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Expectations: - Accurately abstracts information from the service documentation, assigns appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines. - Communicates professionally with providers, practice management, and other stake holders either verbally or in writing. - Responsible for working encounters in the coding work queue or task lists in a timely manner. - Meets or exceeds organizational coding production and quality standards. - Understands and applies regulatory changes and stays current with coding updates, for example NCCI and MUE edits. - Identifies trends and educational opportunities to ensure proper coding, documentation, and accuracy of billing within areas of responsibility/specialty. - Reviews and resolves denials. - Participates in special projects and completes other duties as assigned.
Job ID
2021-174305
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
CHI Saint Joseph Medical Group
Employment Type
Full Time
Location
KY-LEXINGTON
1. Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. 2. Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. 3. Review patient medical record to compare documentation and coding; change coding based on documentation to include diagnosis codes, modifiers, place of service, etc. Communicate with provider to resolve claims that require a written appeal or second level appeal. 4. Resubmits claims with necessary information when requested through paper or electronic methods. 5. Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. 6. Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. 7. Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. 8. Assists with unusual, complex or escalated issues as necessary. 9. Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. 10. Accurately documents patient accounts of all actions taken in billing system.
Job ID
2021-170776
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
CHI Health Clinic
Employment Type
Full Time
Location
NE-OMAHA
Position Summary: The Coder IV is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding, validating the information in the databases for outcome management and specialty registries, across the entire integrated healthcare system. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information records for data retrieval, analysis and claims processing. This position is expected to perform duties in alignment with the mission and policies within the Dignity Health organization, TJC, CMS, and other regulatory agencies.   Principle Duties and Accountabilities: - Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient admissions. - Can also code ancillary, emergency department, same-day surgery, and observation charts if needed. - Review provider documentation to determine the principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures following official coding guidelines. - Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-IO-CM diagnoses, ICD-IO-PCS as appropriate, and CPT-4 for procedures. - Understanding of ICD10 Coding in relation to DRGs - Abstract additional data elements during the chart review process when coding, as needed - Utilize technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-10- CM diagnoses and ICD- IO-PCS procedures. - Ensure accurate coding by clarifying diagnosis _and procedural information through an established query process if necessary. - Assign Present on Admission (POA) value for inpatient diagnoses. - Extract required information from source documentation and enter into encoder and abstracting system. - Identifies non-payment conditions; Hospital-Acquired Conditions (HAC), Patient Safety Indicators (PSI) following, report through established procedures. - Collaborate in the DRG Mismatch process with the Clinical Documentation Improvement team. - Review documentation to verify and when necessary, correct the patient disposition upon discharge. - Prioritize work to ensure the timeframe of medical record coding meets regulatory requirements. - Serve as a resource for coding related questions as appropriate. - Adhere to and maintain required levels of performance in both Coding accuracy and productivity. - Review and maintain a record of charts coded, held, and/or missing - Provide documentation feedback to Providers, as needed - Participate in Coding department meetings and educational events. - Meet performance and quality standards at the Coder III level. - Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines. - Other duties as assigned that have a direct impact on our ability to decrease the DNFB and support Revenue Cycle, including but not limited to charge validation, observation calculations, etc..
Job ID
2021-163921
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
California Hospital Medical Center
Employment Type
Full Time
Location
CA-LOS ANGELES
The Denials Coder is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances related to coding denials. If you are a proactive problem-solver with an impeccable attention to detail, we want to hear from you!   What you’ll do: - Follow-up with insurance payers to research and resolve unpaid insurance accounts receivable; making necessary corrections in the practice management system to ensure appropriate reimbursement is received. - Leverage work queues to organize your work efficiently.  - Review insurance remittance advices, research denial reasons and resolve issues through well-written appeals. - Effectively explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Review patient medical record to compare documentation and coding; change coding based on documentation to include diagnosis codes, modifiers, place of service, etc. Communicate with provider to resolve claims that require a written appeal or second level appeal. - Resubmit claims with necessary information when requested through paper or electronic methods. - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognize when additional assistance is needed to resolve insurance balances and escalate appropriately and timely. 
