Job Listings


Here are the results of your job search. Please click on the job title for more information, and apply from that page if you are interested.

 

We recently welcomed our CHI locations into our career portal, start your job search below.

 

To search Dignity Health jobs, please click here.

 

Some popular searches:

 Cath Lab Nurse | Care Coordination | Coders| Emergency NurseExecutive Leadership | HTM/Clinical Engineering/BioMed | ICU Nurse | Lab | Nursing Leadership |
Medical Assistant | Surgery  Nurse |  ResearchTherapy

Use this form to perform another job search

The system cannot access your location for 1 of 2 reasons:
  1. Permission to access your location has been denied. Please reload the page and allow the browser to access your location information.
  2. Your location information has yet to be received. Please wait a moment then hit [Search] again.


CommonSpirit Health participates in E-Verify.
Click column header to sort

Search Results Page 3 of 3

This Per Diem Social Worker MSW position will have the ability to pick up day, evening and night shifts in the Emergency department for St. Anne Hospital in Burien, Washington. The role will also have the opportunity to cross train in the Emergency department at St. Francis Hospital and at our other hospital sites in the area.    Job Summary: As a member of a multi-disciplinary team, responsible for assessing and providing support and intervention for the social and emotional needs of patients and their families to promote continuity of care and services. Work involves professional activities such as psycho-social assessment, mental health screening and referral, crisis intervention, environmental assistance, patient advocacy, after-care planning and others of similar scope and complexity, depending on the assigned work unit.   Note: 1) If assigned to Behavioral Health or Emergency Services, duties also include mental health assessment and evaluation. 2) Employees assigned to the Emergency Department must meet special requirements as outlined in the Minimum Job Qualifications section.   Essential Job Duties: - Performs assessments, evaluation, mental health screening and/or mental health assessment and evaluation, and referrals, focusing on the psychosocial needs of the patient and family; facilitates family conferences as appropriate; identifies and communicates social, emotional and patient/family stressors to members of the care team as it relates to patient’s problems and plan of care. - Plans and coordinates interventions, provides counseling services and evaluates effectiveness of interventions for identified patients and families based on specific department standards. - Identifies and facilitates safe discharge planning along the continuum. Communicates and documents plan to interdisciplinary patient care team. - Promotes safety, quality and appropriate resource utilization. Advocates on behalf of patients and caregivers for service access and for safety and rights (e.g. victims of domestic violence, sexual assault, disability access or community-based services). - Ensures compliance with state reporting requirements and appropriate documentation as identified by department policy and regulatory requirements/agencies. Provides consultation to staff and physicians regarding reporting requirements. - Provides consultation and guidance to staff and physicians about patient psychosocial issues and needs.
Job ID
2021-167139
Department
Care Management
Shift
Varied
Facility / Process Level : Name
CHI Franciscan
Employment Type
Per Diem
Location
WA-BURIEN
As a Social Worker at CHI you will provide direct social work services including assessment, treatment planning, intervention, counseling, and recommendations to individual patients (adolescents, adults, elder) and their families/significant others and/or groups of patients.  Is knowledgeable in areas such as active listening, social perceptiveness, critical thinking, and coordination. The social worker has the ability to carry the role of advisor, therapist, administrator and clinician.   Our world needs compassion like never before. Our communities need caring, and our families need protection. With our combined resources, we are committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community. This role will allow you to give back to our community and broaden your healthcare skills.  related skills: Social Worker, MSW, LMSW, LCSW, Care Management, discharge planning, inpatient, hospital, acute care, hospital, compassion, patience, kindness, respect
Job ID
2021-163039
Department
Care Management
Shift
Day
Facility / Process Level : Name
CHI St. Luke's Brazosport
Employment Type
Full Time
Location
TX-LAKE JACKSON
