Vice President, Chief Medical Informatics Officer CMIO, Trinity Health (System Wide, Remote)
Trinity Health 4.3
Livonia, MI jobs
Employment Type:Full time Shift:Description:
TRINITY HEALTH Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. It is a family of 127,000 colleagues and more than 38,300 physicians and clinicians caring for diverse communities across 26 states. Nationally recognized for care and experience, the Trinity Health system includes 93 hospitals, 107 continuing care locations, the second largest PACE program in the country, 142 urgent care locations and many other health and well-being services. In fiscal year 2024, the Livonia, Michigan-based health system invested $1.3 billion in its communities in the form of charity care and other community benefit programs.
The Chief Medical Informatics Officer (CMIO) oversees the multiple Trinity Health Service Areas (THSAs) in the context of Health Informatics across Trinity Health's national footprint and ensures health information and health information technology (HIT) supports the needs and requirements of all clinical disciplines at the local and regional levels, while maintaining the standards, at an enterprise level, for Trinity Health to enhance the efficiency of healthcare delivery.
Reports directly (A1) to the SVP, System Chief Health Informatics Officer and serves in collaborative partnership with the Chief Health Informatics Officer (CHIO). Serves as a member of the THSA leadership teams.
Collaborates with other leaders, internal and external to the Trinity Health system, including, but not limited to Regional Health Ministry (RHM) and National Health Ministry (NHM) Executive Leadership, Trinity Information Services (TIS), and other Trinity Health Executives.
Functional Role Assignment (Specific) Essential Functions
Responsible for defining and implementing an effective strategy and THSA wide approach for health information and HIT to promote the highest quality and most effective care in alignment with Trinity Health.
Leverage people, processes, and technology to support system and regional initiatives.
Link clinical practice and information technology by ensuring optimization of HIT across all clinical disciplines, considers all clinician stakeholders and respective disciplines in offering solutions to meet their needs.
Transform and lead change systematically across Trinity Health, ensuring alignment with system-wide goals in advancing care and effective stewardship.
Collaboratively determine the best solutions for our consumers, patients, and the entire care delivery team across the continuum.
Facilitate the integration of data, information, knowledge and wisdom to support patients, consumers, and multidisciplinary teams in clinical decisions, advancing standard work across the continuum of care.
Lead and coordinate certain projects related to health informatics and for the Medical Directors for Health Informatics. These separate cross-enterprise horizontal areas of focus may include known verticals within health care such as acute, ambulatory, emergency medicine, home care, and the continuum of care.
Coordinate among other VP CHIOs / CMIOs to ensure that consistency among all THSAs is maintained.
Act as a liaison between CHIO, TIS, and senior leadership.
Responsible for leading the operational readiness effort to leverage health information technology and operational data tools to their optimal capacity to support priority initiatives enhancing Trinity Health's role as a leader in the transformation to a Member Centered Health Care System.
Advocate for clinical and business innovations that address needs, policy changes, workforce management, health informatics education which align with the organizational strategy and national priorities.
Provide clinical expertise to Trinity Health Leadership to ensure health informatic technology solutions meet the needs of clinicians and patients.
Serve as the service function physician leader for transforming health informatics from complex clinical disciplines.
Advocate for and maintain internal and external relationships to leverage best practices, evaluate emerging technologies, and educate on how to effectively leverage health information technology within the health care environment.
Develop and lead effective governance of health informatics advisory groups in the design and enhancement of health information systems for assigned service areas and service lines.
Mission
We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Core Values
Reverence
We honor the sacredness and dignity of every person.
Commitment to Those Experiencing Poverty
We stand with and serve those who are experiencing poverty, especially those most vulnerable.
Safety
We embrace a culture that prevents harm and nurtures a healing, safe environment for all.
Justice
We foster right relationships to promote the common good, including sustainability of Earth.
Stewardship
We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.
Integrity
We are faithful to who we say we are.
Vision
As a mission-driven, innovative health organization, we will become a leader in improving the health of our communities and each person we serve. We will be the most trusted partner for life.
Promise Statement
We Listen. We Partner. We Make it Easy.
Our Actions
Listen to understand.
Learn continuously.
Keep it simple.
Create solutions.
Deliver outstanding service.
Own and speak up for safety.
Expect, embrace and initiate change.
Demonstrate exceptional teamwork.
Trust and assume goodness of intentions.
Hold myself and others accountable for results.
Communicate directly with respect and honesty.
Serve every person with empathy, dignity and compassion.
Champion health equity and the common good.
Position Purpose
Provides visionary leadership, oversight, consultation, operational and performance excellence coordination in the assigned functional area(s) impacting the transformation of care processes and outcomes for Trinity Health's national footprint. Accountable for long-term / sustainable strategies for key functional area(s), implementation, direction, operational improvements, and drives conceptual or directional change.
Essential Functions
Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
Leadership
Provides advice, guidance, and leadership to RHM, Service Area(s), Region, and Market leaders in developing strategies and in the achievement of performance goals.
Enables collaboration across and within Service Area(s), RHM, and Regions to ensure consistency and integration of strategy and operations.
Actively guides, trains, mentors & monitors colleagues while contributing to the development and execution of departmental, Service Areas, RHMs and System Services based strategic plans.
Direction and Growth
Provides advice, guidance, and leadership to Service Area, RHM, and Regions.
Leads standardization / systemness and optimization of policy, process, methodology, establishing a national community of practice.
Oversees vendor / contract labor management including centralizing strategy and optimizing spend, as applicable for function.
Strategic Support & Accountability
Collaborates in system-wide strategy development and deployment of functional area priorities and initiatives.
Responsible for supporting regional efforts to comply with functional area priorities.
Accountable for the selection, evaluation, and overall success of the functional leadership teams.
Serves as an organization-wide focal point for establishing functional strategies and governance over financials and staffing.
Accountable for communications between Service Area function, RHM, and Region / Market leader.
Operational Delivery
Implements and drives financial strategies for the service function.
Responsible for measuring and reporting KPIs/metrics and value delivery.
Provides advice, guidance, and leadership for the colleague life cycle experience.
Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies & procedures in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Leadership Practice:
Develop strategy and execute multi-year organizational goals for the assigned service(s) in alignment with Trinity Health strategies and direction.
Responsible for the performance of the assigned functional operations with authority to drive results and implement operational improvements across the organization.
Responsible for making decisions and managing risk that impact assigned functional area(s) with potential for a substantial mid-term to long-term impact on the enterprise.
Partner with key administrative and support services (e.g., pharmacy, pay strategies, supply chain) to ensure optimal operational and financial goals are achieved.
Allocate, direct and / or divert resources (e.g., financial, people, technology) for optimal key functionality and stewardship.
Oversee and manage an annual budget with direct (A1) and / or indirect (A2) reports.
Leadership Process
Lead market analysis and drive optimal settings, locations and markets for business practice and services locations.
Align operations, resources, and strategies for existing programs, physician strategies, payer and regulatory dynamics.
Pursue opportunities to grow the segment, including new delivery / care / treatment models.
Develop and maintain collaborative relationships and partnerships.
Conduct market analysis for service expansion and performance.
Oversee operations for quality, safety, effectiveness, efficiency, compliance, and performance excellence.
Establish a leadership pipeline and ensure key roles have succession plans.
Build high-performing teams, empower others to creatively problem-solve, and lead effectively through change.
Retain accountability for delegation, choices, decisions, and outcomes.
Minimum Qualifications
Active and current license for Medical Doctor / Doctor of Osteopathic Medicine.
Master's Degree from an accredited school with the focus on Health Informatics or related discipline.
Ten (10) years of work experience consisting of leadership and health informatics roles, implementing Health Information Technology (HIT) and health information system and improvement projects in a multi-hospital system including acute and ambulatory care venues.
Experience leading transformational change, including knowledge and use of change leadership models and process redesign.
Position requires at least 50% travel (air / ground). Valid driver's license where required by assignment.
Additional Qualifications (nice to have)
Doctorate degree in a related field / discipline (e.g., Health Informatics).
Certification from a national informatics certifying body.
Fellowship, academic courses, or other formal training in Health Informatics.
Physician with board certification in their clinical specialty.
Trinity Health Core Competencies
• Serve in a Catholic, Mission-Driven Ministry
• Develop Self, Individuals, and Teams
• Build Relationships
• Apply Strategic Thinking
• Communicate Effectively
• Expect, Embrace, and Initiate Change
• Deliver Results
• Advance the Health Care Environment
This position will be remote, with travel expectations to fluctuate as this is a system wide role.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
$218k-319k yearly est. Auto-Apply 60d+ ago
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Health Informatics Specialist I - Enterprise Training (Remote)
Trinity Health 4.3
Livonia, MI jobs
Employment Type:Full time Shift:Description:
Purpose Health Informatics (HI) is the specialty that integrates health care science, computer science, and information science to manage and communicate data, information, knowledge and wisdom in clinical practice across the care continuum. Health informatics facilitates the integration of data, information, knowledge and wisdom to support operations. This support is accomplished with information structures, information processes, and information technology.
The goal of informatics is to improve the health of populations, communities, families, and individuals by optimizing information management and communication. These activities include the design and use of informatics solutions and technology to support all areas of health care delivery, including, but not limited to, the direct provision of care, establishing effective administrative systems, managing and delivering education experiences, enhancing lifelong learning, and supporting health care research.
Essential Functions
Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of analytical reports.
Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of TH policies, practices & processes to ensure quality, confidentiality, & safety are prioritized. Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
Data Management & Analysis: Research & compiles information to support ad-hoc operational projects & initiatives. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making. Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
Maintains a working knowledge of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects safe, honest, ethical & professional behavior & safe work practices.
Minimum Qualifications
Must possess a comprehensive knowledge of Health Informatics through a combination of education and experience.