Job ID
2021-179371
Department
Business Office - Coding / Data Entry
Shift
Day
Facility / Process Level : Name
CHI Health Clinic
Employment Type
Full Time
Location
NE-OMAHA
REMOTE OPPORTUNITY AFTER 6 MONTH TRAINING PERIOD!Job Summary / Purpose Under direct supervision, this position is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances related to coding denials in accordance with established standards, guidelines and requirements.  The incumbent conducts follow-up process activities through review of medical records and contact with providers, phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently.  Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. - Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Review patient medical record to compare documentation and coding; change coding based on documentation to include diagnosis codes, modifiers, place of service, etc. Communicate with provider to resolve claims that require a written appeal or second level appeal. - Resubmits claims with necessary information when requested through paper or electronic methods. - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. - Assists with unusual, complex or escalated issues as necessary. - Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. - Accurately documents patient accounts of all actions taken in billing system. - Other duties as assigned by management.
Job ID
2021-160268
Department
Revenue Services - ICD10
Shift
Day
Facility / Process Level : Name
CHI Health Clinic
Employment Type
Full Time
Location
NE-OMAHA
Expectations:   - Ability to identify through chart review the correct principal and/or secondary diagnosis and may also require: - Ability to identify through chart review the correct principal and/or secondary  procedures .  - The correct information pulled from/abstracted from clinical records - The correct assignment of DRG - The correct CPT and ICD-9 assignment on outpatient charts - The correct information abstracted for generic quality assurance screens - The ability to code in absence of another coder - The ability to answer technical questions regarding coding - The performance of related responsibilities as required or assigned - Maintains confidentiality of clinical information from patient record - Stays current on latest coding compliance information for inpatient and/or outpatient records - May require knowledge and ability to use 3M Coding system        - Notifies manager or other appropriate persons of problems - Ability to investigate errors and resolutions - Provides frequent and clear performance feedback to staff based on individual needs and job requirements and may include: - The ability to communicate with physicians as needed regarding diagnosis and/or procedures in medical records - The ability to communicate with patients regarding coding issues - The ability to communicate with other hospital staff as needed - Providing education and direction to physicians and providers on Medicare, Medicaid and commercial insurance billing requirements - Correct keying of codes into the computer - The performance of related responsibilities as required or assigned
Job ID
2021-160457
Department
Cardiology Clinic
Shift
Day
Facility / Process Level : Name
CHI St. Vincent Health
Employment Type
Full Time
Location
AR-LITTLE ROCK
The Coder I is responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance concerns, trends, and educational opportunities to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty.  The Coder I is able to work independently with limited oversight and may require directions from supervisor or more senior co-workers on complex cases. Essential Key Job Responsibilities - Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines. - Communicates professionally with providers, practice management, and other stake holders either verbally or in writing. - Responsible for working encounters in the coding work queue or task lists in a timely manner. - Meets or exceeds organizational coding production and quality standards. - Understands and applies regulatory changes and stays current with coding updates, for example NCCI and MUE edits. - Reviews and resolves coding denials. - Participates in special projects and completes other duties as assigned
Job ID
2021-176267
Department
Business Office - Coding / Data Entry
Shift
Day
Facility / Process Level : Name
Mountain Management Services
Employment Type
Full Time
Location
TN-CHATTANOOGA
Expectations: - Document, assign, CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems - Organizational coding production and quality standards  - NCCI and MUE edits - Review and resolve coding denials - Professional communication 
Job ID
2021-176449
Department
Business Office - Coding / Data Entry
Shift
Day
Facility / Process Level : Name
Mountain Management Services
Employment Type
Full Time
Location
TN-CHATTANOOGA
Job Summary / Purpose The Coder Lead acts as trainer, resource and mentor for other coders and staff.  Is responsible for coordinating the daily coding workflow in assignment of ICD-10 and CPT codes.  Monitors and assesses quality and production standards of coding staff.  Serves as a resource for complex coding/billing issues.  ESSENTIAL KEY JOB RESPONSIBILITIES - Train staff on processes, policies, coding, including new hire training and shadowing - Assists with coder continuing education; development and presentation - Daily coordination of coding staff assignments, volume, and workflow. - Performs coder quality reviews. - Acts as a subject matter expert and resource for staff, troubleshooting difficult problems and finding solutions. - Acts as a liaison between physicians and support staff to resolve issues involving coding, billing, and documentation requirements and procedures. - Provide input on employee evaluations. - Reporting- Charge lag weekly report out, Bi-weekly report out to clinics, quality reporting, production reporting, running special reporting as requested by clinic or revenue cycle leaders - Monitor Customer Service WQ for coding concerns - Fill in for coding when areas are short - Participates in special projects and completes other duties as assigned.