Job Summary: As a member of a multi-disciplinary team, responsible for assessing and providing support and intervention for the social and emotional needs of patients and their families to promote continuity of care and services. Work involves professional activities such as psycho-social assessment, mental health screening and referral, crisis intervention, environmental assistance, patient advocacy, after-care planning and others of similar scope and complexity, depending on the assigned work unit.   Note: 1) If assigned to Behavioral Health or Emergency Services, duties also include mental health assessment and evaluation. 2) Employees assigned to the Emergency Department must meet special requirements as outlined in the Minimum Job Qualifications section.   Essential Job Duties: - Performs assessments, evaluation, mental health screening and/or mental health assessment and evaluation, and referrals, focusing on the psychosocial needs of the patient and family; facilitates family conferences as appropriate; identifies and communicates social, emotional and patient/family stressors to members of the care team as it relates to patient’s problems and plan of care. - Plans and coordinates interventions, provides counseling services and evaluates effectiveness of interventions for identified patients and families based on specific department standards. - Identifies and facilitates safe discharge planning along the continuum. Communicates and documents plan to interdisciplinary patient care team. - Promotes safety, quality and appropriate resource utilization. Advocates on behalf of patients and caregivers for service access and for safety and rights (e.g. victims of domestic violence, sexual assault, disability access or community-based services). - Ensures compliance with state reporting requirements and appropriate documentation as identified by department policy and regulatory requirements/agencies. Provides consultation to staff and physicians regarding reporting requirements. - Provides consultation and guidance to staff and physicians about patient psychosocial issues and needs.
Job ID
2021-150933
Department
Care Management
Shift
Varied
Facility / Process Level : Name
CHI Franciscan
Employment Type
Per Diem
Location
WA-SILVERDALE
Job Summary: As a member of a multi-disciplinary team, responsible for assessing and providing support and intervention for the social and emotional needs of patients and their families to promote continuity of care and services. Work involves professional activities such as psycho-social assessment, mental health screening and referral, crisis intervention, environmental assistance, patient advocacy, after-care planning and others of similar scope and complexity, depending on the assigned work unit.   Note: 1) If assigned to Behavioral Health or Emergency Services, duties also include mental health assessment and evaluation. 2) Employees assigned to the Emergency Department must meet special requirements as outlined in the Minimum Job Qualifications section.   Essential Job Duties: - Performs assessments, evaluation, mental health screening and/or mental health assessment and evaluation, and referrals, focusing on the psychosocial needs of the patient and family; facilitates family conferences as appropriate; identifies and communicates social, emotional and patient/family stressors to members of the care team as it relates to patient’s problems and plan of care. - Plans and coordinates interventions, provides counseling services and evaluates effectiveness of interventions for identified patients and families based on specific department standards. - Identifies and facilitates safe discharge planning along the continuum. Communicates and documents plan to interdisciplinary patient care team. - Promotes safety, quality and appropriate resource utilization. Advocates on behalf of patients and caregivers for service access and for safety and rights (e.g. victims of domestic violence, sexual assault, disability access or community-based services). - Ensures compliance with state reporting requirements and appropriate documentation as identified by department policy and regulatory requirements/agencies. Provides consultation to staff and physicians regarding reporting requirements. - Provides consultation and guidance to staff and physicians about patient psychosocial issues and needs.
Job ID
2021-149317
Department
Care Management
Shift
Day
Facility / Process Level : Name
CHI Franciscan
Employment Type
Full Time
Location
WA-SILVERDALE
Job Summary: This Social Worker MSW position works closely with the multidisciplinary teams at the emergency departments to provide comprehensive care to meet the psychological and social needs of our patients. The role will have the opportunity to float between our three King County emergency departments. The incumbent will assist the primary Social Workers at St. Francis Hospital and St. Anne Medical Center, along with acting as the primary night shift Social Worker for St. Elizabeth Hospital. The position requires use of own vehicle to travel between emergency departments as needed while on shift.     The position is on a full-time/1.0 FTE non-exempt status and is eligible for our competitive benefits package to include medical, dental and vision insurance, paid time off, an employee illness bank as well as a strong retirement plan. The schedule for this role also allows for every other weekend off.   