1. Must possess a working knowledge of Health Informatics with at least two (2) years of experience in an informatics or related role and experience with clinical information systems and health information technology.
2. Basic understanding of clinical treatment modalities, educational principles, clinical information systems, accreditation and regulatory standards, and program development.
3. Demonstrated knowledge and application of change management principles.
4. Demonstrated knowledge and application of project management principles.
Additional Qualifications (nice to have)
Certification from a national informatics certifying body preferred. Fellowship, academic courses, or other formal training in Health Informatics preferred.
Bachelors Degree with the focus on Health Informatics or related discipline preferred OR equivalent combination of education and experience.
PAY RANGES
HIS 1 $36.34- $54.51
HIS 2 $ 47.23- $70.85
HIS 3 $50.79- $83.81
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
$36.3-54.5 hourly Auto-Apply 7d ago
Admissions Counselor (Financial Navigator) - Remote (see full posting for eligible states)
Northern Arizona Healthcare 4.6
Cottonwood, AZ jobs
The Patient Access Admissions Counselor is responsible for the verification and collection of patient demographic and insurance information by direct data entry to the electronic medical record during the scheduling/pre-admit or admission process prior to discharge. Performs verification of insurance benefits, documents current coverage and eligibility details, and completes timely notifications for required authorization of services. Ensures authorization for surgical/special interventional procedures and inpatient/observation hospital stays is secured with appropriate system documentation. Provides financial education and counseling to the patient related to insurance coverage, financial liability, and investigates avenues for alternate payer source or eligibility for financial assistance. Acts as an expert knowledge resource for clinical areas, Nursing Units or Care Management related to registration and financial counseling questions or issues.
Responsibilities
Patient Registration/Scheduling* Demonstrates high degree of proficiency in computer skills and Microsoft applications; includes navigation of web-based or system applications required for Patient Access Services with keyboarding of 50+ wpm.* Accurate identification of patient for direct data entry of required clinical, demographic, and insurance information to the electronic medical record during registration or for appointment booking of assigned procedures.* Provides detailed explanation of scheduled procedures and patient instructions that are associated to the medical service.* Ensures system documentation specific to the patient visit is entered and accurately reflects activities related to patient or provider contact, order documentation, insurance verification, financial education, and payment.* Provides explanation of legal forms and secures signature of patient/authorized party as required for services.* Performs medical necessity checking for identified services; secures required ABN documentation as appropriate.* Demonstrates thorough understanding of compliance standards required within a healthcare environment including EMTALA and HIPAA-Privacy Patient Confidentiality regulations. Insurance Verification for Eligibility/Authorization* Accurate identification and selection of insurance carrier in the patient medical record for specified dates of medical services* Navigates web-based products or system applications to initiate and document insurance eligibility, benefit details, authorization requirements.* Performs required notifications to ensure insurance authorization for identified medical services, including surgical/special interventional procedures and inpatient/observation stays, are secured and documented.* Demonstrates advanced knowledge of CPT, ICD10 coding, and physician order documentation as required for medical services including determinations for medical necessity. Financial Counseling* Demonstrates expert knowledge of regulatory or Third Party Payer insurance requirements including Medicare, AHCCCS/Medicaid, Workers Comp and other commercial payers.* Educates the patient on insurance eligibility, coverage, procedure costs, alternate resources for financial assistance, and payment arrangement guidelines.* Uses professional negotiation techniques to collect identified patient financial liabilities; performs secured payment entry and deposit/cash reconciliation steps.* Navigates web based products to initiate, document, and provide charge estimation for Inpatient/Observation stays, Surgical/Special Interventional procedures or service categories based on patient requests or financial counseling needs.* Demonstrates advanced conflict resolution skills to address issues related to scheduling, registration or the financial assistance application approval process.* Makes direct contact on behalf of the patient to providers, insurance representatives, or outside agencies such as Arizona Department of Economic Security to initiate and monitor success of AHCCCS application process.* Monitors system work lists to provide necessary financial counseling follow-up for private pay patients in the Emergency Department and Inpatient/Observation settings. Ensures patient account is updated to reflect new payer source(s). Revenue Cycle Support for Hospital or Clinical Services* Handles department call volumes as assigned to appropriately respond to requests from patients, providers, or other hospital departments.* Acts as an expert resource to clinical departments for registration/scheduled services related to data entry of patient account fields, provider order requirements, and questions regarding insurance coverage or financial assistance.* Coordinates information with Nursing Units or Care Management related to registration, financial counseling, or insurance coverage and benefit limits affecting patient length of stay and discharge planning efforts.* Monitors and analyzes Revenue Cycle reports and system work lists to ensure accuracy of patient record and that all process steps, insurance requirements, and compliance standards have been met for scheduling, registration, and financial counseling activities. Compliance/Safety* Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.* Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.* If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.* Completes all company mandatory modules and required job-specific training in the specified time frame.
Qualifications
Education
* High School Diploma or GED- Required
* Associate's Degree- Preferred
Experience
* 2 years in a customer service role- Required
* Proficiency in Microsoft applications (Excel, Word, PowerPoint)- Required
* 3 - 5 years experience in a medical facility, health insurance, or related medical field- Preferred
* Medical Terminology course work- Preferred
Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.
$34k-40k yearly est. Auto-Apply 4d ago
Coding Auditor and Provider Educator - Remote (see full posting for eligible states)
Northern Arizona Healthcare Corporation 4.6
Flagstaff, AZ jobs
Job Description
NAH reserves the right to make hiring decisions based on applicants' state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states:
Alabama
Arizona
Florida
Georgia
Idaho
Indiana
Kansas
Michigan
Missouri
North Carolina
Ohio
Oklahoma
Pennsylvania
South Carolina
Tennessee
Texas
Virginia
The Coding Auditor & Provider Educator is a critical role responsible for ensuring the accuracy, completeness, and compliance of medical coding (CPT, HCPCS, ICD-10-CM) for professional services. This individual will conduct thorough coding audits, identify areas for improvement in documentation and coding practices, and develop and deliver targeted educational programs to physicians, advanced practice providers (APPs), and clinical staff. The primary goal is to optimize revenue integrity, mitigate compliance risks, and foster a culture of accurate and compliant documentation and coding.
Responsibilities
Coding Auditing & Compliance* Performs prospective and retrospective audits of professional fee coding (CPT, HCPCS, ICD-10-CM) across various medical and surgical specialties, including Evaluation and Management (E/M) services, procedures, and ancillary services.
* Reviews medical record documentation to validate the accuracy and completeness of coded diagnoses and procedures, ensuring adherence to official coding guidelines (e.g., AMA CPT, CMS, ICD-10-CM Official Guidelines for Coding and Reporting), payer policies, and regulatory requirements (e.g., HIPAA, OIG work plans).
* Identifies coding discrepancies, documentation deficiencies, medical necessity issues, and potential compliance risks.
* Quantifies the financial impact of coding errors and identifies opportunities for revenue optimization while maintaining strict compliance standards.
* Prepares detailed audit reports, including findings, recommendations, and corrective action plans.
* Tracks and trend audit results to identify systemic issues, patterns of errors, and areas requiring focused education or process improvement.
*Stays current with changes in coding guidelines, payer policies, and healthcare regulations, and integrates these updates into audit methodologies.Provider Education & Training:*Develops, customizes, and delivers comprehensive coding and documentation education sessions for physicians, APPs, and clinical staff, both individually and in group settings (e.g., department meetings, grand rounds).
*Provides constructive, clear, and actionable feedback to providers on audit findings, offering practical guidance and examples for improving documentation and coding accuracy.
*Creates and updates engaging educational materials, job aids, quick reference guides, and coding resources.
*Serves as a subject matter expert for complex coding and documentation inquiries from providers and staff.
*Collaborates with revenue cycle, compliance, clinical operations, and IT departments to ensure alignment of coding practices with organizational goals and system capabilities.
* Monitors the effectiveness of educational interventions and adjusts strategies as needed to achieve desired outcomes.Quality Improvement & Policy Development:* Assist in the development, implementation, and revision of internal coding policies, procedures, and best practices.
* Participate in compliance investigations related to coding and billing, providing expert analysis and recommendations.
* Contribute to continuous quality improvement initiatives within the revenue cycle, clinical documentation improvement (CDI), and compliance programs.
* Act as a liaison between clinical staff and billing/coding departments to facilitate effective communication and problem-solving.Compliance & Safety:*Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.
* Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.
* If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.
* Completes all company mandatory modules and required job-specific training in the specified time frame.
* Maintains confidentiality of all department, patient, and coding matters.
* Stays current with medical terminology and human anatomy.
* Meets industry standard measures of productivity and accuracy.
Qualifications
Education
High School Diploma or GED- Required
Associate's or Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, or a related field - preferred
Certification & Licensures
Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist - Physician (CCS-P) from AHIMA - Required
Certified Professional Medical Auditor (CPMA) from AAPC - Required
Certified Evaluation and Management Coder (CEMC) - Preferred
Specialty-specific coding certifications (e.g., CIRCC, CCC, CGSC) - Preferred
Experience
Minimum of 5-7 years of progressive experience in professional fee medical coding, with at least 3-5 years specifically in coding auditing and provider education within a healthcare system or large physician group.
Extensive knowledge of CPT, HCPCS, and ICD-10-CM coding systems, official coding guidelines, medical terminology, anatomy, and physiology.
In-depth understanding of CMS regulations, OIG work plans, HIPAA, and other relevant healthcare compliance standards.
Demonstrated experience with various Electronic Health Record (EHR) systems and billing software.
Exceptional analytical and problem-solving skills with meticulous attention to detail.
Strong written and verbal communication skills, with the ability to present complex information clearly, concisely, and persuasively to diverse audiences (clinical and non-clinical).