Job ID
2021-168203
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
CHI Health Clinic
Employment Type
Full Time
Location
NE-OMAHA
  The communication clerk must have organizational skills needed to take and deliver accurate messages. They must learn to keep callers calm in an emergency situation and route them to the appropriate departments. The operator must have the capability to assist multiple customers at one time in a timely manner. Pocess good decision making skills, determining issues at hand is very important. The clerk answers for over 400 physicians after-hours, lunch times, and meeting times. The operator must ensure the privacy and confidentiality of all messages received or given. - The operator must have outstanding communications skills and be a team player. - Operator needs to be familiar with health system programs, procedures and services. Computer skills and basic medical knowledge are essential to this position. - Other responsibilities include: answering the phones after hours and at lunchtime for more than 100 physician offices, taking messages for them, the hospital, and  PTs. Routing calls appropriately depending on the urgency of the call. - The operator must be able to multitask. Ability to talk, type, and listen at the same time. - Other duties as assigned by management. - This department operates 24/7 and all holiday. The operators will work shifts as needed including weekends, 2nd and 3rd shifts and holidays.
Job ID
2021-179158
Department
Call Center
Shift
Varied
Facility / Process Level : Name
CHI Memorial Chattanooga
Employment Type
Part Time
Location
TN-CHATTANOOGA
Provides call-processing services in the Health System-wide, centralized call processing operation serving Health System personnel, private practice physicians, residents, patients, and the public. Assists customers in obtaining information and services. Provides emergency and disaster alerting. Monitors equipment and Performs routine maintenance and trouble shooting tasks. Assists with clerical tasks as assigned.   1. Assist customers in obtaining information, and services. 2. Work with all levels of personnel and physicians to utilize effective customer service skills to provide assistance and handle problem situations. 3. Demonstrates skills and ability to operate department equipment, and Performs operational tasks including Pager exchanges. 4. Demonstrates skills and ability to process diverse requests for information including incoming and outgoing calls, as well as emergency/disaster alerting. 5. Demonstrates skills and ability to activate Health System and Departmental emergency plans including fire safety, medical emergency (code blue), and disaster and hurricane weather, as required. 6. Demonstrates skills and ability to operate emergency communications equipment including telephone and paging notification systems. 7. Demonstrates skills and ability to document technical and operational problems. 8. Provide accurate documentation of work performed; provide timely and accurate information and reports to co-workers and management levels, summarizing problems and solutions. 9. Accurately and effectively plan, organize, and control assigned tasks and responsibilities, leading to high productivity, quality, and responsiveness. Demonstrates effective organizational skills to ensure that the workload is processed in a timely manner. 10. Assist the Senior Telecommunications Representative, and/or Manager in maintaining and updating department databases, including the Health System Directory, for call processing and paging, as well as locator information for physicians, employees, patients, and on-call personnel. 11.  Maintain an orderly work area, ensuring that equipment, supplies, parts, etc. are stored in cabinets, closets, or other designated areas. 12.  Develop and maintain knowledge and understanding of information technology, including operating systems, telecommunications, and networking.
