Work With Us

Required Skills

• Completes all steps of pre-registration/registration; verifies patient identity and demographic information through appropriate tools. Identifies/captures appropriate health insurance benefit eligibility based on contract/regulatory differentiation. Facilitates appropriate billing of claims and hospital reimbursement. Obtains and validates proper consent for patient treatment.
• Schedules patients for Mammography procedures efficiently, effectively, and according to established protocol for modality, location, facility capabilities, insurance requirements, type of exam, patient preferences, and urgency.
• Educates patients/others regarding the resolution of billing, private pay options, collection efforts, coordination of benefits, third party and governmental payment criteria, insurance coverage, payments, and denials. May serve as a liaison between external resources and patients on issues requiring SMH involvement.
• Coordinates with SMH Patient Financial Services, Utilization Management, physicians, and medical offices to ensure consistent financial documentation across the enterprise, and an interdisciplinary approach to patient and organizational needs.
• Adheres to all CMS Conditions of Participation regulations and Section 1154(e) of the Social Security Act regarding delivery, explanation, and acquisition of patient/designated representative signatures.
• Verifies medical necessity, and obtains appropriate signature on Advance Beneficiary Notice of non-coverage (ABN) per CMS regulations at points of patient access.
• Negotiates with patients and families to collect patient co-pays and/or deposits at point of service. Supports Patient Access Services POS (Point of Service) collection goals as defined by Revenue Cycle leadership and best practice benchmarks.
• Triages, documents, and initiates referrals of patients to Medicaid vendor and/or for financial assistance, per the Illinois Fair Patient Billing Act, Illinois Uninsured Patient Discount Act, and established SMH procedures.
• Identifies/reviews services requiring pre-authorization/pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers, to ensure provider eligibility requirements are met prior to receiving service. Utilizes appropriate technology and/or communicates with physician offices.
• Analyzes reports containing rejected accounts from a variety of hospital sources, including Non-Patient Access registration departments, and resolves toward verification of patient benefit eligibility, and subsequent reimbursement from all possible payer sources, or determines suitability for financial assistance.
• Orients and cross-trains others within assigned area of responsibility as directed and defined by management. May assist other areas within the unit or department, as necessary, during times of special needs or staff absences. May be required to work night or weekend shifts.
• Ensures compliance with all applicable HIPAA, Joint Commission, CDC, SMH, and state and federal statues, providing required associated literature to patients at all PAS access points. Educates patients regarding Advance Directives, Medicare D prescription coverage, SMH, Joint Commission, and Illinois Department of Public Health grievance process as appropriate.
• Maintains current knowledge of, and complies with, the Illinois Fair Patient Billing Act and Illinois Uninsured Patient Discount Act at all times.
• Completes Illinois DHS legal forms for psychiatric admits, in compliance with State of Illinois and SMH statues and guidelines. Provides relevant patient/family education.
• May rotate work settings, i.e., patient registration, bedside registration, or other SMH campus environments. May be required to provide coverage for the SMH Financial Lobby Office.
• Develops and maintains a comprehensive knowledge of the health system organization and its functions. Completes all assigned annual organizational education
• Meets expectations for productivity, accuracy, and point of service collections
• Attendance at quarterly department meetings is mandatory unless absence is approved by PAS management prior to the meeting date.
• Performs pre-registration functions as requested.
• Performs other related work as required or requested.

Required Skills

I. Performs and documents nursing care measures to meet the physical needs of patients as directed by the registered nurse. Illustrative tasks and expectations include, but are not limited to, the following:

A. Provides hygiene and comfort measures, assuring privacy and preventing undue exposure:

1. Provides or assists patient with bathing, oral hygiene, hair care, nail care, shaving, etc.
2. Assures that linens are dry, wrinkle free and that patient is comfortable.
3. Provides handwashing opportunity before and after meals, toileting, etc.

B. Activity:

1. Assists with patient’s activities including ambulation, chair, dangling and repositioning; uses proper body mechanics, positioning techniques, and assistive devices.