Excellent interpersonal skills, with the ability to build rapport, influence behavior, and provide constructive feedback effectively and diplomatically.
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) for data analysis, report generation, and presentation development.
Ability to work independently, manage multiple priorities, and meet deadlines in a dynamic, fast-paced environment.
Strong ethical conduct and unwavering commitment to compliance and integrity.
Demonstrated ability to adapt to changing regulations and technology.
Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Clinical Triage Specialist (CTS) (RN) - Access Center will compassionately deliver an exceptional patient experience and provide clinical support to CTS-MA team members by serving as a clinical resource. The CTS-RN is responsible for using nursing judgment in answering/returning patient calls related to direct care provided by the practices. When appropriate, the caller's symptoms will be assessed and triaged using approved nursing protocols and guidelines to assist in obtaining the appropriate level of care and/or self-care advice.
JOB DUTIES AND RESPONSIBILITIES:
* Answers telephones, prioritizes clinical triage calls, follows clinical protocols, and coordinates services, as needed.
* Verifies patient demographic information and accurately enters the updated information into electronic health record.
* Serves as an escalation point for clinical patient issues and other POD team members requiring clinical support, and provides clinical advice based on clinical protocols and procedures.
* Manages and responds to escalated electronic patient messages whenever not answering inbound patient calls and uses clinical judgment to prioritize and accommodate patients.
* Creates a positive patient experience at every encounter, attempting to independently resolve any issues or concerns of the patient at the time of the phone call, within the scope of the role.
* Consistently meets productivity, schedule adherence, and quality standards as set by the Access Center.
* Utilizes all resources and guidelines at his/her disposal to effectively assess, prioritize, advise, schedule appointments, or refer calls when necessary to the appropriate medical facility or personnel.
* Accurately documents symptoms/complaints, nursing assessment, advice provided and patient/caller response.
* Partners with other Access Center teams/PODs and respective practice clinical team on behalf of the patient to assist with clinical concerns, medication refills, or scheduling appointments.
* Other duties as assigned.
EDUCATION:
Graduate of an accredited nursing program. Active Registered Nurse licensure in the state of Pennsylvania and New Jersey or other nursing compact state and other states as deemed necessary by state law.
TRAINING AND EXPERIENCE:
* Minimum 2 years recent clinical experience in a physician office, home health, critical care and/or emergency room is required.
* Strong communication skills
* Focused on compliance
* Demonstrates continuous growth
* Quality-driven
* Service-oriented
* Excels at time management
* Strong problem-solving skills
Ability to work from home in accordance with the Network Work from Home Policy if needed.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
$44k-72k yearly est. Auto-Apply 5d ago
Weekend Patient Engagement Partner, Connect to Care - Access Center
St. Lukes University Health Network 4.7
Allentown, PA jobs
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission
of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Patient Engagement Partner - Access Center role is critical to an exceptional patient experience. This role provides a positive patient experience during all encounters and is responsible for answering patient calls, scheduling appointments, working referral work queues, and assisting the patient with their current needs. The Patient Engagement Partner establishes and maintains ongoing partnerships with designated practice and clinical partners to ensure achievement of aligned goals.
JOB DUTIES AND RESPONSIBILITIES:
Answers incoming calls and performs a variety of actions including scheduling, rescheduling, or canceling appointments within established time frames and protocols in a fast paced, high volume Access Center environment.
Determines how requests should be handled using expert questioning techniques to determine how a request should be scheduled, when to refer a call to a specific clinic or escalate the call to a nurse for immediate attention; coordinates services, as needed.
Verifies and updates patient demographic and insurance information.
Creates a positive patient experience at every encounter, attempting to resolve any issues or concerns of the patient at the time of the phone call, within the scope of the role.
Manages and works referral work queues when assigned and provides supplemental inbound patient call support during high volume times using (and vice versa), and uses judgment to prioritize and accommodate patients, based on patient needs.
Actively participates as a team member in resolution of problems as they are identified.
Escalates any scheduling or insurance issue to the Patient Engagement Supervisor or Patient Engagement Manager to resolve.
Consistently meets productivity, schedule adherence, and quality standards as set by the Access Center.
Works with designated clinical partners to establish and maintain appropriate appointment scheduling protocols. Consistently acts to build positive relationships with our clinical partners.
Other duties as assigned.
PHYSICAL AND SENSORY REQUIREMENTS:
Requires sitting for extended periods of time (up to 8 hours at time). Requires continual use of fingers, writing and computer entry. Requires ability to hear normal conversation and good general near and peripheral vision.
EDUCATION:
High School diploma or equivalent required
TRAINING AND EXPERIENCE:
Previous general computer experience with data entry required
Minimum 1-2 years of demonstrated customer service excellence in a contact center preferred
Previous healthcare experience with medical terminology preferred
Previous experience with electronic medical record (EMR) preferred
Competencies required:
Excellent communication, facilitation, and presentation skills.
Focused on compliance
Demonstrates continuous growth
Quality-driven
Service-oriented
Excels at time management
Ability to work from home in accordance with the Network Work from Home Policy if needed.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
$31k-37k yearly est. Auto-Apply 60d+ ago
Maintenance Technician II
SSM Health Saint Louis University Hospital 4.7
Remote
It's more than a career, it's a calling.
MO-REMOTE
Worker Type:
Regular Performs preventive and corrective maintenance related to the facilities, equipment and associated systems. including, but not limited to: fire systems, tube system, equipment repair, nurse call, infant abduction system, life safety components, paging system, Med Gas systems, paging systems, locks and door repair.
Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
Performs repairs according to work orders or verbal instructions and compiles proper documentation following established policies and procedures. Identifies and requests parts and components needed to complete tasks.
Works with vendors, contractors, and factory representatives in regards to the repair and replacement of equipment. Assists contractors and other personnel with connections and shut-offs for water and fire systems.
Performs basic plumbing and electrical repairs and appliance repairs including, but not limited to: changing light bulbs, replacing ballasts and installation of light fixtures.
Performs carpentry and minor construction projects including, but not limited to installation and or repair of drywall, walls, flooring, ceramic tile cabinetry, countertops, shelving, painting.
Assists in maintaining a clean and safe work environment including, but not limited to: debris/trash removal, heavy lifting/moving of materials and equipment, floor-sweeping and material storage.
Works in a constant state of alertness and safe manner.
Performs other duties as assigned.
EDUCATION
EXPERIENCE
Two years' experience
PHYSICAL REQUIREMENTS
Constant standing and walking.
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent reaching, gripping and keyboard use/data entry.
Frequent use of vision for distances near (20 inches or less) and far (20 feet or more).
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Occasional bending, stooping, climbing, crawling, kneeling, sitting, squatting, twisting and repetitive foot/leg and hand/arm movements.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Occasional use of vision to judge distances and spatial relationships and to identify and distinguish colors.
Rare use of smell to detect/recognize odors.
Rare driving.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
None
Work Shift:
Day Shift (United States of America)
Job Type:
Employee
Department:
9260000130 Facilities and Real Estate (STL Region)
Scheduled Weekly Hours:
40
Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
Explore All Benefits
SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
$36k-48k yearly est. Auto-Apply 8d ago
REMOTE Revenue Protection Specialist
Trinity Health Corporation 4.3
Livonia, MI jobs
FUNCTION ROLES Develops, monitors, inspects & proposes measures to correct and improve hospital registration performance. Tracks and reports trends to remediate issues and assist with preventive actions for ongoing internal process improvement. Leverages patient access and revenue cycle knowledge to ensure continuous quality improvement. Conducts facility analysis of denials. Prepares and submits review findings, makes recommendations, and works closely with interdepartmental leaders to implement solutions. Proactively facilitates cross-departmental collaboration with clinical departments, Patient Business Service (PBS) center, Payer Strategies, Compliance and other revenue cycle departments to continuously drive strategic denial initiatives and resolution around identified revenue enhancement opportunities. Maintains an understanding of regulatory and payer changes. Special note for Physician Billing Denials Prevention - Additional nice to have qualification: 3 years revenue cycle, non-acute care. Maintains an understanding of regulatory and payer changes to assure correct charging and billing requirements are met.
COMPENSATION RANGE: $24.5303 - $36.7954
MINIMUM QUALIFICATIONS
High school diploma. Three (3) years of revenue cycle experience. Billing, Coding, PA, Revenue Integrity, collections, etc. Certification and membership in AAPC, AHIMA, HFMA, AAHAM, NAHAM strongly preferred Knowledge of insurance and governmental programs, regulations, and billing processes (e.g., Medicare, Medicaid, managed care contracts and coordination of benefits)
Additional Qualifications (nice to have)
Bachelor's degree in related field, preferred Understands Revenue Cycle Key Performance Indicators and can identify vulnerabilities related to quality performance. Working knowledge of denials related software technology strongly preferred. Knowledge and experience of Revenue Cycle.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
$24.5 hourly 3d ago
System Vice President Revenue Cycle Management Operational Performance
SSM Health Saint Louis University Hospital 4.7
Hillsboro, MO jobs
It's more than a career, it's a calling.
MO-SSM Health Mission Hill
Worker Type:
Regular
Job Highlights:
The SSM Revenue Cycle team is on a fast track to optimization and looking for a strategic thought leader with a proven track record in transformation. This executive role has high visibility within the organization and is a position considered for long term succession planning.
Named 150 Top Places to Work in Healthcare 2024 - Becker's Healthcare
Named One of the Diversity Leaders 2024 - Modern Healthcare
Named One of America's Greatest Workplaces for Diversity 2024 - Newsweek
Named One of America's Greatest Workplaces for Women 2024 - Newsweek
Named One of America's Greatest Workplaces for Job Starters 2024 - Newsweek
SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. The organization's 40,000 team members and more than 13,900+ providers are committed to providing exceptional health care services and revealing God's healing presence to everyone they serve.