Job ID
2021-172999
Department
Communications
Shift
Varied
Facility / Process Level : Name
CHI Baylor St. Luke's Medical Center
Employment Type
Per Diem
Location
TX-HOUSTON
Full time, third shift, Saint Joseph Main, Switchboard Operations
Job ID
2021-169555
Department
Telecommunications
Shift
Night
Facility / Process Level : Name
CHI Saint Joseph Health System
Employment Type
Full Time
Location
KY-LEXINGTON
  Job Summary: This job is responsible for planning, managing, and evaluating communications for the Virginia Mason Franciscan Health (VMFH) Marketing/Communications function in support of strategic business objectives and in accordance with the standards of the profession. Activities may include managing internal communications, media relations, thought leadership, social media, community partnerships and/or other functional specialties. An incumbent assesses communication needs of all audiences and implements strategic communication plans that connect staff and managers to leadership’s vision and values or engages target audiences via mass media, trade media, social media, and community partnerships. Essential Duties: COMMUNICATIONS • Manages the development, production, and distribution of the organization’s publications and other communication channels, including web and intranet, to promote a high-performance culture and support internal initiatives and change management. • Develops, manages and implements communication plans, tactics and output that reflects VMFH’s strategic vision and that may include media relations strategies/tactics to support significant marketing initiatives, including consultation with marketing leaders, physicians, and senior leaders in the organization. • Develops, grows and sustains (based on application of professional knowledge and creative expertise) division relationships while identifying tactics that support VMFH goals and objectives; manages relationships with media influencers tied to strategic partnerships to garner coverage in support of organizational vision. • In collaboration with other department management staff, creates and implements communication plans that may include social media strategies aligned with strategic plans and external relationships; builds and sustains online communities. in conjunction with other management staff; manages the process of gathering content, writing, editing, and securing approval for communications. • Prepares for and executes communications for emergent issues; manages crisis communications. • Ensures the timely and effective flow of information to staff and managers with specific messages that build awareness and support for VMFH’s mission and achievement of its strategic plans and goals; develops communication strategies/tactics for key initiatives and events; evaluates and measures the effectiveness of internal communication programs, using established metrics. • Advises managers and senior leaders regarding messages, tactics, and communication vehicles; makes recommendations on how to best frame and position significant issues using strategic communication approaches and vehicles. • Contracts with external public relations agency to identify and/or implement external communication strategies and achieve measurable tactics in support of VMFH’s brand, programs, and services; monitors consultant performance to ensure compliance with contract provisions and conformance with VMFH standards. • If assigned to External Communications: serves as primary VMFH spokesperson and lead contact with respect to media activities/contacts; proactively promotes VMFH to the news media, obtaining frequent positive coverage through generation of newsworthy story and photo opportunities; responds, or oversees responses, to general media inquiries; initiates and maintains positive working relationships with local, regional, and trade news directors, editors, reporters, and bloggers. • Works with external public relations consultants to identify and/or implement media relations strategies; supports external communication activities with community partners; secures strategic media placements designed to promote positive VMFH image and reputation. BUSINESS DEVELOPMENT AND RELATIONSHIP MANAGEMENT • Cultivates and maintains professional relationships with primary clients, vendors, and external entities to foster opportunities for enhanced customer services and to influence business objectives positively. • Updates job knowledge by participating in educational opportunities, reading professional publications, maintaining personal networks, and participating in professional organizations. BUDGET AND RESOURCE ADMINISTRATION • Participates in the administration of the annual operating budget for the department; exercises effective cost control within scope of position to stay within budget; approves expenditures within defined scope of responsibility; identifies variances and develops action plan to address; keeps supervisor apprised of all issues with potential for budgetary impact; negotiates and manages agreements with vendors to ensure smooth operation and consistent return on investment. PERFORMANCE IMPROVEMENT/QUALITY • Assures effective communication of initiatives and programs affecting the entire organization to facilitate performance and process improvements in keeping with strategic objectives and regulatory requirements; advocates and provides direction for change management. • Participates, as a member of the department management team, in short- and long-term planning activities, participates in developing/implementing projects to address current and future needs to support business objectives. • Participates in the development/updating of policies/procedures; implements/evaluates new/revised policies/ procedures to ensure consistency and compliance with applicable regulatory requirements; ensures internal guidelines are documented and understood. Performs related duties as required.