C. Nutrition:

1. Serves and collects food trays and nourishments.

1. Records percentage of diet intake.

1. Feeds or assists patients as necessary. Records intake.

1. Reports deviations from normal.

1. Clears IV and Tube Feeding Pumps at end of each shift and documents appropriately.

D. Elimination:

1. Provides bed pan.

1. Performs perineal care.

1. Performs bladder catheter care and discontinues bladder catheter as directed.

1. Performs ostomy care (ileostomy, colostomy, urostomy) including application of appropriate appliances.

1. Records output. Reports deviations from normal.

E. Other related needs:

1. Assists with post-mortem care.

1. Assists with admission, transfer and discharge of patients.

1. Promptly responds to patient call light or requests (usually in less than ten minutes).

II. Performs and documents monitoring procedures; observes and reports the patient response. Illustrative tasks and expectations include, but are not limited to, the following:

A. Obtains vital signs (B/P and TPR).

B. Obtains weight in kg (standing, chair, or bed scale) and reports deviation from previous weight.

C. Empties drainage collection devices.

D. Performs blood glucose monitoring.

E. Observes and reports unusual conditions and/or change in patient behavior or appearance.

III. Performs therapeutic measures/procedure, observes and reports changes, deviations from normal. Illustrative tasks and expectations include, but are not limited to, the following:

A. Application of heat; i.e., K-pad.

B. Application of cold; i.e., ice bags, sponge baths.

C. Therapeutic baths; i.e. Sitz, Aveeno.

D. Obtains routine non-sterile specimens.

E. Assists with patient preparation for surgical, therapeutic, and/or diagnostic procedures.

F. Oxygen therapy (sets up/maintains/discontinues) as directed.

G. Applies nonsterile dressing as directed.

H. Discontinues peripheral IV as directed.

I. Performs oral pharyngeal suctioning.

J. Preps skin and applies telemetry patches.

K. Records all interventions; observes and reports the patient response, changes, and/or deviations from normal parameters.

IV.Maintains safety and security of patient/family/self/others, observing safety precautions and promoting a sense of security and well-being. Illustrative tasks and expectations include, but are not limited to, the following:

A. Conducts purposeful hourly rounding as a team member, inquiring of the four P’s (Pain, Potty, Possessions and Positioning).

B. Follows standard precautions. Always washes hands between patients.

C. Reports equipment malfunctions.

D. Assists in keeping patient rooms/corridors free of clutter. Cleans fluid spills.

E . Uses proper body mechanics in moving, transferring and transporting patients.

F. Positions side rails appropriate to the patient’s condition.

G. Applies and maintains restraining devices as directed.

H. Interacts with patients/visitors/others in a courteous and respectful manner.

I. Fully explains procedures to patients/families prior to performing.

J. Assures patient privacy/rights/confidentiality.

K. Recognizes and reports patient concerns; offers constructive solutions.

V. Promotes efficient and effective functioning of the unit/hospital. Illustrative tasks and expectations include but are not limited to, the following:

A. Skilled in computer messaging, obtaining results.

B. Completes assigned aspects of unit inventory management.

C. Complies with established policies, procedures, standards and guidelines.

D. Uses designated lines of communication and authority.

E. Supports efforts to reduce cost.

F. Consistently utilizes time and resources effectively and efficiently.

G. Maintains cleanliness of unit, service area and equipment.

H. Cooperates with all members of the healthcare team.

I. Enthusiastically supports and participates in planned changes.

J. Accepts responsibility for accurate and timely completion of tasks as assigned.

K. Adheres to MHS Behavioral Standards.

L. Handles floor stock medications or medications delivered from Pharmacy directly or through the pneumatic tube system. Relocate these medications, in original containers, to designated secure storage locations or deliver directly to appropriate licensed staff.

Vi. Performs additional unit specific tasks/care elements for which they have received specific instruction and demonstrated competence.

Principle responsibilities for Scrub Tech role

1. Performs duties in capacity of “scrub” technologist as prescribed by hospital policies and procedures.

A. Sets room for a routine, uncomplicated procedure with supplies and equipment in 5-15 minutes.

B. Sets room for complicated or multi-procedure case requiring many special supplies in 30 minutes.

C. Assists circulator in checking equipment.

D. Assist circulator in obtaining supplies prior to bringing patient to room.

E. Has basic knowledge of instrumentation and its appropriate use.

F. Checks instrumentation regarding cleanliness, function, correct number of pieces, and completeness of tray.

G. Allows adequate time for preparation of supplies and counting (i.e., routine case 15 minutes, complicated case 30-40 minutes).

H. Has basic knowledge of surgical procedures.

I. Organizes and maintains a neat, clean mayo, instrument, and back tables.

J. Attempts reasonable anticipation of sequence of instrumentation.

K. Properly identifies medication.

L. Handles floor stock medications or medications delivered from Pharmacy directly or through the pneumatic tube system. Relocate these medications, in original containers, to designated secure storage locations or deliver directly to appropriate licensed staff.