With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health includes 23 hospitals, more than 300 physician offices and other outpatient and virtual care services, 12 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves.
This position IS remote work eligible. SSM Health currently offers remote work within limited states.
To request additional information, confidentially submit your interest, or nominate a fellow colleague, please contact:
Angela Jones
Executive Talent Partner
***************************
#LI-Remote
Job Summary:
The Vice President for Revenue Cycle Management Operational Performance is responsible for the strategic leadership, oversight and optimization of hospital and ambulatory revenue cycle operations. Provide visionary leadership while fostering strong partnerships to ensure the accuracy and integrity of revenue processes. Partners with the Chief Revenue Cycle Officer to establish and deliver on the Revenue Cycle strategic vision.
Job Responsibilities and Requirements:
Job Responsibilities and Requirements:
Develop and implement strategic initiatives to enhance revenue cycle operations while ensuring the accuracy and integrity of revenue processes.
Oversight and management of coding, coding education, Health Information Management (HIM), Revenue Integrity to include CDM, Accounts Receivable, Cash Management, and Denial Management to ensure compliance with regulatory standards and optimize reimbursement.
Develop and implement strategies for denial management to minimize revenue loss.
Foster strong partnerships with internal and external stakeholders to drive revenue cycle improvements.
Analyze and report on revenue cycle performance, identifying areas for improvement, and implementing corrective actions.
Thought partner with Net Revenue, Information Technology, Finance, Clinical Operations and other stakeholders in continuous revenue improvement.
Exhibits superior management skills that emphasize team building and strong leadership with the ability to provide clear vision and direction.
Leadership development and career pathing to ensure next level leadership readiness.
Creates a culture supportive of personnel, fostering individual motivation, teamwork and high levels of performance and accountability utilizing a participative management style to ensure staff retention
Develops and manages the operating and capital budgets for operations, analyzes variances, develops plans and takes appropriate actions for productivity and performance improvements.
EDUCATION
Master's degree in business or healthcare administration
OR
Bachelor's degree with equivalent experience
EXPERIENCE
Ten years of experience within the area of revenue management, specifically experience with billing and collections at a multi-entity healthcare organization or large complex revenue cycle services with five year's leadership experience.
Department:
8700000033 RCM Leadership
Work Shift:
Day Shift (United States of America)
Scheduled Weekly Hours:
40
Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
Explore All Benefits
SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
$132k-215k yearly est. Auto-Apply 49d ago
Clinical Documentation Specialist, Second Reviewer
SSM Health Saint Louis University Hospital 4.7
Remote
It's more than a career, it's a calling.
MO-REMOTE
Worker Type:
Regular Performs as a vital member of the interdisciplinary care team member, an auditor, and an educator ensuring medical records are complete and clinical documentation comprehensively represents the current health status of network patients against ever-changing risk adjusted models. Responsible for achieving improved documentation results and risk adjusted scores for the organization, along with documentation and electronic health record charts that accurately capture the clinical picture.
Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
Reviews clinical records of both clinical documentation integrity and mortality scoring.
Collaborates with others regarding clinical documentation improvement (CDI) and risk adjustment (mortality) findings.
Maintains knowledge of Centers for Medicare and Medicaid Services (CMS) requirements related to clinical documentation and provides feedback to clinical staff regarding these requirements during the concurrent record review process.
Maintains knowledge of mortality models, observed rate/expected rate (O/E ratios), industry trends, variable and diagnosis review group (DRG) frequency.
Serves as a liaison between coding staff and physicians as appropriate. Identifies and initiates opportunities for new program development or program extensions, as well as opportunities based on outcomes analysis for program process improvements.
Works with other team members regarding opportunities for improvement in standard work.
Maintains documentation, logs adjusted risk and CDI opportunities.
Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient's age-specific needs and clinical needs as described in the department's scope of service.
Works in a constant state of alertness and safe manner.
Performs other duties as assigned.
EDUCATION
Graduate of accredited school of nursing, PA, NP, or medical school, or Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialist (ACDIS)
EXPERIENCE
Two years in an acute care setting with two years experience in clinical documentation or 4 years experience in clinical documentation with a Certified Clinical Documentation Specialist (CCDS) certification
PHYSICAL REQUIREMENTS
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
State of Work Location: Illinois
Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS)
Or
Physician Assistant in Medicine, Licensed - Illinois Department of Financial and Professional Regulation (IDFPR)
Or
Physician - Regional MSO Credentialing
Or
Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
Or
Advanced Practice Nurse (APN) - Illinois Department of Financial and Professional Regulation (IDFPR)
Or
APN Controlled Substance - Illinois Department of Financial and Professional Regulation (IDFPR)
Or
Full Practice Authority APRN Control Substance - Illinois Department of Financial and Professional Regulation (IDFPR)
Or
Full Practice Authority APRN - Illinois Department of Financial and Professional Regulation (IDFPR)
State of Work Location: Missouri
Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS)
Or
Physician Assistant - Missouri Division of Professional Registration
Or
Physician - Regional MSO Credentialing
Or
Registered Nurse (RN) Issued by Compact State
Or
Registered Nurse (RN) - Missouri Division of Professional Registration
Or
Nurse Practitioner - Missouri Division of Professional Registration
State of Work Location: Oklahoma
Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS)
Or
Acknowledgement of Receipt of Application for Physician Assistant - Oklahoma Medical Board
Or
Physician Assistant - Oklahoma Medical Board
Or
Physician - Regional MSO Credentialing
Or
Registered Nurse (RN) Issued by Compact State
Or
Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)
Or
Advanced Practice Registered Nurse (APRN) - Oklahoma Board of Nursing (OBN)
Or
Certified Family Nurse Practitioner (FNP-C) - American Academy of Nurse Practitioners (AANP)
State of Work Location: Wisconsin
Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS)
Or
Physician Assistant - Wisconsin Department of Safety and Professional Services
Or
Physician - Regional MSO Credentialing
Or
Registered Nurse (RN) Issued by Compact State
Or
Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services
Or
Advanced Practice Nurse Prescriber (APNP) - Wisconsin Department of Safety and Professional Services
Work Shift:
Day Shift (United States of America)
Job Type:
Employee
Department:
********** Sys Clinical Documentation Improvement
Scheduled Weekly Hours:
40
Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
Explore All Benefits
SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
$35k-48k yearly est. Auto-Apply 60d+ ago
Quality Review and Coding Specialist, Continuum of Care
SSM Health Saint Louis University Hospital 4.7
Remote
It's more than a career, it's a calling.
MO-REMOTE
Worker Type:
PRN Responsible for performing audits and coding patient charts at the appropriate timepoints in care. This role will review assessments and plans of care to ensure that the coded diagnoses on patient charts are accurately reflected in assessment and plan of care documentation.
Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
Utilizes computerized coding/abstracting equipment, codes all diagnoses/procedures in accordance with coding guidelines while meeting quality and productivity standards.
Provides necessary assistance to field staff and leadership to Outcome and Assessment Information Set (OASIS), Healthy Outcomes from Positive Experiences (HOPE), and/or ICD-10 queries.
Assists coders and quality review staff in performance of duties.
Maintains and reports statistical information when applicable.
Reviews daily reports to ensure all records are processed.
Consults with field clinical staff regarding appropriate ICD codes and sequencing.
Performs other duties as assigned.
EDUCATION
High School diploma/GED or 10 years of work experience
EXPERIENCE
Two years' experience
PHYSICAL REQUIREMENTS
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
State of Work Location: Illinois
• Certificate for OASIS Specialist-Clinical (COS-C) - OASIS Certificate & Competency Board - OASIS Certificate & Competency Board
• Or
• Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist- Hospice (HCS-H) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
State of Work Location: Missouri
• Certificate for OASIS Specialist-Clinical (COS-C) - OASIS Certificate & Competency Board - OASIS Certificate & Competency Board
• Or
• Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist- Hospice (HCS-H) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Registered Nurse (RN) - Missouri Division of Professional Registration
• Or
• Registered Nurse (RN) Issued by Compact State
State of Work Location: Oklahoma
• Certificate for OASIS Specialist-Clinical (COS-C) - OASIS Certificate & Competency Board - OASIS Certificate & Competency Board
• Or
• Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist- Hospice (HCS-H) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Registered Nurse (RN) Issued by Compact State
• Or
• Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)
State of Work Location: Wisconsin
• Certificate for OASIS Specialist-Clinical (COS-C) - OASIS Certificate & Competency Board - OASIS Certificate & Competency Board
• Or
• Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance
• Or
• Home Care Coding Specialist- Hospice (HCS-H) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance
• Or
• Registered Nurse (RN) Issued by Compact State
• Or
• Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services
Work Shift:
Variable Shift (United States of America)
Job Type:
Employee
Department:
********** Hospice-HH Coding
Scheduled Weekly Hours:
0
Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
Explore All Benefits
SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
$46k-55k yearly est. Auto-Apply 36d ago
Social Worker - Rural Health (Master's level, on-site + remote))
St. Lukes University Health Network 4.7
Tamaqua, PA jobs
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission
of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Outpatient Care Manager, Social Worker (OP CM SW) is responsible for providing Social Work and care management services to out-patients and their families (occasional in-patients) as directed by the policies and procedures of the entity and Outpatient Care Management Department. The OP CM SW provides professionally established methods of assessing a patient's unique bio-psychosocial status, assists patients and families in resolving problem areas, and connects them with appropriate community resources and services. Responsible for the psychosocial component of patient care as it relates to medical stability and wellness, the OP CM SW collaborates with both health care and community partners to address social determinants of health and promote self-management of care needs. The OP CM SW also collaborates with the Outpatient Care Manager RN, Community Health Worker and extender staff as needed to address the social needs of the medically complex patient.JOB DUTIES AND RESPONSIBILITIES:
Provides assessment, care planning and intervention to patients and caregivers, including psychosocial and resource evaluation and planning, advocacy, as well as crisis intervention as appropriate.