Job ID
2021-166461
Department
Marketing Department
Shift
Day
Facility / Process Level : Name
CHI Franciscan
Employment Type
Full Time
Location
WA-TACOMA
  Job Summary: This job is responsible for performing communications work with an emphasis on creating and implementing communication plans and tactics, conducting internal and/or external communications, and/or promoting events and support for Virginia Mason Franciscan Health (VMFH) programs and initiatives directed to various audiences. Work involves obtaining and verifying information, writing and editing communication materials, consulting with internal departments, promoting events and organizational programs and initiatives, and working with external vendors. Work may also include communication activities, including drafting media materials and content for internal channels, writing speeches and creating presentations for senior leaders, including CEOs. Essential Duties: Supports the organization’s programs and initiatives through participation in creating and implementing communication plans and tactics, as assigned. • Participates, in conjunction with manager, in creating and implementing communication plans and strategies for system-wide programs and initiatives, as well as applicable tactics to inform and engage target audiences, defined as internal or external. • Participates in the development, implementation, and assessment of effective communication approaches/tactics for organizational initiatives in accordance with established standards and business objectives. • Obtains, analyzes, verifies accuracy, and selects pertinent information based on audience, medium, and overall objectives. • Prepares and presents draft materials and obtains approval of tactics. • Participates in communications activities including writing internal stories and intranet content, drafting speeches and creating presentations for organization leaders; drafts press releases, fact sheets and media pitches. • Develops and oversees distribution of communication materials, e.g. letters, memos, etc. for executives, including the CEO, as well as external media materials such as press releases, fact sheets, story pitches, etc. • Participates in the implementation of communication for emergent issues. • Assures that approved materials are produced in a timely and efficient manner, stay within approved budget, meet the needs of the customer, and are consistent with corporate identity standards. • Serves as content expert and collaborates to place content on the VMFH intranet and to ensure that the internal communications areas are kept current. • Attends organizational meetings and events, gathers data, and creates communications to disseminate information to internal and external audiences. • Keeps abreast of current trends and developments in communication methodologies/tools and recommends changes to existing VMFH programs/activities in keeping with best practices. Promotes events with internal, media and other promotional tactics. • Makes internal audiences, e.g. employees, managers, aware of various events by effectively promoting events using communications media, e.g., publications, intranet, bulletin boards, posters, fliers, video, etc. and other promotional tactics. • May assist in promoting employee-oriented special events. Oversees the work of external vendors on a project basis to facilitate completion of projects on time, within approved budget, and at an acceptable level of quality. • Works with external vendors, including freelance writers, designers, printers, mail houses, photographers, videographers, etc. to support internal/external communications efforts. • Assembles bid packets and solicits bids from various vendors for services as necessary. • Identifies issues and escalates to management staff as appropriate. Participates in performance improvement/quality activities in keeping with strategic objectives and regulatory requirements. • Ensures effective communication of initiatives and programs affecting the entire organization to facilitate performance and process improvements; advocates and provides direction for change management. • Cultivates and maintains professional relationships with primary clients and external entities to foster opportunities for enhanced customer services and to influence business objectives positively. • Updates job knowledge by participating in educational opportunities, reading professional publications, and maintaining personal networks. Performs related duties as required.
Job ID
2021-166454
Department
Marketing Department
Shift
Day
Facility / Process Level : Name
CHI Franciscan
Employment Type
Full Time
Location
WA-TACOMA
GENERAL SUMMARY:   Community Health Advocate will conduct on-campus and off-site screenings for the Health Screening Program.  The advocate will be responsible for measuring blood pressure, height, weight, waist circumference and administering finger stick blood sampling. The blood sample will be drawn and analyzed on site via CardioCheck machine.  Lab results from the CardioCheck tests will be provided to each client and reviewed by the advocate as requested.  Verbal and written educational materials may be provided as requested.  The advocate will be responsible for transportation of supplies, organization, hygiene, and overall flow of participants at his/her station at the screen. Persons in this position will work with adult and geriatric patients.   ESSENTIAL FUNCTIONS: - Maintains up-to-date knowledge based on disease risk factor and all aspects of prevention/wellness. - Coordinates, cleans and organizes supplies at screening station. - Monitor clinical lab results and questionnaires. - Warmly welcomes participants and ensures their comfort and confidentiality at screen. - Provides brief explanation and education regarding lab results and body measurements. - Markets the program as appropriate and/or directed. - Provides input for program maintenance and development. - Practices effective problem identification and resolution skills as a method of sound decision making. - Demonstrates effective communication skills. - Promotes a positive and cooperative atmosphere within the work unit: displays adaptability to change. - Operate required vehicle(s) in a safe manner to perform required duties of the position.