Essential Job Duties: - Performs a wide range of clinical assessments for patients at any stage of life including children, adults and older adults. - Perform full mental health evaluations for patients in behavioral health crisis and make recommendations for treatment and dispositions. Establish safety plans prior to discharge. - Perform screenings and/or assessments for patients presenting with abuse and neglect, sexual assault, domestic violence. - Assist patients with safety planning and/or connecting with resources for their health and safety. - Perform substance use disorder screenings including utilizing the principles of SBIRT and motivational interviewing. Make appropriate treatment referrals and recommendations. - Understanding of post-acute care options including skilled nursing facility placement, home health care and in-home services. Be comfortable explaining available resources to patients and families to make the best choice for their ongoing health care. - Knowledge of local resources and referral sources related to behavioral health care, homelessness, basic needs, transportation and general resources relevant to the target population. - Ensures compliance with documentation standards - Provides consultation to staff and physicians about patients’ behavioral health and psychosocial needs, and provide thorough assessment, treatment recommendations, referral and contribute to safe discharge planning. - Utilizes technology to video teleconference with patients, as appropriate.
Job ID
2020-143914
Department
Care Management
Shift
Night
Facility / Process Level : Name
CHI Franciscan
Employment Type
Full Time
Location
WA-FEDERAL WAY
As a Social Worker at CHI you will provide direct social work services including assessment, treatment planning, intervention, counseling, and recommendations to individual patients (adolescents, adults, elder) and their families/significant others and/or groups of patients.  Is knowledgeable in areas such as active listening, social perceptiveness, critical thinking, and coordination. The social worker has the ability to carry the role of advisor, therapist, administrator and clinician.   Our world needs compassion like never before. Our communities need caring, and our families need protection. With our combined resources, we are committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community. This role will allow you to give back to our community and broaden your healthcare skills.  related skills: Social Worker, MSW, LMSW, LCSW, Care Management, discharge planning, inpatient, hospital, acute care, clinic, hospital, compassion, patience, kindness, respect, #missioncritical
Job ID
2021-166768
Department
Case Management
Shift
Day
Facility / Process Level : Name
CHI St. Luke's Health–Patients Medical Center
Employment Type
Part Time
Location
TX-Pasadena
As a Social Worker at CHI you will provide direct social work services including assessment, treatment planning, intervention, counseling, and recommendations to individual patients (adolescents, adults, elder) and their families/significant others and/or groups of patients.  Is knowledgeable in areas such as active listening, social perceptiveness, critical thinking, and coordination. The social worker has the ability to carry the role of advisor, therapist, administrator and clinician. Join our Care Management team today!   Our world needs compassion like never before. Our communities need caring, and our families need protection. With our combined resources, we are committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community. This role will allow you to give back to our community and broaden your healthcare skills.  related skills: Social Worker, MSW, LMSW, LCSW, Care Management, EPIC, inpatient, hospital , acute care, clinic, hospital, compassion, patience, kindness, respect
Job ID
2021-156720
Department
Case Management
Shift
Weekend
Facility / Process Level : Name
CHI St. Luke's Health - The Woodlands Campus
Employment Type
Per Diem
Location
TX-THE WOODLANDS
PRN Position As a Social Worker at CHI you will provide direct social work services including assessment, treatment planning, intervention, counseling, and recommendations to individual patients (adolescents, adults, elder) and their families/significant others and/or groups of patients.  Is knowledgeable in areas such as active listening, social perceptiveness, critical thinking, and coordination. The social worker has the ability to carry the role of advisor, therapist, administrator and clinician.   Our world needs compassion like never before. Our communities need caring, and our families need protection. With our combined resources, we are committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community. This role will allow you to give back to our community and broaden your healthcare skills.  related skills: Social Worker, MSW, LMSW, LCSW, Care Management, discharge planning, inpatient, hospital, acute care, clinic, hospital, compassion, patience, kindness, respect, #missioncritical
Job ID
2021-148289
Department
Case Management
Shift
Varied
Facility / Process Level : Name
CHI St. Luke's Health–Patients Medical Center
Employment Type
Per Diem
Location
TX-Pasadena