M. Keeps track of sponges, needles, and instruments during procedure at all times.

N. Relays accurate identification of specimens and cultures.

O. Organizes and assists in end-of-case clean up.

P. Separates sharp and delicate instruments during clean up.

Q. Assists in pulling cases.

II. Assists in maintenance of safe environment for patients and staff.

A. Has knowledge and applies principles of good aseptic practice (i.e., appropriate scrub length, OR attire, proper gowning, gloving, and draping methods).

B.Checks sterile supplies for proper packaging and dating.

C. Actively assists in recognizing and reporting breaks in sterile technique.

D. Requests assistance of Sterile Processing personnel in preparation of instruments for immediate reuse.

E. Follows protocol for universal blood and body fluid precautions at all times.

F. Prevents loss of instruments by thorough search of drapes before they are discarded.

III, Assists in the orderly function of the OR.

A. Demonstrates flexibility in a team effort (i.e., takes required supplies from circulator when offered).

B. Checks room for and put away excess supplies and equipment.

C. Takes initiative and seeks appropriate opportunities to update and maintain surgical skills (i.e., requests certain cases and attends inservices).

D. Assists in checking to-follow cases for completeness and accuracy.

E. Assists in orientation of new personnel.

F. Actively participates in checking and maintaining assignment by participating as a permanent team member.

G. Participates in updating surgeon’s preference list.

H. Reports to assigned room on time.

I. Understands and follows disaster plan.

J. Follows hospital/unit policies, procedures, and behavioral expectations.

K.. Uses designated lines of communication and authority.

L. Willingly assists co-workers to facilitate patient care.

IV. Initiates appropriate intraoperative behaviors unique to first assistant, if trained to do so.

A. Provides hemostasis to reduce potential for post-operative infection and potential for fluid volume deficit by clamping and/or ligating vessels, using electrosurgical cautery, applying direct pressure, applying chemical agents that promote coagulation, and other means as directed by surgeon.

B. Provides exposure of the operative site through the appropriate use of retractors and other instruments and through suctioning and sponging.

C. Uses surgical instrumentation skillfully in ways consistent with their design and purpose as directed by the surgeon.

D. Handles all variety of tissue appropriately to reduce potential for injury or compromised blood supply.

V. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Performs and documents nursing care measures to meet the physical needs of patients as directed by the registered nurse. Illustrative tasks and expectations include, but are not limited to, the following:

•  Provides hygiene and comfort measures, assuring privacy and preventing undue exposure.
  • Provides or assists patient with bathing, oral hygiene, hair care, nail care, shaving, etc.
  • Assures that linens are dry, wrinkle free and that patient is comfortable.
  • Provides handwashing opportunity before and after meals, toileting, etc.
•  Activity:
  • Assists with patient’s activities including ambulation, chair, dangling and repositioning; uses proper body mechanics, positioning techniques, and assistive devices.
•  Nutrition:
  • Serves and collects food trays and nourishments. Records percentage of diet intake.
  • Feeds or assists patients as necessary. Records intake. Reports deviations from normal.
  • Clears IV and Tube Feeding Pumps at end of each shift and documents appropriately.
•  Elimination:
  • Provides bed pan/urinal. Performs perineal care.
  • Performs bladder catheter care and discontinues bladder catheter as directed.
  • Performs ostomy care (ileostomy, colostomy, urostomy) including application of appropriate appliances.
  • Records output. Reports deviations from normal.
•  Other related needs:
  • Assists with post-mortem care.
  • Assists with admission, transfer and discharge of patients.
  • Promptly responds to patient call light or requests (usually in less than ten minutes).

2. Performs and documents monitoring procedures; observes and reports the patient response. Illustrative tasks and expectations include, but are not limited to, the following:

•  Obtains vital signs (B/P and TPR).
• Obtains weight in kg (standing, chair or bed scale) and reports deviation from previous weight.
• Empties drainage collection devices.
• Performs blood glucose monitoring.
• Observes and reports unusual conditions and/or change in patient behavior or appearance.

 3. Performs therapeutic measures/procedure, observes and reports changes, deviations from normal. Illustrative tasks and expectations include, but are not limited to, the following:

•  Application of heat; i.e., K-pad.
• Application of cold; i.e., ice bags, sponge baths.
• Therapeutic baths, i.e., Sitz, Aveeno.
• Obtains routine non-sterile specimens.
• Assists with patient preparation for surgical, therapeutic and/or diagnostic procedures.
• Oxygen therapy (sets up/maintains/discontinues) as directed.
• Applies nonsterile dressing as directed.
• Discontinues peripheral IV as directed.
• Performs oral pharyngeal suctioning.
• Preps skin and applies telemetry patches.
• Records all interventions; observes and reports the patient response, changes, and/or deviations from normal parameters.

