teeth, gums, and related tissues, using dental instruments, x-rays, and other diagnostic equipment, to evaluate dental health, diagnose diseases or abnormalities, and creates treatment plans to maintain or restore the oral health of their patients.
2. Uses masks, gloves and safety glasses to protect themselves and their patients from infectious diseases.
3. Administers anesthetics to limit the amount of pain experienced by patients during procedures; while ensuring the safe administration of anesthetics.
4. Promotes oral health and disease prevention and formulates plan of treatment for patient's teeth and mouth tissue.
5. Uses air turbine and handle instruments, dental appliances and surgical implements.
6. Advises and instructs patients regarding preventive dental care, the causes and treatment of dental problems, and oral health care services.
7. Designs, makes and fits prosthodontic appliances such as space maintainers, bridges, and dentures, or write fabrication instructions or prescriptions for denturists and dental technicians.
8. Diagnose and treat diseases, injuries, and malformations of teeth, gums and related oral structures, and provide preventive and corrective services.
9. Performs periodical and routine oral surgeries/procedures such as tooth extractions, preparing and placing fillings or administering anesthetics carry potential risks of complications such as infection, temporary or even permanent nerve damage, prolonged bleeding, hematomas and pain.
10. Writes prescriptions for antibiotics and other medications.
11. Analyzes and evaluates dental needs to determine changes and trends in patterns of dental disease.
12. Eliminates irritating margins of fillings and corrects occlusions, using dental instruments.
13. Completes and updates patient records and comply with HIPAA and other regulations.
14. Promotes and ensures highest standards of hygienic precautions and infection control.
15. Bleaches, cleans or polishes teeth to restore natural color.
16. Plans, organizes and maintains dental health programs.
17. Produces and evaluates dental health educational materials.
18. Performs other duties that may be assigned from time to time.

II. Experience & Specifications

1. Graduate of Doctor of Dental Surgery or Doctor of Dental Medicine, GU License is required.
2. Previous formal experience is not required.
3. Must have the appropriate level of behavioral maturity and patience in handling patients.
4. Excellent communication, time management and interpersonal relationship skills and can work and relate well with co-employees and customers.
5. Very good manual dexterity skills.
6. Outstanding ability to communicate instructions and procedures for treatments, keeping the patients and giving them the desired level of comfort and confidence.
7. Must have strong sensitivity to the needs and anxieties of patients and the ability to motivate patients to undergo treatments and procedures.
8. Strong ethics and a high level of personal and professional integrity.

Location: Tamuning, Guam

Job Summary:

Reports directly to the Health Care Delivery (HCD) Administrator at assigned department and responsible for examining patients to obtain information about their physical condition, interpreting diagnostic test results for deviations from normal and making tentative diagnoses and decisions about management and treatment of patients.

Essential Duties and Responsibilities:

• Provide direct clinical services and management of pediatric, adolescent and adult patients as defined in the standing orders, policies, procedures and guidelines for the certified nurse practitioner.
• Obtain patient health histories and complete physical examinations.
• Document findings noting pertinent normal and abnormal findings.
• Obtain, compile and record patient medical data, including health history, progress notes and results of physical examination.
• Administer or order diagnostic tests, such as x-ray, electrocardiogram, and laboratory tests.
• Prescribe therapy or medication with physician’s approval.
• Perform therapeutic procedures, such as injections, immunizations, suturing and wound care, and infection management.
• Instruct and counsel patients about prescribed therapeutic regimens, normal growth and development, family planning, emotional problems of daily living, and health maintenance.
• Obtain patient health histories and complete physical examinations.
• Document findings noting pertinent normal and abnormal findings.
• Order and interpret appropriate diagnostic and laboratory tests.
• Explain the necessity, preparation, nature and anticipated effects of procedure(s) to patient, family, staff, and healthcare learners.
• Perform approved therapeutic procedures based upon patient's clinical status.
• Collaborate with physician and nursing colleagues and document in medical records and appropriate narrative summaries.
• Utilize prescriptive privileges as allowed by the Guam Board of Nurse Examiner
• Document all prescriptions in patient's medical record.
• Assess patient for deviations from normal and institute appropriate interventions.
• Initiate necessary emergency interventions to stabilize patient.
• Utilize current research and evidence-based decision-making in all clinical practice.
• Incorporate clinical research findings in the development and implementation of standards of care.
• Perform and participate in quality/performance improvement activities.
• Serve as an expert consultant to nursing, members of the healthcare team and to the larger community.
• Participate in and support accreditation, compliance, and regulatory activities of the organization.
• Model advanced practice professional nursing through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, and problem-solving skills.
• Demonstrate responsibility for professional practice through active participation in professional organizations and continuing education.
• Enhance the body of knowledge of nursing or area of specialization through exchange of ideas and knowledge in professional organizations, oral presentations, posters, research activities, and written publications.
• Perform other related duties that may be assigned from time to time.

Education & Experience:

1. Graduate of Family Nurse Practitioner program. License is required.
2. Current BLS and CPR Certification.
3. Experience serving a multinational, multiracial population.
4. Must have the appropriate level of behavioral maturity and patience in handling patients.
5. Must have the diplomacy and tact in handling difficult and irate patients.
6. Very good interpersonal relationship skills and can work and relate well with co-employees, patients and customers.
7. Outstanding communication skills and persuasiveness, specially the ability to communicate instructions and procedures for treatments, keeping the patients and giving them the desired level of comfort and confidence.
8. Must have strong sensitivity to the needs and anxieties of patients and the ability to motivate patients to undergo treatments and procedures.
9. Strong ethics and a high level of personal and professional integrity.
10. Knowledgeable of federal and state laws and requirements relating to healthcare management.