Job ID
2021-180665
Department
Case Management - Population Health
Shift
Day
Facility / Process Level : Name
MercyOne Des Moines Medical Center
Employment Type
Per Diem
Location
IA-DES MOINES
GENERAL SUMMARY:     The Community Health Worker (CHW) will be responsible for helping patients and their families navigate and access community services, other resources, and adopt healthy behaviors.  The position will be funded by a grant received from the Robert Wood Johnson Foundation and the implementation of the program structure includes providing patients with a screening for basic human needs.  The CHW will then contact patients who are determined to have unmet needs and connect them with appropriate resources, develop a relationship with those patients, and follow-up as necessary.  The work of the CHW will promote, maintain, and improve the health of patients and their family.  The CHW will provide social support and informal counseling, advocate for individuals and community health needs, and provide services such as first aid, and blood pressure screening.     ESSENTIAL FUNCTIONS: - Responsible for establishing trusting relationships with patients and their families while providing general support and encouragement. - Providing ongoing follow-up, basic motivational interviewing and goal setting with patients/families. - Conduct intake interviews with patients, including enrolling and/or referring patients into appropriate community resource programs. - Follow-up with patients via phone calls, home visits, and visits to other settings where patients can be found. - Assist patients with completing applications and registration forms. - Conduct eligibility determination, enrollment, and follow-up with uninsured patients. - Help patients set personal goals, and attend appointments. - Provide referrals for services to community agencies as appropriate. - Help patients connect with transportation resources and give appointment reminders in special circumstances. - Exhibit excellent working relations with patients, visitors and staff, effectively communicating Mercy’s Mission. - Work closely with medical provider to help ensure that patients have comprehensive and coordinated care. Follow-up with patients should be continuous from initial identification through closure. - Work cooperatively with other clinical personnel assigned to the same patient. - Be knowledgeable about community resources appropriate to needs of patients/families. - Be responsible for providing consistent communication to the care management staff to evaluate patient/family status, ensuring that provided information, and reports clearly describe progress. - Act as a patient advocate and liaison between the patient/family and community service agencies (i.e. schools, Department of Human Services, Health Care for Homeless, hospitals, support groups, etc). - Record patient care management in DataShop (training provided) and other software no later than 24 hours after patient contact. - Attend regular staff meetings, trainings and other meetings as requested. - Manage assigned caseload of patients. - Document time records and submit expense reports and required for compliance with RWJF Grant. - Volunteer hours per addendum.
Job ID
2021-181369
Department
Case Management - Population Health
Shift
Day
Facility / Process Level : Name
MercyOne Des Moines Medical Center
Employment Type
Full Time
Location
IA-DES MOINES
GENERAL SUMMARY:     The Community Health Worker (CHW) will be responsible for helping patients and their families navigate and access community services, other resources, and adopt healthy behaviors.  The position will be funded by a grant received from the Robert Wood Johnson Foundation and the implementation of the program structure includes providing patients with a screening for basic human needs.  The CHW will then contact patients who are determined to have unmet needs and connect them with appropriate resources, develop a relationship with those patients, and follow-up as necessary.  The work of the CHW will promote, maintain, and improve the health of patients and their family.  The CHW will provide social support and informal counseling, advocate for individuals and community health needs, and provide services such as first aid, and blood pressure screening.     ESSENTIAL FUNCTIONS: - Responsible for establishing trusting relationships with patients and their families while providing general support and encouragement. - Providing ongoing follow-up, basic motivational interviewing and goal setting with patients/families. - Conduct intake interviews with patients, including enrolling and/or referring patients into appropriate community resource programs. - Follow-up with patients via phone calls, home visits, and visits to other settings where patients can be found. - Assist patients with completing applications and registration forms. - Conduct eligibility determination, enrollment, and follow-up with uninsured patients. - Help patients set personal goals, and attend appointments. - Provide referrals for services to community agencies as appropriate. - Help patients connect with transportation resources and give appointment reminders in special circumstances. - Exhibit excellent working relations with patients, visitors and staff, effectively communicating Mercy’s Mission. - Work closely with medical provider to help ensure that patients have comprehensive and coordinated care. Follow-up with patients should be continuous from initial identification through closure. - Work cooperatively with other clinical personnel assigned to the same patient. - Be knowledgeable about community resources appropriate to needs of patients/families. - Be responsible for providing consistent communication to the care management staff to evaluate patient/family status, ensuring that provided information, and reports clearly describe progress. - Act as a patient advocate and liaison between the patient/family and community service agencies (i.e. schools, Department of Human Services, Health Care for Homeless, hospitals, support groups, etc). - Record patient care management in DataShop (training provided) and other software no later than 24 hours after patient contact. - Attend regular staff meetings, trainings and other meetings as requested. - Manage assigned caseload of patients. - Document time records and submit expense reports and required for compliance with RWJF Grant. - Volunteer hours per addendum.