Support can come in many forms. For patients with extreme illnesses or in crisis situations, support may also extend to their families and caregivers. Our Social Workers play a huge role in the collective well-being of all those involved. They provide our patients with resources, clinical counseling, and, most importantly, sincere interest. They advocate for patients to ensure they receive the support they need and stop at nothing to get the job done. If you were called into Social Work because you are passionate about improving the lives of others, you belong at CHI.   What you’ll do: - Collaborate with other professionals to evaluate patients' medical or physical condition and to assess client needs - Refer patient, client, or family to community resources such as financial assistance, legal aid, housing, job placement or education to assist in recovery from mental or physical illness - Counsel patients in individual and group sessions to help them overcome dependencies, recover from illness, and adjust to life
Job ID
2021-162915
Department
Social Work Services
Shift
Day
Facility / Process Level : Name
CHI Health Lakeside
Employment Type
Full Time
Location
NE-OMAHA
I.                    Plan of Care A.      Assesses, develops, impelemtn and monitors a comprehensive plan of care through an interdisciplinary team process in conjunction with the patient and family in internal and external settings. a.      Comprehensively assesses patient’s goals as well as their biophysical, psychosocial, environmental, and discharge planning needs and financial status. b.      Works collaboratively with RN Care Manager to develop appropriate discharge plan and ensure indicated referrals are completed in a timely manner. c.       Procures services and serves as advocate on behalf of patients and families for scarce resources. d.      Acts as a liaison to post hospital care provider and community health resources.   II.                  Resources A.      Education patients, families, and medical staff regarding available resources and guidelines associated in accessing resources.  Provide applications as needed for these resources.   III.                Communicates Effectively Resolves situations as appropriate within scope of job.  Handles complaints/concerns in a prompt and courteous manner; assess and directs to appropriate person to deal with concerns as needed; makes attempt to solve issues with involved parties. Demonstrates tact, courtesy, sound judgment and a professional attitude when relating with patients, families, coworkers, physicians, and affiliated agencies. Gives and receives feedback in a positive manner. Communicates both verbally and in writing with physician and appropriate hospital staff regarding patient needs and progress of discharge plan. Meets with Care Management Leadership to discuss case specific issues. Actively participates in staff meetings, for information exchange, discussion of performance indicator results and action planning. Develops professional relationship with community partners.   IV.                Care Management Education  Provides Care Management education to peers and consumers; participates in providing continuing educational activities. Assist with providing education of Care Management services, policies and procedures to physicians. Actively seeks to improve skills and knowledge base for personal and job development through literature review and participation in in-services and other educational programs. Consistently works toward standards of excellence to continually improve personal performance. Responsible for ensuring current licensure, Basic Life Support (BLS) certification, and other required certification as applicable. Responsible for documenting continuing education and mandatory in-service attendance and forwarding the information Care Management Leadership.   V.                   Professional Public Image A. Portrays a positive public image at all times.       a. Acts as a role model for others.       b. Recognizes, appreciates, accepts and values differences in people and treats all with dignity and respect.       c. Attends and participates in CHI- St. Vincent facility committees as assigned.       d. Wears clothing and CHI-St. Vincent identification badge consistent with dress code and attends to personal hygiene to maintain a clean, well groomed appearance.       e. Maintains attractive, safe, and clean workspace.             f. Meets CHI- St. Vincent facility attendance standards.       VI.                Team Work Builds and maintains positive relationships with healthcare team, placing organizational/team goals first. Assumes responsibility, authority, and accountability for patient load, assisting other coworkers when requested or as the need arises. Meets deadlines and takes responsibility for accomplishing one’s own work. Takes feedback from coworkers and uses feedback to improve performance. Participates in peer evaluations. Identifies and actively participates in projects to assist with team self actualization. Participates as a team member with department wide events/programs. Uses appropriate resources and methods to resolve conflicts with others in a positive and professional manner.   VII.              Technology Documents data accurately in the utilization management module to ensure data for tracking and trending is accurate. Uses technology for risk management, quality improvement activities, data collection, process improvement and evaluation of improvement interventions. Maintains technical knowledge and skills of computer systems (Interqual, Cerner, Star, and Email)   VIII.            Organizational Skills Consistently makes appropriate mandatory reports to appropriate agencies.   IX.                Other Duties as Assigned