Provides counseling directed toward helping patients/caregivers cope with and understand the relationship between physical functioning, illness and the consequent social/emotional impact and adjustments required.
Consults with providers, nurses and other members of the health care team to facilitate interdisciplinary care and address effective continuum of care coordination.
Investigates insurance benefits as well as community resources to provide and facilitate appropriate referrals based on patient/caregiver agreement.
Organizes individual patient care meetings with internal and, as necessary, external multidisciplinary team members and the patient/caregiver to evaluate progress and to identify and resolve problems that may interfere with a positive patient outcome.
Provides patient/caregiver and/or care team education as needed as it relates to government mandates/laws.
Proactively collaborates with patient/caregiver, care team members, and community partners as necessary to address bio-psychosocial needs to ensure efficient and effective continuity of care, utilization of resources and to avoid unnecessary hospitalizations.
Ensures appropriate clinical and patient care documentation in patient charts, completes reports and other requested/required patient documentation as needed, and maintains required statistical documentation for the department's management information system.
Functions autonomously under the Organization and Departmental policies and procedures and in compliance with the NASW Code of Ethics.
Acts as a liaison to community agencies, health institutions, etc., to address systems issues affecting patient outcomes by serving, as able, in community groups and organizations.
Demonstrates competency in the assessment, range of treatment, knowledge of growth and development and communication appropriate to the age of the patient treated.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting for one to two hours at a time, stand for two to three hours at a time, walk on all surfaces for up to five hours per day, and climb stairs. Must be capable of driving a car. Fingering and handling objects frequently. Occasionally firmly grasp, twist and turn objects with hands and fingers. May be required to lift, carry, push, and/or pull objects weighing up to 25 pounds. Occasionally stoops, bends, squats, kneels and reaches above shoulder level. Must have the ability to hear as it relates to normal conversations and high and low frequencies and to see as it relates to general and peripheral vision. Must have the ability to touch as related to telephone and computer keyboard.
EDUCATION:
Master's degree in Social Work from an educational institution accredited by the National Council on Social Work Education (NCSWE) preferred.
LICENSURE / CERTIFICATION:
State licensure for MSW in PA and NJ preferred.State licensure for MSW in NJ required if working in NJ.TRAINING AND EXPERIENCE:
MSW with minimum of two (2) years' experience in medical social work case management or other experience as related to site of service preferred or as above.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
Employment Type:Full time Shift:Description:
Serves as a deployable, senior level labor relations consultant, responding to medium-risk, system wide and/or RHM/organization labor relations needs. Responsible for managing and overseeing multiple and varied labor contracts (100 to 600 union members) and providing consultation to Human Resources Business Partners (HRBPs), RHM executives and leadership teams on complex labor relations matters where content and subject-matter expertise are needed. In partnership with the lead consultant develops strategic and tactical recommendations for workplace environment improvement efforts that are specifically tailored to address short-term RHM/organizational needs, while remaining aligned and supportive of Trinity Health's long-term labor relations strategy. Delivers best practice
approaches that cultivate positive colleague and labor relations, including adherence to HR policies, compliance with regulatory and policy requirements and standards, and investigations of complex labor and colleague relations matters. Work assignments are generally challenging, difficult and complex often requiring direction and collaborative guidance with some latitude to consider whether new procedures may need to be developed, consistent with current policies and existing principles in order to achieve desired end results. Incumbents are expected to possess considerable knowledge of labor relations methods, practices and techniques in order to establish plans, determine priorities and processes needed to accomplish those specific objectives that are aligned with the organization's operations, policies and mission.
ESSENTIAL FUNCTIONS
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
Provides expertise and labor relations consultation in planning, defining and validating of existing programs and initiatives, including short-term labor relations strategy development and implementation in conjunction with the Lead Labor Relations Consultant, COE leaders, HRBPs, and RHM executives and leadership teams to best address the emergent labor relations needs of the system and/or RHM/organizations and to foster positive colleague relations.
Provides guidance and consulting on medium-risk daily labor relations activities and matters that may have a substantial financial impact across the organization. Partners with legal counsel and corporate communications, when appropriate, to design, develop and disseminate labor relations program and policy information to leadership, the organization or affected group(s) and individuals.
Responsible for and leads medium-risk labor relations bargaining and contract negotiation including contract interpretation.
Provides strategic support and consultation on medium-risk progressive labor relations issues such as bargaining, contract negotiation preparation, planning and performance, and contract interpretation. Performs labor relations data collection, tracking, maintenance and analysis, as needed to support local labor relations needs and initiatives.
Conducts colleague and labor relations related investigations where additional expertise is required, particularly in conjunction with external agency/organization claims.
Develops and disseminates labor relations communication materials and performs evaluative analysis of programs and their impacts. Designs, develops and implements labor relations programs by building tools and processes; conducts periodic evaluations of the program, and promotes and fosters a positive work environment to minimize the risk.
Provides support and consultation on medium-risk grievances, mediation, and arbitration initiatives.
Develops and delivers complex labor relations education and awareness programs for all management levels; conducts vulnerability assessments to identify and remedy medium risk opportunities for workplace environment improvement. Provides strategic guidance in creating positive colleague relationships in order to develop an engaged and committed workforce.
Works with other COEs on the design, development, implementation, delivery and ongoing evaluation of strategy and tactics, tools and approaches, from a labor relations perspective. Collaborates in the design, development and delivering of learning and engagement programs to equip leaders and managers with the requisite colleague and labor relations knowledge for daily workplace application.
Serves as a technical resource, providing consultative support during times of Mergers, Divestitures & Acquisitions (MD&A) activities, as needed, including determine the impact of MD&A transactions on union status, Collective Bargaining Agreements, documented deal objectives and strategy regarding labor relations.
Keeps abreast of labor trends, tactics and best practices; maintains professional development through professional affiliations, seminars, and workshops. Maintains knowledge of, including changes in or to, federal and state labor laws and regulations, NLRB decisions, as well as federal and state health care laws and regulations.
Maintains an advanced knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
MINIMUM QUALIFICATIONS
Bachelor's degree in Human Resources Management, Labor or Industrial Relations, Business Administration or a related field, with five (5) to seven (7) years of progressively responsible labor relations experience, including collective bargaining and program development or equivalent combination of education and experience. Master's degree in Human Resources, Labor and Industrial Relations or a related field, Juris Doctorate, LL.B, or degree preferred.
Seasoned specialized knowledge of labor relations, human resources practices and employment laws and regulations. Considerable knowledge of labor relations, collective bargaining, dispute resolution and techniques for fostering a positive and collaborative culture required.
Prior health-care experience preferred.
Considerable experience (five (5) to seven (7) years) negotiating union contracts and managing grievances, arbitrations, campaigns and NLRB proceedings.
Ability to work independently and make sound confident business decisions as they relate to labor issues.
Work assignments are generally challenging, difficult and complex with some latitude to consider whether new procedures may need to be developed; however, which may also necessitate direction and collaborative guidance.
Ability to understand organizational structure, business operations, financial impact/analysis-bottom line understanding.
Ability to respond to variable situations requiring analytical, interpretative, evaluative and constructive thinking abilities. Progressive logical and deductive reasoning abilities.
Exceptional interpersonal, consultative and relationship building skills in order to effectively represent colleague and labor relations, often in highly sensitive situations, and to discuss and resolve related complex issues. Ability to effectively influence results, and garner support. Extremely high level of diplomacy and tact are required. Ability to read the subtle nuances of situation and react/plan accordingly.
Exceptional written and verbal communication skills and oral presentation skills for varied interactions. Ability to influence and anticipate the needs of others while acting as a subject matter expert. Ability to coach, mentor and provide guidance to colleagues across multiple levels of the organization.
Proficiency in Office 365.
Must be able to maintain the highest confidentiality with extremely sensitive data.
Consultative and relationship building skills in order to initiate and develop productive working partnerships with management and staff. Ability to read the subtle nuances of situations and react/plan accordingly.
Proven customer-service orientation. Ability to understand customer requirements and exercise judgment in meeting reasonable expectations.
Ability to support a change management and process improvement work environment.
Ability to continuously learn and seek personal and professional growth opportunities in COE to build credibility with customers, peers and team members.
Ability to model behavior that enables and encourages an environment filled with teaming and knowledge sharing to support colleague empowerment and personal growth.
Must be comfortable operating in a collaborative, shared leadership environment. Demonstrated Team Player.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.
Must be able to travel extensively (approximately 75% of the time), with minimal advance notice and adapt to unique working conditions and environments across the various Trinity Health sites as, needed.
Must possess the ability to comply with Trinity Health policies and procedures.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
$44k-77k yearly est. Auto-Apply 15d ago
Regional Manager, Professional Coding THMG (REMOTE)
Trinity Health Corporation 4.3
Livonia, MI jobs
Manages, directs and provides leadership and strategic oversight of the Trinity Health Medical Group's (THMG) Regional Professional Coding team. Partners with auditing, billing, finance, and operations to promote coding accuracy and adherence to local ministry and regional Trinity practices and policies. Design and builds structure, workflows, and guidance for resolve of coding issues in charge router, charge review and claim edit WQs assigned to regional coding team to ensure coding compliance and minimize audit liability. Provides emphasis on adherence to CMS and other insurance carrier standards, optimizing revenues and the avoidance of monetary settlements from third party audits.
ESSENTIAL FUNCTIONS
* Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
* Provides leadership and manages the work of assigned regional staff, including the monitoring of staff competencies, hiring of new staff, orientation of new assignments, developing goals and objectives, conduction of annual performance appraisal and the utilization of performance resolution process, including performance improvement plans and corrective action, as needed.