4. Maintains safety and security of patient/family/self/others, observing safety precautions and promoting a sense of security and well being. Illustrative tasks and expectations include but are not limited to the following:

• Conducts purposeful hourly rounding as a team member, inquiring of the four P’s (Pain, Potty, Possessions and Positioning).
• Follows standard precautions. Always washes hands between patients.
• Reports equipment malfunctions.
• Assists in keeping patient rooms/corridors free of clutter. Cleans fluid spills.
• Uses proper body mechanics in moving, transferring and transporting patients.
• Positions side rails appropriate to the patient’s condition.
• Applies and maintains restraining devices as directed.
• Interacts with patients/visitors/others in a courteous and respectful manner.
• Fully explains procedures to patients/families prior to performing.
• Assures patient privacy/rights/confidentiality.
• Recognizes and reports patient concerns; offers constructive solutions.

5. Promotes efficient and effective functioning of the unit/hospital. Illustrative tasks and expectations include but are not limited to, the following:

• Skilled in computer messaging, obtaining results.
• Completes assigned aspects of unit inventory management.
• Complies with established policies, procedures, standards and guidelines.
• Uses designated lines of communication and authority.
• Supports efforts to reduce costs.
• Consistently utilizes time and resources effectively and efficiently.
• Maintains cleanliness of unit, service area and equipment.
• Cooperates with all members of the healthcare team.
• Enthusiastically supports and participates in planned changes.
• Accepts responsibility for accurate and timely completion of tasks as assigned.
• Adheres to MHS Behavioral Standards.
• Handles floor stock medications or medications delivered from Pharmacy directly or through the pneumatic tube system. Relocate these medications, in original containers, to designated secure storage locations or deliver directly to appropriate licensed staff.

6. Performs additional unit specific tasks/care elements for which they have received specific instruction and demonstrated competence.

7. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Performs and documents nursing care measures to meet the physical needs of patients as directed by the registered nurse. Illustrative tasks and expectations include, but are not limited to, the following:

•  Provides hygiene and comfort measures, assuring privacy and preventing undue exposure.
• Provides or assists patient with bathing, oral hygiene, hair care, nail care, shaving, etc.
• Assures that linens are dry, wrinkle free and that patient is comfortable.
• Provides handwashing opportunity before and after meals, toileting, etc.
•  Activity:
• Assists with patient’s activities including ambulation, chair, dangling and repositioning; uses proper body mechanics, positioning techniques, and assistive devices.
•  Nutrition:
• Serves and collects food trays and nourishments. Records percentage of diet intake.
• Feeds or assists patients as necessary. Records intake. Reports deviations from normal.
• Clears IV and Tube Feeding Pumps at end of each shift and documents appropriately.
•  Elimination:
• Provides bed pan/urinal. Performs perineal care.
• Performs bladder catheter care and discontinues bladder catheter as directed.
• Performs ostomy care (ileostomy, colostomy, urostomy) including application of appropriate appliances.
• Records output. Reports deviations from normal.
•  Other related needs:
• Assists with post-mortem care.
• Assists with admission, transfer and discharge of patients.
• Promptly responds to patient call light or requests (usually in less than ten minutes).

 2. Performs and documents monitoring procedures; observes and reports the patient response. Illustrative tasks and expectations include, but are not limited to, the following:

•  Obtains vital signs (B/P and TPR).
• Obtains weight in kg (standing, chair or bed scale) and reports deviation from previous weight.
• Empties drainage collection devices.
• Performs blood glucose monitoring.
• Observes and reports unusual conditions and/or change in patient behavior or appearance.

3. Performs therapeutic measures/procedure, observes and reports changes, deviations from normal. Illustrative tasks and expectations include, but are not limited to, the following:

•  Application of heat; i.e., K-pad.
• Application of cold; i.e., ice bags, sponge baths.
• Therapeutic baths, i.e., Sitz, Aveeno.
• Obtains routine non-sterile specimens.
• Assists with patient preparation for surgical, therapeutic and/or diagnostic procedures.
• Oxygen therapy (sets up/maintains/discontinues) as directed.
• Applies nonsterile dressing as directed.
• Discontinues peripheral IV as directed.
• Performs oral pharyngeal suctioning.
• Preps skin and applies telemetry patches.
• Records all interventions; observes and reports the patient response, changes, and/or deviations from normal parameters.