Job ID
2021-160937
Department
Social Work Services
Shift
Day
Facility / Process Level : Name
CHI St Vincent Hot Springs
Employment Type
Full Time
Location
AR-HOT SPRINGS
Works collaboratively with physicians, staff and other health care professionals within his/her Division to coordinate the care and service of selected patient populations across the continuum within the acute care setting. The role works collaboratively with patient, family, physician and other members of the health care team to achieve the highest quality clinical outcomes with the most cost effective use of available resources. The Social Worker supports responsibility for an interdisciplinary process to meet the psychosocial and transitional needs of the patient and family. The Social Worker is knowledgeable about various age-related care protocols and functions within their scope of practice. The Social Worker is an integral member of the health care team as well as the Divisional Care Management team. In addition, the position collaborates with the Divisional Care Management team on system-wide quality improvement/performance improvement initiatives.   ESSENTIAL KEY JOB RESPONSIBILITIES 1. Conducts a psychosocial assessment on identified priority patients in collaboration with family. 2. Outline available strategies and services to assist in addressing psychosocial care needs, and to make recommendations as appropriate. 3. Specialized screening tools may be used for the assessment such as Depression screen, Anxiety screen, Substance Abuse screen, Health Literacy screen, Mental Status screen, and Social Support screen as well as other specialized screens and evaluative tools. 4. Develops individualized psychosocial case plans in collaboration with Case Manager -Acute Care based on assessment and in conjunction with other members of the Care Management team. 5. Documents actions in medical record according to departmental guidelines and oversees process of exchange of information with other facilities/agencies adhering to legal mandates about confidentiality. 6. Provides crisis interventions and psychosocial counseling services to restore patients and families to optimum social and psychological health based on their strengths and use of available resources. 7. Provides factual information and materials to patients/families and others regarding programs end stage illnesses. 8. Makes referrals promptly to appropriate agencies for services suitable to meet patients’ needs. 9. Screens patients for financial assistance and helps clarify insurance benefits. Supports patients and families in their efforts to address and cope with the economic stress brought on by serious illnesses. Knowledgeable regarding financial resources. 10. Assists patient and family in enrollment in needed programs and services. 11. Assesses need for services through multidisciplinary rounds on patients and collaboration with physicians and other interdisciplinary team members. 12. Consults with outside agencies in the delivery of individual/community care necessary to meet identified and agreed upon goals. 13. Arranges for and coordinates a broad spectrum of discharge planning services for patients during their hospitalization. 14. Collaborates with patient/family, physicians, and care management staff to determine patient’s post-discharge needs and plans. 15. Provides patient/family with information on options/resources available and strategies for utilizing resources. Assists with all necessary referrals. 16. Other duties as assigned.
Job ID
2021-154809
Department
Social Work Services
Shift
Day
Facility / Process Level : Name
CHI Saint Joseph London
Employment Type
Full Time
Location
KY-LONDON
Job Summary: Social Worker in the Hospice department is a member of a multi-disciplinary team, responsible for assessing and providing support and intervention for the social and emotional needs of patients and their families to promote continuity of care and services.   Work involves professional activities such as psycho-social assessment, mental health evaluation and referral, crisis intervention, environmental assistance, patient advocacy, after-care planning and others of similar scope and complexity, depending on the assigned work unit. 
Job ID
2020-107467
Department
Hospice
Shift
Day
Facility / Process Level : Name
CHI Franciscan St Joseph Medical Center
Employment Type
Full Time
Location
WA-UNIVERSITY PLACE