* Works with providers and ambulatory practice leaders to develop accurate, effective, efficient, and compliant charge capture and coding processes that ensure revenue is recorded for all services provided and clinical documentation exists to support all charges and coding assigned.
* Ensures systems and processes comply with federal, state and payer-specific coding, billing and reimbursement guidelines.
* Identifies patterns and trends impacting coding and reimbursement to coordinate with THMG Revenue Cycle Site Operations, Professional Billing, Auditor, and Educators, EPFS, and Professional Revenue Integrity educational materials and payer communications to ensure coding accuracy.
* Oversees coding and charge capture reconciliation with Regional Professional Coding Supervisor(s).
* Manages team compliance to initial and ongoing audit recommendations, ensures educational materials and programs are available to staff, and safeguards are in place to promote accuracy.
* Assists in the development of software applications in assigned areas to resolve simple and complex issues and aligns action plans with local and Trinity goals and objectives.
* Monitors daily trends to help guide Revenue Site Operations leadership team with targeted areas for improvement to achieve THMG top performance metrics and minimize Charge Router, Charge Review and Claim Edits dollars in Pre-AR and AR.
* Works with Informatics leadership to identify and resolve trends with process gaps causing errors in charge capture and provider compensation.
* Works closely and collaborates with assigned THMG region's Finance, Operations, and Practice Leaders, Providers, C-Suite Payer Strategies, EPFS and other regional leaders and colleagues across the organization.
* Responsible for Regional Professional Coding departmental budget.
* Motivates staff to achieve the highest levels of performance, working in conjunction with all key stakeholders to prevent revenue leakage and maximize potential revenue for the region.
* Optimizes staff and overall revenue performance through process redesign, policy/procedure implementation, communications, continuing education and professional development activities, staff empowerment and feedback.
* Attends coding and reimbursement workshops and webinars; communicates related information to appropriate departments and ensures understanding and assists with applicable process or system changes as needed.
* Establishes and monitors key performance measures and targets to achieve optimal performance; ensures placement of appropriate internal controls; and employs corrective action to remedy problems or shortfalls.
* Other duties as needed and assigned by the director.
* Maintains a working knowledge of applicable Federal, State, and local laws/regulations, the Trinity Health's Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
MINIMUM QUALIFICATIONS
* Must possess a comprehensive knowledge of CPT, ICD-10-CM (ICD-9-CM) and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery system or revenue cycle or consulting experience, as normally obtained through a bachelor's degree in related field and five (5) to seven (7) years of progressively responsible experience in revenue cycle operations or equivalent combination of education and progressive revenue cycle experience.
* Current standing as a Certified Professional Coder (CPC) or RHIT.
* In addition to CPC or RHIT, Certified E&M Coder (CEMC), and/or Certified Risk Adjustment Coder (CRC) preferred.
* Minimum of three (3) to five (5) years of management experience in a multi-facility, integrated health care delivery system, revenue cycle, or consulting experience.
* Four (4) to six (6) years of experience in multi-specialty coding, with comprehensive knowledge of Medicare, Medicaid, and other third-party billing rules and regulations.
* Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
* Ability to work collaboratively in a team-oriented environment with a strong customer-service orientation.
* Ability to maintain confidentiality of patient and organizational information.
* Ability to prioritize and organize work effectively.
* Ability to exercise independent judgment as appropriate within standard practices and procedures.
* Ability to inspire and motivate others to perform well; accepts feedback; gives appropriate recognition.
* Ability to approach conflict in a constructive manner.
* Ability to identify problems, offer solutions, and participate in their resolution.
* Maintains professional development and growth through journals, professional affiliations, seminars, and workshops to keep abreast of trends in revenue cycle operations and healthcare in general:
* Participates as appropriate in continuing educational programs and activities that pertain to healthcare and revenue cycle management, as well as specific functional areas.
* Develops and implements an annual plan of personal and professional development.
* Participates in local, regional, and national health care revenue activities and professionally represents Trinity Health at these functions.
* Serves in a leadership role and promotes positive Human Resource Management skills:
* Fosters teamwork atmosphere between business and clinical stakeholders.
* Retains, recruits, and manages staff to achieve strategic objectives; and
* Provides staff training and mentoring.
* Good organizational and time management skills to effectively juggle multiple priorities and time constraints.
* Ability to exercise sound critical thinking, problem-solving and decision-making skills.
* Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations.
* Ability to work remotely from home following Trinity remote work guidelines.
* Must be comfortable operating in a collaborative, shared leadership environment.
* Must possess a personal presence that is characterized by a sense of honesty, integrity and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values of Trinity Health.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
* This position operates in a remote environment.
* Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues.
* Manual dexterity is needed to operate a keyboard. Hearing is needed for extensive telephone and in person communication.
* The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions.
* Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.
* Ability to thrive in a fast-paced, multi-customer environment, with conflicting needs which some may find stressful. May warrant varied and/or extended hours, with changes in workload and priorities to keep pace with the industry and advance strategic priorities.
* Must be able to travel approximately 25% of the time as may be needed in the region. This may include travel to THMG locations outside of the Region and to the System Office as may be necessary.
* Must possess the ability to comply with Trinity Health policies and procedures.
The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
$57k-72k yearly est. 3d ago
Community Relations Liaison
Trinity Health 4.3
Syracuse, NY jobs
Candidate should reside in the Oneonta area. strong familiarity with community events. this will be a LOCAL remote opportunity. **Advancing Tobacco Free Communities Delaware, Otsego, and Schoharie Counties** _St. Joseph's Health ~ Regional Health Ministry of Trinity Health_
**Community Engagement Coordinator - 2024**
Advancing Tobacco Free Communities Delaware, Otsego, and Schoharie Counties, a grant-funded program of St. Joseph's Health, promotes policy changes that prevent teen smoking and vaping, reduce adult tobacco use and exposure to secondhand smoke, and encourage community-wide tobacco-free norms. The Community Engagement Coordinator will be a highly motivated public health self-starter who will work to advance local tobacco-free initiatives through community education and mobilization in Delaware, Otsego, and Schoharie counties. This position reports directly to the Director of ATFC-DOS and will work in close collaboration with the ATFC-DOS Youth Engagement Coordinator.
**Essential Job Responsibilities:**
- Develop and implement strategies to:
+ Educate and motivate community members, organizations, and decision-makers to support initiatives that reduce the impact of tobacco marketing & promotion on youth and community members.
+ Educate and motivate multi-unit housing stakeholders, organizations, and decision-makers to support equitable smoke-free housing.
+ Motivate and assist landlords to transition multi-unit housing to smoke-free housing.
+ Provide technical assistance to public housing with implementation and enforcement of smoke-free policies.
+ Motivate and assist employers to make outdoor worksites tobacco-, smoke- and vape-free.
+ Educate community members and local decision-makers about the benefits of tobacco-, smoke- and vape-free municipal properties, including parks, beaches, and recreation areas.
+ Educate community members and local decision-makers regarding the damage to the environment caused by tobacco-product waste and creating environments where policy change to address tobacco product waste is possible.
- Integrate health equity goals into all work with particular focus on addressing tobacco use among groups disproportionately affected by tobacco use including low-income communities, BIPOC, people living with disabilities and/or mental illness and members of the LBGTQ+ community.
- Contribute to the design and implementation of local level evaluation projects that advance tobacco control initiatives.
- Develop relationships with local media outlets to encourage coverage of tobacco control issues and activities.
- Participate in annual meetings with State Legislators to educate on the value of local tobacco control programs.
- Attend regional and statewide meetings and trainings as required by NYSDOH Bureau of Tobacco Control.
- Complete all reporting in a timely and accurate manner.
- Complete all required trainings and educational webinars for St. Joseph's Health in a timely and accurate manner.
**Required qualifications:**
- Bachelor's degree
- Ability to work with and engage various target segments of the community.
- Excellent written and verbal communication skills, including presentation skills.
- Ability to effectively multi-task and shift priorities as needed to meet goals.
- Reliable transportation and a valid NYS license
- Occasional evening and weekend hours; local travel and infrequent overnight stays
**Preferred qualifications:**
- 2-3 years' experience in community organizing, community advocacy, public health policy.
- Master's degree in public health
- Experience engaging media outlets.
- Proficiency with social media
- Knowledge of tobacco control
**Trinity Health's Commitment to Diversity and Inclusion**
Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Pay Range based on experience and location: Grant pay $32.92
**Our Commitment**
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
Employment Type:Full time Shift:Description:
Purpose
Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization's strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge.
Essential Functions
Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
Work Focus:
Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution.
Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
Responsible for distribution of analytical reports.
Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
Data Management & Analysis:
Research & compiles information to support ad-hoc operational projects & initiatives.
Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Functional Role (not inclusive of titles or advancement career progression)
Obtain appropriate clinical documentation through extensive interaction with providers and coding staff to ensure documentation reflects level of service rendered to patients is complete and accurate.
Validate the accurate assignment of working HCC diagnosis affecting RAF scores within the ambulatory patient population by collaborating with physicians & advanced practice providers.
Conduct thorough prospective & sometimes retrospective quality reviews of ambulatory patient records, documenting all relevant findings & tracking key information through the process.
Identify areas where documentation requires clarification & engagement with physicians, advanced practice providers & other healthcare professionals to effectively resolve discrepancies.
Ensures medical record documentation is accurate, complete, & compliant, supporting acute or chronic conditions & medical necessity.
Applies through understanding of payment structures, outpatient reimbursement models, & the impact of provider documentation & HCC risk adjustment, ensuring compliance with reporting standards for claims submission.
Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to documentation, coding & billing regulations for assigned service area.