4. Maintains safety and security of patient/family/self/others, observing safety precautions and promoting a sense of security and well being. Illustrative tasks and expectations include but are not limited to the following:

•  Conducts purposeful hourly rounding as a team member, inquiring of the four P’s (Pain, Potty, Possessions and Positioning).
• Follows standard precautions. Always washes hands between patients.
• Reports equipment malfunctions.
• Assists in keeping patient rooms/corridors free of clutter. Cleans fluid spills.
• Uses proper body mechanics in moving, transferring and transporting patients.
• Positions side rails appropriate to the patient’s condition.
• Applies and maintains restraining devices as directed.
• Interacts with patients/visitors/others in a courteous and respectful manner.
• Fully explains procedures to patients/families prior to performing.
• Assures patient privacy/rights/confidentiality.
• Recognizes and reports patient concerns; offers constructive solutions.

5.  Promotes efficient and effective functioning of the unit/hospital. Illustrative tasks and expectations include but are not limited to, the following:

•  Skilled in computer messaging, obtaining results.
• Completes assigned aspects of unit inventory management.
• Complies with established policies, procedures, standards and guidelines.
• Uses designated lines of communication and authority.
• Supports efforts to reduce costs.
• Consistently utilizes time and resources effectively and efficiently.
• Maintains cleanliness of unit, service area and equipment.
• Cooperates with all members of the healthcare team.
• Enthusiastically supports and participates in planned changes.
• Accepts responsibility for accurate and timely completion of tasks as assigned.
• Adheres to MHS Behavioral Standards.
• Handles floor stock medications or medications delivered from Pharmacy directly or through the pneumatic tube system. Relocate these medications, in original containers, to designated secure storage locations or deliver directly to appropriate licensed staff.

6. Performs additional unit specific tasks/care elements for which they have received specific instruction and demonstrated competence.

7. Performs other related work as required or requested.

Required Skills

1. Performs and documents nursing care measures to meet the physical needs of patients as directed by the registered nurse. Illustrative tasks and expectations include, but are not limited to, the following:

•  Provides hygiene and comfort measures, assuring privacy and preventing undue exposure.
• Provides or assists patient with bathing, oral hygiene, hair care, nail care, shaving, etc.
• Assures that linens are dry, wrinkle free and that patient is comfortable.
• Provides handwashing opportunity before and after meals, toileting, etc.
•  Activity:
• Assists with patient’s activities including ambulation, chair, dangling and repositioning; uses proper body mechanics, positioning techniques, and assistive devices.
•  Nutrition:
• Serves and collects food trays and nourishments. Records percentage of diet intake.
• Feeds or assists patients as necessary. Records intake. Reports deviations from normal.
• Clears IV and Tube Feeding Pumps at end of each shift and documents appropriately.
•  Elimination:
• Provides bed pan/urinal. Performs perineal care.
• Performs bladder catheter care and discontinues bladder catheter as directed.
• Performs ostomy care (ileostomy, colostomy, urostomy) including application of appropriate appliances.
• Records output. Reports deviations from normal.
•  Other related needs:
• Assists with post-mortem care.
• Assists with admission, transfer and discharge of patients.
• Promptly responds to patient call light or requests (usually in less than ten minutes).

 2. Performs and documents monitoring procedures; observes and reports the patient response. Illustrative tasks and expectations include, but are not limited to, the following:

•  Obtains vital signs (B/P and TPR).
• Obtains weight in kg (standing, chair or bed scale) and reports deviation from previous weight.
• Empties drainage collection devices.
• Performs blood glucose monitoring.
• Observes and reports unusual conditions and/or change in patient behavior or appearance.

3. Performs therapeutic measures/procedure, observes and reports changes, deviations from normal. Illustrative tasks and expectations include, but are not limited to, the following:

•  Application of heat; i.e., K-pad.
• Application of cold; i.e., ice bags, sponge baths.
• Therapeutic baths, i.e., Sitz, Aveeno.
• Obtains routine non-sterile specimens.
• Assists with patient preparation for surgical, therapeutic and/or diagnostic procedures.
• Oxygen therapy (sets up/maintains/discontinues) as directed.
• Applies nonsterile dressing as directed.
• Discontinues peripheral IV as directed.
• Performs oral pharyngeal suctioning.
• Preps skin and applies telemetry patches.
• Records all interventions; observes and reports the patient response, changes, and/or deviations from normal parameters.