 Job Summary:   The Patient Logistics Clinical Coordinator, also known as the Patient Logistics Supervisor, supervises the transfer center and patient placement activities for Dignity Health. The position functions as the supervisor during their assigned shift to support the department and staff to carry out the patient logistics program responsibilities. The Patient Logistics RN Clinical Coordinator collaborates with customers and staff to ensure efficient and effective communication with others, including but not limited to: hospital administration, nursing leadership or their designee, medical staff, physicians and transportation vendors to ensure patients are assigned rooms in an expedient manner utilizing all critical resources within the organization to expedite this process. Primary responsibility for completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues or barriers.   This is not a remote role and will be located in Sacramento, CA.     Mission:   Dignity Health Resources are dedicated to: delivering compassionate, high-quality, affordable health services; serving and advocating for our sisters and brothers who are poor and disenfranchised; and collaborating with others in the community to improve   the quality of life.       Accountabilities: - Compiles data for the purpose of quality assurance and compliance with organizational and department policies, work aids, and algorithms - Holds other Patient Logistics staff accountable to the established standards - Accurate and timely distribution of daily reporting - Participate in Patient Logistics growth and improvement - Support program director and manager in preparation of reports, program material, research, data collecting and analysis for various meetings and or programs - Manage Transfer Center calls in accordance with the established work aids and algorithms and support staff in learning and upholding these work processes - Provide supervisory support to Patient Logistics RN, PLC and other staff as needed - Ability to function and lead independently with self-initiative and discipline - Other duties as assigned to meet the program and corporate needs   Proficient in Patient Logistics RN role: Performs when necessary: - Collect objective/subjective data for effective and appropriate transfers of patients - Determine facility designation based on diagnoses, planned procedure and level of care requirements - Maintain constant communication with both internal and external sources of information concerning patient transfers - Utilize nursing knowledge and assessment to prioritize patient transfers based on urgency of patient’s condition, utilization of available beds. - Communicate effectively with hospital staff to allow for patient flow. Responds efficiently during emergency situation for appropriate transfer of all patients - Evaluate effectiveness of patient transfer in collaboration with Dignity Health facility - Make judgments, decisions and modify patient transfer priorities based on evaluation - Perform legible, timely, concise and accurate documentation according to policies and procedures - Proficient and competent with computerized documentation - Accept responsibility and accountability for own decisions and behaviors - Recognize , accept and cooperate with direction from facility leadership - Participate in orientation of new staff - Serve as resource to staff from other hospitals and vendors - Continue education by attending non-mandatory education offerings specific to area of practice - Maintain awareness of issues related to nursing profession - Provide measurable written goals appropriate to level of experience during annual appraisal process - Demonstrate effort to achieve pre-set goals throughout the year - Maintain a safe working environment by utilizing appropriate resources, protocols, procedures, and communication to appropriate personnel - Apply safety precautions and principles to patient care, including all National Patient Safety Goals - Communicate clearly and effectively using proper communication etiquette - Use medical terminology accurately - Include reporting abnormalities or change in patient condition to appropriate personnel in a timely manner - Participate in service line growth and Dignity Health quality initiatives - Include patient satisfaction and core measures ~LI-DH #missioncritical
Job ID
2021-163289
Department
Case Management
Shift
Night
Facility / Process Level : Name
Corporate Service Center
Employment Type
Full Time
Location
CA-RANCHO CORDOVA
Job Summary: The incumbent is accountable for all of the supervisory, administrative and operational functions of the Care Coordination Remote Services (CCRS).  This working Supervisor position oversees compliance with Medicare 1 Day Stay audits; Serves as a liaison between CCRS and participating CommonSpirit Health facilities, nursing leadership or their designee, medical staff, physicians and acute care staff.  