Minimum Qualifications
Associate's degree in Business, healthcare, Nursing or related field, or equivalent combination of education & experience
Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated health care delivery system, revenue cycle or consulting experience.
Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or Certified Documentation Integrity Practitioner (CDIP) credential with coding or clinical documentation integrity experience.
Additional Qualifications (nice to have)
Bachelor's degree in nursing, HIM or related healthcare field.
Physical & Mental Requirements & Working Conditions (General Summary)
Direct Healthcare Services / Indirect Healthcare / Support Services:
Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell. Occasional
Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.). Occasional
Exposure to or subject to noise, infectious waste, diseases & conditions. Occasional
Exposure to interruptions, shifting priorities & stressful situations. Frequent
Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Continuous
Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Frequent
Perform manual dexterity activities & / or grasping / handling. Occasional
Ability to climb, kneel, crouch & / or operate foot controls. Occasional
Use a computer / other technology. Frequent
Sit with the ability to vary / adjust physical position or activity. Continuous
Maintain a safe working environment & use available personal protective equipment (PPE). Continuous
Comply with applicable Code of Conduct, policies, procedures & guidelines. Continuous
Ability to provide assistance in the event of an emergency. Occasional
Direct Healthcare Services:
Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Frequent
Lift a maximum of 30 pounds unassisted. Occasional
Use upper & lower extremities, engage in bending / stooping / reaching & pushing / pulling. Occasional
Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external environmental conditions. Occasional
Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating patients). Occasional
Indirect Healthcare / Support Services:
Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional
Lift a maximum of 30 pounds unassisted. Occasional
Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional
Encounter a clinical / patient facing / hands on interactive work environment. Occasional
Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
Work outdoors with variable external environmental conditions. Occasional
Average Workday Activity: Occasional - O (1% - 33%), Frequent - F (34% - 66%), Continuous - C (67% - 100%)
The above statements provide a representative description of the nature & level of work being performed by persons assigned to positions within this job description. This is not an exhaustive list of essential functions, conditions & duties; other job-related tasks may be required. Additional detail may be provided by policies, procedures, guidelines, protocols, standards & other communications. Requests for reasonable accommodation will be considered in compliance with federal, state & local law.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
$29k-36k yearly est. Auto-Apply 13d ago
Financial Clearance Specialist full-time - remote
Trinity Health 4.3
Boise, ID jobs
Saint Alphonsus Health System is hiring for our Financial Clearance team. This position is full-time working office hours (Monday-Friday). The Financial Clearance Specialist obtains and/or verifies demographic, clinical, financial and insurance information in the process of pre-registering and financially clearing patients for service delivery, including the entry of patient/guarantor information in the patient accounting system. The Pre-Service Specialist is also responsible for insurance eligibility / benefit verification, pre-certification / authorization, referral clearance and financial education on designated cases.
**Position Highlights and Benefits:**
+ 40 hours per week Monday - Friday during traditional office hours
+ Position is remote (work from home); however, there is required **in-person training** during initial orientation in Boise, ID.
**Minimum Qualifications:**
+ High school diploma or equivalent required. Associate degree preferred.
+ Required: At least two (2) years of experience in financial clearance.
+ National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
+ Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems.Ideal Candidate will have:
+ Comprehensive knowledge of financial clearance and insurance verification processes with at least two (2) years of financial clearance experience in an acute care setting.
+ Past work experience of at least 2 years within healthcare and/or payer environment performing patient access and/or customer service activities.
+ Preferred: Data entry skills (50-60 keystrokes per minute).
**What You Will Do:**
+ Work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Excellent problem-solving skills are essential.
+ Ensures patient safety by authenticating patient identity throughout all essential functions.
+ Meets or exceeds established customer service, productivity and quality standards in all essential functions.
+ Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence.
+ Performs activities that relate to pre-registration and financial clearance for multiple patient types and support coverage of other departmental divisions.
+ Responsible for pre-registering the patient for upcoming visit(s). Validates, obtains and enters demographic, clinical, financial, and insurance information into the patient accounting system.
+ Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms and documenting information within the patient accounting system.
+ Determines need for appropriate service authorizations and will contact the physician and Case Management/Utilization Review personnel, as necessary.
+ Informs patient/guarantor of their liabilities and collects appropriate patient liabilities. Calculates patient liabilities and provides financial education, referring the patient to financial counseling, as required.
+ Validates medical necessity (LCD/NCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance.
+ May serve as relief support, if the work schedule or workload demands assistance to departmental personnel. May also be chosen to serve as a resource to train new employees.
+ Must be able to sit or stand for extended periods of time and use a telephone headset.
+ Completion of regulatory/mandatory certifications and skills validation competencies preferred
+ Working knowledge of medical terminology desirable. Basic computer skills are required.
+ Excellent communication (verbal and written) and organizational abilities.
+ Must be comfortable operating in a collaborative, shared leadership environment.
+ Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
**Our Commitment**
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
Purpose Accountable for leading, guiding & directing the functional responsibilities within an area of assignment. Enable ministry-level or enterprise-wide functional strategy to address internal or external business & regulatory issues. Provide functional expertise & ensure fulfillment of performance & service standards. Responsible for consistent operating performance & achieving financial goals. Identifies, defines & solves complex problems that impact the management & direction of the business. Collaborates with Services Areas, Regions & Health Ministries to ensure consistency & integration of strategy & operations while maintaining awareness of new industry developments & standards. Provides decision support, operations & / or optimization leadership focus.
Essential Functions
Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
Leadership:
Providing advice, guidance & leadership to RHM & Region leaders in developing strategies & in the achievement of performance goals.
Enable Collaboration across & within service area, RHM & Regions to ensure consistency & integration of strategy & operations
Direction & Growth:
Providing advice, guidance & leadership to service area, functional area, RHM & Regions.
Leading standardization / systemness & optimization of policy, process, methodology, establishing a national community of practice.
Oversee Vendor / Contract Labor Management including centralizing strategy & optimizing spend.
Strategic Support & Accountability:
Collaborates in system-wide strategy development & deployment of functional area priorities & initiatives.
Responsible for supporting regional efforts to comply with functional area priorities.
Accountable for the selection, evaluation & overall success of the functional leadership teams.
Organization-wide focal point for establishing functional strategies & governance over financials & staffing.
Accountable for communication between service area functional area, RHM & Region leaders.
Operational Delivery
Responsible for measuring & reporting KPIs / metrics &value delivery.
Providing advice, guidance & leadership for the colleague life cycle.
Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Functional Role (not inclusive of titles or advancement career progression)
* Provides leadership & strategic oversight of the Trinity Health Medical Group's (THMG) Ambulatory Clinical Documentation Integrity program.
* Designs & builds structure, workflows & guidance of best practice documentation standards to ensure coding compliance & minimize audit liability.
* Provides emphasis on adherence to CMS & other insurance carrier standards, optimizing revenues & the avoidance of monetary settlements from third party audits.
* Works with providers & ambulatory practice leaders to develop accurate, effective, efficient & compliant documentation processes that ensure patient quality for all services provided & clinical documentation exists to support appropriate coding & billing.
* Stays current with organizational alternate payment models & contracting to help prioritize work assignment for ambulatory clinical documentation integrity specialists. Develops & sustains working relationships with providers, advanced practice providers & administrators to promote success of the Clinical Documentation Integrity program.
* Ensures educational materials & programs are available to staff & providers around complete & compliant documentation.
* Assists in the development of software applications in assigned areas while identifying & resolving trends with process gaps causing errors in documentation.
Minimum Qualifications
* Bachelor's degree in Business Administration, Healthcare Administration, Nursing or related field, or equivalent combination of education & experience
* Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated health care delivery system, revenue cycle or consulting experience, with progressive responsibility in management or leadership experiences in clinical documentation integrity, coding, healthcare quality or equivalent
* Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or Certified Documentation Integrity Practitioner (CDIP) credential with coding or clinical documentation integrity experience
* Ambulatory or outpatient experience with Medicare, Medicaid & other third-party billing rules & regulations
Additional Qualifications (nice to have)
* Master's degree in nursing, HIM or related healthcare field
Physical & Mental Requirements & Working Conditions (General Summary)
Direct Healthcare Services / Indirect Healthcare / Support Services:
* Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell. Occasional
* Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.). Occasional
* Exposure to or subject to noise, infectious waste, diseases & conditions. Occasional
* Exposure to interruptions, shifting priorities & stressful situations. Frequent
* Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Continuous
* Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Frequent
* Perform manual dexterity activities & / or grasping / handling. Occasional
* Ability to climb, kneel, crouch & / or operate foot controls. Occasional
* Use a computer / other technology. Frequent
* Sit with the ability to vary / adjust physical position or activity. Continuous
* Maintain a safe working environment & use available personal protective equipment (PPE). Continuous
* Comply with applicable Code of Conduct, policies, procedures & guidelines. Continuous
* Ability to provide assistance in the event of an emergency. Occasional
Direct Healthcare Services:
* Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Frequent
* Lift a maximum of 30 pounds unassisted. Occasional
* Use upper & lower extremities, engage in bending / stooping / reaching & pushing / pulling. Occasional
* Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
* Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external environmental conditions. Occasional
* Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating patients). Occasional
Indirect Healthcare / Support Services:
* Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional
* Lift a maximum of 30 pounds unassisted. Occasional
* Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional
* Encounter a clinical / patient facing / hands on interactive work environment. Occasional
* Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
* Work outdoors with variable external environmental conditions. Occasional
Average Workday Activity: Occasional - O (1% - 33%), Frequent - F (34% - 66%), Continuous - C (67% - 100%)
The above statements provide a representative description of the nature & level of work being performed by persons assigned to positions within this job description. This is not an exhaustive list of essential functions, conditions & duties; other job-related tasks may be required. Additional detail may be provided by policies, procedures, guidelines, protocols, standards & other communications. Requests for reasonable accommodation will be considered in compliance with federal, state & local law.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
$79k-107k yearly est. 40d ago
(REMOTE) Epic Application Coordinator- Beacon
Trinity Health 4.3
Livonia, MI jobs
**_* Remote opportunity_** **_* Epic Beacon Certified preferred_** **_Hourly pay range: $44.56-$66.87_** Responsible for providing primary support and contact for each application. Coordinates all issues that arise during the project for assigned application areas and provides subject matter expertise and comprehensive knowledgeable in Trinity Health's policies, procedures, and business operations. Works directly with the customer and develops best practice workflows based on decisions from different system decision making groups and translates the information into the application build. Works hand-in-hand with other Epic Application Coordinators, Project Managers, Trainers, and respective Application Managers.