Job ID
2021-183466
Department
Population Health Management
Shift
Day
Facility / Process Level : Name
MercyOne Des Moines Medical Center
Employment Type
Full Time
Location
IA-DES MOINES
  Job Summary: This job is responsible for planning, leading and directing all community engagement and advocacy programs for Virginia Mason Franciscan Health (VMFH) in accordance with strategic business objectives and applicable regulatory requirements. Incumbents are assigned a specific geographic area and work involves substantial outreach and field work in building, promoting and maintaining effective relationships with community members, leaders and key organizations to recognize opportunities for future growth and market share. In conjunction with VMFH leadership, an incumbent develops recommendations on operational and business affiliation improvements to maximize both community presence and relationships to build VMFH as the healthcare organization of choice. A key focus is facilitating VMFH’s ability to be nimble and responsive to the community and market needs by working with leadership and physicians to help identify the resources that support the needs of the community. Essential Duties: Plans and Leads Community Relations/Engagement/Advocacy Programs. • Works with senior management and other system leaders to develop, implement and manage a community relations/advocacy plan that builds trust and support for the system and each entity to achieve the organization’s strategic business objectives. • Serves as liaison to strategic community organizations. • Supports community relations stakeholders in facilitating hospital community relations meetings and initiating and implementing community relations activities that support the entities’ goals and objectives. • Advises entity leadership (senior leadership and other appropriate staff) of community outreach opportunities within the entity service area. • Plans and establishes, with corporate communications staff, an active leadership role for the organization in government and industry organizations and other appropriate segments of the community; contributes to system’s visibility and influence within these constituencies. • Works with communications manager to develop communication strategies regarding community relations’ activities, ensuring a consistent public image and integrated messages for the system. • Stays abreast of legislative activity with the potential to impact system; makes recommendations for appropriate corporate response and, when appropriate, actively influences legislative and community outcomes. • Intervenes at city, county, state and federal levels to gain timely support for system’s interests; keeps entity leadership and senior managements updated on public affairs and community affairs activities. • Ensures work is performed in a timely manner; develops effective and cooperative relationships with leadership peers and others within the organization and medical community to implement strategic initiatives in support of organizational goals. Identifies key events/sponsorship opportunities that will elevate the image/position of VMFH in the assigned community. • Creates systems to effectively track and monitor all corporate/system and local sponsorship dollars and/or donations. • Works collaboratively with Director of Physician and Community Relations to develop and deploy effective targeted community engagement initiatives. • Creates annual plans for community engagement and sponsorship activities. • Manages system sponsorships in alignment with strategic goals. • Cultivates and maintains professional relationships with community opinion leaders and assists entity and corporate leadership in establishing such relationships. Leadership and Business/Resource Planning • Manages organizational efforts to research, develop and implement strategies for proactive community campaigns that will improve the visibility and support for each entity in its respective community (e.g.Friends Program). • Coordinates efforts with marketing manager to integrate corporate marketing and communications goals designed to increase number of individuals selecting a system physician into community affairs strategies. • Participants in the development/updating of policies/procedures; implements/evaluates new/revised policies/procedures to ensure consistency and compliance with applicable regulatory requirements; ensures internal guidelines are document, understood and applied appropriately. • Keeps entity leadership and senior management updated on public affairs and community affairs activities. • Acts as consultant/liaison to system leadership by supporting day-to-day public affairs and activities that meet system and entity objectives. • Supports the implementation of entity and system-wide strategic plans and books of business. Quality/Customer Service • Maintains active relationship(s) with governmental agencies and key elected representatives to keep abreast of legislative and policy issues that impact healthcare and system. • Identifies key community contacts and potential relationships to further organization’s market position. • Serves as ambassador and representative for VMFH in the assigned community. • Actively participates on local committees and at functions as appropriate. Other Essential Duties • May directly supervise one or two subordinate professional (Community Relations Coordinator) and/or Community Relations Specialist in accordance with established procedures; assigns and reviews work, directs special projects, provides on-the-job training as necessary; describes performance standards and evaluates employee performance; participates in performance management activities and resolves technical issues referred by subordinates as beyond their scope of authority. Performs related duties as required.