4. Maintains safety and security of patient/family/self/others, observing safety precautions and promoting a sense of security and well being. Illustrative tasks and expectations include but are not limited to the following:

•  Conducts purposeful hourly rounding as a team member, inquiring of the four P’s (Pain, Potty, Possessions and Positioning).
• Follows standard precautions. Always washes hands between patients.
• Reports equipment malfunctions.
• Assists in keeping patient rooms/corridors free of clutter. Cleans fluid spills.
• Uses proper body mechanics in moving, transferring and transporting patients.
• Positions side rails appropriate to the patient’s condition.
• Applies and maintains restraining devices as directed.
• Interacts with patients/visitors/others in a courteous and respectful manner.
• Fully explains procedures to patients/families prior to performing.
• Assures patient privacy/rights/confidentiality.
• Recognizes and reports patient concerns; offers constructive solutions.

5.  Promotes efficient and effective functioning of the unit/hospital. Illustrative tasks and expectations include but are not limited to, the following:

•  Skilled in computer messaging, obtaining results.
• Completes assigned aspects of unit inventory management.
• Complies with established policies, procedures, standards and guidelines.
• Uses designated lines of communication and authority.
• Supports efforts to reduce costs.
• Consistently utilizes time and resources effectively and efficiently.
• Maintains cleanliness of unit, service area and equipment.
• Cooperates with all members of the healthcare team.
• Enthusiastically supports and participates in planned changes.
• Accepts responsibility for accurate and timely completion of tasks as assigned.
• Adheres to MHS Behavioral Standards.
• Handles floor stock medications or medications delivered from Pharmacy directly or through the pneumatic tube system. Relocate these medications, in original containers, to designated secure storage locations or deliver directly to appropriate licensed staff.

6. Performs additional unit specific tasks/care elements for which they have received specific instruction and demonstrated competence.

7. Performs other related work as required or requested.

Required Skills

1. Performs and documents nursing care measures to meet the physical needs of patients as directed by the registered nurse. Illustrative tasks and expectations include, but are not limited to, the following:

•  Provides hygiene and comfort measures, assuring privacy and preventing undue exposure.
• Provides or assists patient with bathing, oral hygiene, hair care, nail care, shaving, etc.
• Assures that linens are dry, wrinkle free and that patient is comfortable.
• Provides handwashing opportunity before and after meals, toileting, etc.
•  Activity:
• Assists with patient’s activities including ambulation, chair, dangling and repositioning; uses proper body mechanics, positioning techniques, and assistive devices.
•  Nutrition:
• Serves and collects food trays and nourishments. Records percentage of diet intake.
• Feeds or assists patients as necessary. Records intake. Reports deviations from normal.
• Clears IV and Tube Feeding Pumps at end of each shift and documents appropriately.
•  Elimination:
• Provides bed pan/urinal. Performs perineal care.
• Performs bladder catheter care and discontinues bladder catheter as directed.
• Performs ostomy care (ileostomy, colostomy, urostomy) including application of appropriate appliances.
• Records output. Reports deviations from normal.
•  Other related needs:
• Assists with post-mortem care.
• Assists with admission, transfer and discharge of patients.
• Promptly responds to patient call light or requests (usually in less than ten minutes).

 2. Performs and documents monitoring procedures; observes and reports the patient response. Illustrative tasks and expectations include, but are not limited to, the following:

•  Obtains vital signs (B/P and TPR).
• Obtains weight in kg (standing, chair or bed scale) and reports deviation from previous weight.
• Empties drainage collection devices.
• Performs blood glucose monitoring.
• Observes and reports unusual conditions and/or change in patient behavior or appearance.

3. Performs therapeutic measures/procedure, observes and reports changes, deviations from normal. Illustrative tasks and expectations include, but are not limited to, the following:

•  Application of heat; i.e., K-pad.
• Application of cold; i.e., ice bags, sponge baths.
• Therapeutic baths, i.e., Sitz, Aveeno.
• Obtains routine non-sterile specimens.
• Assists with patient preparation for surgical, therapeutic and/or diagnostic procedures.
• Oxygen therapy (sets up/maintains/discontinues) as directed.
• Applies nonsterile dressing as directed.
• Discontinues peripheral IV as directed.
• Performs oral pharyngeal suctioning.
• Preps skin and applies telemetry patches.
• Records all interventions; observes and reports the patient response, changes, and/or deviations from normal parameters.

4. Maintains safety and security of patient/family/self/others, observing safety precautions and promoting a sense of security and well being. Illustrative tasks and expectations include but are not limited to the following:

•  Conducts purposeful hourly rounding as a team member, inquiring of the four P’s (Pain, Potty, Possessions and Positioning).
• Follows standard precautions. Always washes hands between patients.
• Reports equipment malfunctions.
• Assists in keeping patient rooms/corridors free of clutter. Cleans fluid spills.
• Uses proper body mechanics in moving, transferring and transporting patients.
• Positions side rails appropriate to the patient’s condition.
• Applies and maintains restraining devices as directed.
• Interacts with patients/visitors/others in a courteous and respectful manner.
• Fully explains procedures to patients/families prior to performing.
• Assures patient privacy/rights/confidentiality.
• Recognizes and reports patient concerns; offers constructive solutions.