The incumbent facilitates performance improvement activities, monitors competency of all staff and ensures timely reviews are completed for the CCRS staff. Essential Key Job Responsibilities: - Under the direction of the System Director of Operations, oversees and supervises daily operations of CCRS. - Provides administrative and Leadership support for CCRS and department staff. - Collaborates and streamlines relationship and CCRS process with participating hospitals, hospital staff and CCRS department staff - Collects objective/subjective data for CCRS program improvement. - Collaborates to identify and implement cost of healthcare savings opportunities. - Promotes effective communication and relationships. - Participates in activities that promote professional growth and development and maintains current knowledge base in all areas of responsibility. - Keeps abreast of current legal, accreditation, and regulatory requirements and applying into relevant standards and appropriate policies and procedures for CCRS and licensed staff. - Maintains channels of communication between and among entities throughout the network of participating CCRS hospitals, which encourages interdisciplinary cooperation, respect, and support CCRS operations and operations of any new related CCRS program. - Interacts with and maintains a supportive role with hospital leadership, Hospital Case Management, Hospital Medical staff and Hospital Emergency Department staff. - Supports the System Director in the management of the CCRS overall operations. - Seeks input from and provides education to CCRS staff and participating hospitals. - This supervisor would need to spend 30% of time performing Medicare 1 Day Stay audits.   The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.
Job ID
2021-154991
Department
Care Coordination
Shift
Day
Facility / Process Level : Name
Dignity Health System Office
Employment Type
Full Time
Location
CA-Rancho Cordova
Job Summary / Purpose Collaborates with UM Lead/UM RNs to provide specific clinical information to third party payers.  Responsible for timely provision/flow of specific clinical information to third party payers to ensure certification/approval of inpatient, OEC and post discharge services. Essential Key Job Responsibilities - Communicates with payers. - Initiates contact with payers for pre-certification of admissions and procedures. - Initiates contact with payers for initial and continued stay reviews utilizing clinical information from medical record and UM RNs, pursuing additional information as needed - Documents payer information as per department guidelines. - Re-verifies insurance post-admission as needed. - Determines patient benefit for post-acute services. - Identifies payer need for additional information and follows through with UM RN. - Facilitates timely transmittal of requested patient information to payers. - Facilitates collaboration between on-site reviewers and UM RNs. - Maintains positive relationships with payer contacts.   - Collaborates with members of Utilization Management Department and other hospital departments. - Communicates payer information to UM RNs including benefit information, high-risk contacts and reimbursement requirements. - Recognizes and communicates to UM RN urgent payers/reimbursement requirements. - Functions as a liaison with registration staff and Patient Financial Services to coordinate patient insurance and payment information related to the delivery of patient care services. - Reviews inpatient cases requiring payer authorization, enters authorizations in tracking software, and communicates issues to UM Lead/UM RNs. - Identifies concurrent denials by third party payers and notifies UM RNs/UM lead and immediate intervention. - Assists with payer notifications of admissions and discharges to ensure timely communication and payment. - Keeps abreast of rules, regulations of insurance and review companies. Communicates changes according to department guidelines. - Participants in continuous quality improvement activities in the department and institution.   - Utilizes appropriate technology. - Utilizes electronic work list as the primary working tool. - Utilizes available third-party payer websites. - Enters data accurately. - Demonstrates data retrieval. - Manages UM Review database.   - Demonstrates commitment to professional growth and competence. - Completes all mandatory education and in-service requirements each year. - Attends all relevant or assigned meetings. - Demonstrates, maintains, and enhances personal, professional, and managerial growth and development through participation in educational programs, monitoring of current literature, in-service meetings, workshops, and continuing education. - Possesses and cultivates the ability to think originally and reactively to assimilate, integrate, evaluate, and apply all of the data to questions and problems. Displays good problem-solving skills. - Establishes and meets annual individual goals which are developed to assist the Department in achieving its established goals or projects.   - Contributes to the efficient operation of the department. - Completes special projects as assigned according to established time frames. - Prepares and maintains reports of results as requested. - Identifies and reports equipment problems which require maintenance or repair. - Facilitates the efficient operation of the department by answering the telephone and assisting callers or visitors in any way possible. - Performs other duties as assigned by management.
Job ID
2021-167401
Department
Case Management
Shift
Day
Facility / Process Level : Name
CHI St. Vincent Health
Employment Type
Full Time
Location
AR-LITTLE ROCK

Connect With Us!

Not ready to apply, or can't find a relevant opportunity?

Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.