Job ID
2021-166452
Department
Marketing Department
Shift
Day
Facility / Process Level : Name
CHI Franciscan
Employment Type
Full Time
Location
WA-TACOMA
Under the direction of the Assistant Director of Company Care, the Company Care Service Coordinator provides a high level of customer service and coordinates day-to-day Company Care services with the CHI St. Alexius Health Minot Medical Plaza. Essential Key Job Responsibilities - Strives to achieve a high level of satisfaction among customer groups supporting the organization’s mission, vision and values. - Manages the scheduling and provision of all Company Care service lines. - Collaborates and works together with other team members to assure that daily and walk-in services are available to Company Care customers. - Assists the Company Care Marketing Specialist with communications, projects and other assigned duties. - Works closely with the Company Care Clinical Coordinator in advancing efficiency and profitability. - Assists with the maintenance and calibration & service of all equipment used in the provision of Company Care services. - Provides training and certification processes that may be required for new staff. - Maintains a cooperative relationship among health-care teams by communicating information; responding to requests and building rapport. Facilitates positive team development and interaction. #missioncritical
Job ID
2021-166128
Department
Occupational Health
Shift
Day
Facility / Process Level : Name
CHI St. Alexius Bismarck
Employment Type
Full Time
Location
ND-Bismarck
- Provides assistance in the administration and monitoring of Mercy's comprehensive, uniform Integrity and Compliance/Privacy Program in support of Federal guidance regarding the elements of effective compliance - Provides management and support for MercyOne committees/workgroups. This includes facilitating meetings, working with group leads to plan, coordinate and document workgroup activities and - Investigates internal and external Integrity and Compliance/Privacy investigations and complaints through resolution, including Privacy and Security May serve the entity Privacy Officer or may coordinate with and assist the Privacy Official in Privacy/Security investigations. Enters all information into Compliance/Privacy Software. - Prepares the Integrity and Compliance Officer reports to the Audit and Compliance Committee of the Board, other Boards, committees and compliance matters and the progress of the Integrity and Compliance/Privacy - Ensures the Integrity and Compliance and Privacy Officials at MercyOne Newton Medical Center and MercyOne Centerville Medical Center complete their risk assessment annually - Maintains expert working knowledge of and disseminates applicable laws and - Ensures internal and external resources are adequate and independent entity auditing and monitoring resources are devoted to identify compliance and privacy risk Responsible for assisting to identify compliance/privacy risks for Work plans. - Participates in development opportunities to further the effectiveness of Integrity and Compliance/Privacy. - Serves as a compliance subject matter expert in a specific compliance area through coordination with the Integrity and Compliance - Provides education to MercyOne Des Moines Medical Center, MercyOne Centerville Medical Center and MercyOne Newton Medical Center staff on compliance and privacy related issues. - Provides in-person compliance orientation to all new hospital employees twice - Recommends changes to improve processes, strengthen controls, and promote compliance and - Provides education to departments regarding audit findings, reimbursement impact, identified compliance issues and risk - Maintains audit statistics for tracking and trending - Prepares and presents audit reports and assists the Integrity and Compliance/Privacy Officer to develop corrective action Keeps Integrity and Compliance/Privacy Officer informed of any significant findings detected during an audit or monitoring project - Reviews compliance audit reports prepared by internal and external auditors for Follows up with Integrity and Compliance/Privacy Officer on development and implementation of action plans. - Maintains a high level of competency related to compliance and privacy by attending appropriate workshops and Monitors federal and state rules and regulations for compliance related changes that may impact the organization. - Provides assistance with the daily operations of compliance department and completes special projects as - Provides Privacy/Security education and ongoing monitoring as well as coordinating security education activities with the Regional or local Security
Job ID
2021-171211
Department
Compliance
Shift
Day
Facility / Process Level : Name
MercyOne Des Moines Medical Center
Employment Type
Per Diem
Location
IA-DES MOINES
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