5.  Promotes efficient and effective functioning of the unit/hospital. Illustrative tasks and expectations include but are not limited to, the following:

•  Skilled in computer messaging, obtaining results.
• Completes assigned aspects of unit inventory management.
• Complies with established policies, procedures, standards and guidelines.
• Uses designated lines of communication and authority.
• Supports efforts to reduce costs.
• Consistently utilizes time and resources effectively and efficiently.
• Maintains cleanliness of unit, service area and equipment.
• Cooperates with all members of the healthcare team.
• Enthusiastically supports and participates in planned changes.
• Accepts responsibility for accurate and timely completion of tasks as assigned.
• Adheres to MHS Behavioral Standards.
• Handles floor stock medications or medications delivered from Pharmacy directly or through the pneumatic tube system. Relocate these medications, in original containers, to designated secure storage locations or deliver directly to appropriate licensed staff.

6. Performs additional unit specific tasks/care elements for which they have received specific instruction and demonstrated competence.

7. Performs other related work as required or requested.

Required Skills

1. Performs and documents nursing care measures to meet the physical needs of patients as directed by the registered nurse. Illustrative tasks and expectations include, but are not limited to, the following:

•  Provides hygiene and comfort measures, assuring privacy and preventing undue exposure.
• Provides or assists patient with bathing, oral hygiene, hair care, nail care, shaving, etc.
• Assures that linens are dry, wrinkle free and that patient is comfortable.
• Provides handwashing opportunity before and after meals, toileting, etc.
•  Activity:
• Assists with patient’s activities including ambulation, chair, dangling and repositioning; uses proper body mechanics, positioning techniques, and assistive devices.
•  Nutrition:
• Serves and collects food trays and nourishments. Records percentage of diet intake.
• Feeds or assists patients as necessary. Records intake. Reports deviations from normal.
• Clears IV and Tube Feeding Pumps at end of each shift and documents appropriately.
•  Elimination:
• Provides bed pan/urinal. Performs perineal care.
• Performs bladder catheter care and discontinues bladder catheter as directed.
• Performs ostomy care (ileostomy, colostomy, urostomy) including application of appropriate appliances.
• Records output. Reports deviations from normal.
•  Other related needs:
• Assists with post-mortem care.
• Assists with admission, transfer and discharge of patients.
• Promptly responds to patient call light or requests (usually in less than ten minutes).

 2. Performs and documents monitoring procedures; observes and reports the patient response. Illustrative tasks and expectations include, but are not limited to, the following:

•  Obtains vital signs (B/P and TPR).
• Obtains weight in kg (standing, chair or bed scale) and reports deviation from previous weight.
• Empties drainage collection devices.
• Performs blood glucose monitoring.
• Observes and reports unusual conditions and/or change in patient behavior or appearance.

3. Performs therapeutic measures/procedure, observes and reports changes, deviations from normal. Illustrative tasks and expectations include, but are not limited to, the following:

•  Application of heat; i.e., K-pad.
• Application of cold; i.e., ice bags, sponge baths.
• Therapeutic baths, i.e., Sitz, Aveeno.
• Obtains routine non-sterile specimens.
• Assists with patient preparation for surgical, therapeutic and/or diagnostic procedures.
• Oxygen therapy (sets up/maintains/discontinues) as directed.
• Applies nonsterile dressing as directed.
• Discontinues peripheral IV as directed.
• Performs oral pharyngeal suctioning.
• Preps skin and applies telemetry patches.
• Records all interventions; observes and reports the patient response, changes, and/or deviations from normal parameters.

4. Maintains safety and security of patient/family/self/others, observing safety precautions and promoting a sense of security and well being. Illustrative tasks and expectations include but are not limited to the following:

•  Conducts purposeful hourly rounding as a team member, inquiring of the four P’s (Pain, Potty, Possessions and Positioning).
• Follows standard precautions. Always washes hands between patients.
• Reports equipment malfunctions.
• Assists in keeping patient rooms/corridors free of clutter. Cleans fluid spills.
• Uses proper body mechanics in moving, transferring and transporting patients.
• Positions side rails appropriate to the patient’s condition.
• Applies and maintains restraining devices as directed.
• Interacts with patients/visitors/others in a courteous and respectful manner.
• Fully explains procedures to patients/families prior to performing.
• Assures patient privacy/rights/confidentiality.
• Recognizes and reports patient concerns; offers constructive solutions.