**ESSENTIAL FUNCTIONS**
Knows, understands, incorporates and demonstrates the Trinity Health Mission, Vision and Values in behaviors, practices and decisions.
Establishes priorities that align with organizational initiatives. Manages multiple projects simultaneously and adapts to frequent changes in priority. Manages teams to consensus decisions that support organizational objectives
Consults with providers, clinicians, executives and management at all levels in order to provide support for decisions, workflows, new initiatives and other assignments.
Provides critical analysis of data to support assigned program, project and/or engagement and articulates same to colleagues, customers, business owners and all levels of management.
Provides specialized guidance for integration, architectures, system selection, strategy, electronic health and/or financial records, clinical systems implementations and clinical process transformation as needed.
Researches and contributes to recommendations into timing of introduction of new functionality. Supports upgrade design process and decision-making.
Recommends innovative application solutions to product workflow, patient safety, productivity and financial problems.
Provides leadership direction for application integration decisions with impacts across applications and clinical / business units. Assists product teams in development of design and required documentation.
Analyzes business processes and reengineers those processes to improve business and/or clinical needs.
Prepares or participates in the preparation of detailed project work plans and project status reports.
Assists and collaborates with system decision making groups in determining best practice evidence-based workflows, order sets, forms, decision support and other tools that are consistently applied throughout Trinity Health.
Utilizes performance improvement methodologies (e.g., PDCA, Lean, Six Sigma, etc.) and change management strategies to address gaps in performance, changing technology, regulations, standards and evidence.
Participates in interdisciplinary functional groups that make design, implementation, enhancement and outcome reporting decisions.
Models teamwork within the System Office and with RHMs. Demonstrates the ability to operate in a collaborative, shared leadership environment.
Assists in the handling of multiple projects/assignments simultaneously and adapts to frequent changes in priorities.
Actively pursues professional growth opportunities.
Utilizes support staff appropriately and adopts new tools to manage projects and documents.
Maintains a working knowledge of applicable Federal, State and local laws and regulations, the Trinity Health Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
**MINIMUM QUALIFICATIONS**
The Application Consultant in this role must be willing to travel to work sites as needed and determined by the leadership team.
Bachelor's degree in healthcare, IT or related field, or an equivalent combination of education and experience. Must have progressively responsible experience serving as a subject matter expert, specialist or a consultant. Must be able to learn Epic's software and obtain EPIC Certification within 3 to 6 months after the hire date. Current Epic certification preferred.
Three (3) to five (5) years knowledge and leading performance/business process improvement activities, including analyzing workflow processes utilizing PDCA, Lean, Six Sigma or other continuous process improvement methodologies or direct experience building IT systems
The Application Consultant in this role must be willing to travel to work sites as needed and determined by the leadership team.
Ability to interface with multiple technical and business teams.
Familiarity with information systems, clinical software and other computer applications.
Ability to serve as primary support contact for application and to coordinate all issues that arise.
Ability to understand choices involved in application configuration and to perform in-depth analysis of workflows, data collection, report details, and other technical issues associated with Epic software.
Ability to analyze business operations relative to build decisions, investigate end users' preferences when making build decisions, and working directly with system decision groups.
Ability to prioritize and implement requested changes to the system and to effectively analyze functionality in new releases in order to determine utilization.
Ability to populate databases during the initial system build with assistance from Epic and to collect information regarding potential system enhancement needs.
Ability to ensure data coming across an interface into an Epic application meets the business needs.
Ability to set standards for naming and numbering conventions and security classifications using the Epic Style Guide Master File Naming and Numbering Conventions.
Ability to serve as a liaison between end users, third parties, and Epic implementation staff.
Strong communication skills with the ability to communicate information clearly and concisely with project leadership and team members.
Strong analytical abilities and the ability to assess and match team member skills to team responsibilities and match organizational needs to the system's functionality.
Ability to motivate team members and show appreciation for the overall team efforts.
Recognized and respected in the organization.
Ability to participate in training and work with end users.
Ability to troubleshoot problems and questions from end users and provide resolution and requested information.
Ability to research, evaluates, and analyzes alternatives to reach issue resolution.
Ability to manage project from organizational perspective and to never lose sight of detailed tasks.
Ability to work with report writers to ensure that the application has the necessary reports.
Ability to commit to established timetables and deadlines in order to ensure successful project outcomes
Must be an effective consensus builder and collaborator, have excellent written and verbal interpersonal and communication skills, and operate effectively in a highly collaborative environment.
Must be able to operate effectively in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values of Trinity Health.
**PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS**
Operates in a typical office environment. The area is well lit, temperature-controlled and free from hazards. Incumbent communicates frequently, in person and over the telephone, with people in a number of different locations on technical issues.
Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communications. Must be able to speak and communicate clearly and effectively.
The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions.
Must be able to adapt to frequently changing work priorities and be able to prioritize and balance the requirements of working with the System Office and Regional Health Ministries (RHMs).
Must be able to travel to various Trinity Health sites as needed. Work hours may include after hours and weekends.
May require participation in a rotating on-call schedule.
**Our Commitment**
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
$37k-51k yearly est. 60d+ ago
RN Registered Nurse Full Time PAT Remote after Training
Trinity Health Corporation 4.3
Syracuse, NY jobs
Posting This RN position includes incorporating approved processes, systems, protocols and tools when screening incoming colleagues, providers, vendors and visitors entering Trinity Health facilities. These screening protocols follow CDC and other regulatory guidelines and internal procedures. This opportunity is located in our Preadmission Testing (PAT) department in the medical office building (MOB) on our main campus.
Documents and maintains compiled screening information as necessary within the scope of the RN role.
Reports to manager or identified escalation resources any issues or concerns and identifies person(s) who do not pass screening and/or compliance screening requirement guidelines per approved protocols.
A Registered Nurse (RN) is a licensed health care provider who provides nursing care under the direction of a physician, or other authorized health care provider. There is no independent component to the RN role.
The Nurse Practice Act defines the practice of a RN as "performing tasks and responsibilities within the framework of case finding, health teaching, health counseling, and provision of supportive and restorative care under the direction of a registered nurse or licensed physician, dentist, or other licensed health care provider legally authorized under this title and in accordance with the commissioner's regulations."
ESSENTIAL FUNCTIONS
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
As outlined in processes, practice guides and protocols and applying required systems and tools, performs specific health screening of persons entering Trinity Health facilities following established regulatory and Trinity Health guidelines and internal procedures.
May check temperature (no touch) and screens for symptoms by asking colleagues, providers, vendors and visitors a series of questions or ensuring that inquiry systems or electronic applications are used and that persons are approved for entry.
Provides masks as needed.
Educates those desiring to enter facilities on the practices and protocols for entry and re-entry.
Reports to manager or other identified escalation resources any person(s) who refuses and / or does not pass the screening and / or compliance screening requirement guidelines.
Monitors, organizes and keeps work areas sanitized and clean. Screenings may be required to take place outside the doors to Trinity Health facilities in order to maintain appropriate protection inside the buildings.
Ensures testing related supplies are properly maintained and available.
Maintains good rapport and cooperative relationships with colleagues, providers, vendors and visitors.
Approaches conflict in a professional, calm and constructive manner; escalates problem resolution to manager or other identified resources, as needed and according to protocols and processes. Creates a positive environment that promotes customer satisfaction.
Completes required training and sign off on usage of infrared thermometer and instructions needed to be followed.
Keeps abreast of updated internal instructions, processes, protocols and CDC and/or regulatory guidelines.
Performs other duties as assigned by the manager.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
RESPONSIBILITIES:
Ensures quality nursing care is rendered to all patients in accordance with the New York Nurse Practice Act, National Standards of Practice, and Nursing and Clinical Service standards of care and practice.
Utilizing the Nursing Process is involved in the provision of direct care of patients and families.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
Operates in a healthcare, office or outdoor environment. Understands and follows infection control standards and complies with the use of personal protection equipment to prevent exposure and transmission of communicable disease.
Ability to stand or sit for long periods of time. Frequent walking, sitting, bending and stooping.
Must be able to hear and speak to those desiring to enter Trinity Health facilities and to communicate via phone, email and other electronic methods.
Must be able to adapt to frequently changing work priorities and be able to prioritize and balance the requirements of the job.
Ability to concentrate and pay close attention to details for over 90% of time
Mission Statement:
We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Vision:
To be world-renowned for passionate patient care and outstanding clinical outcomes.
Core Values:
In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.
Education, Training, Experience, Certification and Licensure:
Graduation from an accredited school for Registered Nurse and current licensure, or eligibility for licensure, in the State of New York.
Maintains current BLS/CPR.
Participates in orientation and continuing education and updates and maintains knowledge and skills related to specific areas of expertise.
Work Contact Group:
All services, medical staff, patients, visitors, and various regulatory and professional agencies.
Supervised by:
Team Leader, Clinical Coordinator, Unit Manager, and Clinical Services/Nursing Administration.
Diversity and Inclusion
Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Pay Range: $33.00 - $43.58
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.