5.  Promotes efficient and effective functioning of the unit/hospital. Illustrative tasks and expectations include but are not limited to, the following:

•  Skilled in computer messaging, obtaining results.
• Completes assigned aspects of unit inventory management.
• Complies with established policies, procedures, standards and guidelines.
• Uses designated lines of communication and authority.
• Supports efforts to reduce costs.
• Consistently utilizes time and resources effectively and efficiently.
• Maintains cleanliness of unit, service area and equipment.
• Cooperates with all members of the healthcare team.
• Enthusiastically supports and participates in planned changes.
• Accepts responsibility for accurate and timely completion of tasks as assigned.
• Adheres to MHS Behavioral Standards.
• Handles floor stock medications or medications delivered from Pharmacy directly or through the pneumatic tube system. Relocate these medications, in original containers, to designated secure storage locations or deliver directly to appropriate licensed staff.

6. Performs additional unit specific tasks/care elements for which they have received specific instruction and demonstrated competence.

7. Performs other related work as required or requested.

Required Skills

1. Identifies, reviews, and facilitates pre-authorization/pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers, for all required services, to ensure provider eligibility requirements are met prior to receiving service. Utilizes appropriate systems/applications/portals and/or communicates with physician offices and third party payers as necessary. 

1. Interprets a patient requisitions and accurately assigns correct diagnosis and procedural codes to visits in accordance with guidelines, maintaining accuracy of dynamic coding and sequencing of codes. Uses all available tools, including software, physicians offices, HIM coding staff etc. to ensure diagnosis codes assigned are correct and accurately represent patient signs, symptoms, and results, and ensures compliant billing and reimbursement.

1. Participates in required continuing education and compliance training programs to maintain an understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques to support the effective application of ICD-10-CM and CPT coding guidelines to outpatient diagnoses and procedures. Staff will maintain up-to-date knowledge of best practices, standards, regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Centers for Medicare and Medicaid (CMS), Federal Intermediary (FI) and other related organizations. 

1. Responsible for analyzing & evaluating patients’ eligibility and benefits and reviewing reason for visit criteria to ensure all required documentation has been supplied by the ordering/referring physicians, and meets payer specific guidelines for each patient and health plan prior to patients admission for service to reduce claim denials, retrospective medical necessity reviews, and member benefit reductions.

1. Maintains current payer reference manuals based on managed care, commercial, and governmental coverage weekly/monthly updates. Ensures all insurance requirements are met prior to patients’ arrival, including, but not limited to, researching, identifying, and completing pre-authorization requests. Independently tracks status/outcomes of all requests.

1. Maintain current knowledge/database of payers with additional prior authorization requirements for certain specialty services and/or expansions to care coordination programs/networks.

1. Develops a thorough understanding of and a practical knowledge base of the proper use of all payor websites to accurately deliver appropriate information to patients regarding coverage and requirements for precertification of treatment, verification of benefits and self pay information. Assures pre-certification and pre authorization documentation are communicated by physicians offices and entered correctly in the hospital billing system.  Notifies appropriate parties when pre-certification problem/issues arises so that it can be dealt with in a timely fashion minimizing hospital losses as observed by Management, Patient Access Manager and as indicated by Patient Financial Services feedback.

1. Provides administrative support to licensed health professionals to gather and enter pertinent information, supporting Medical Management functions for the Clinical Concurrent Review Team. Interacts with contracted providers and facilities to research issues, collect required information and/or communicate requirements or approval determinations.

1. Provides coordination of benefits for primary, secondary, and tertiary coverage, establishing a uniform order of benefit determination under which plans pay claims, reducing duplication of benefits by permitting a reduction of benefits to be paid by plans that, pursuant to established rules, do not pay primary benefits, and providing greater efficiency in the processing of claims when patients are covered under more than one plan.

1. Coordinates with MMC Patient Financial Services, Managed Care, Social Services, Case Management, Scheduling, and clinical departments to ensure consistent financial documentation across the enterprise, and an interdisciplinary approach to patient and organizational needs.

1. Contacts third party payers and patients as necessary to facilitate timely payments or other required transactions that result in appropriate reimbursement. Maintains revenue cycle integrity.

1. Effectively negotiates with patients and families to explain, collect, and record patient co-pays and/or deposits, within electronic payment system and Cerner registration module. Supports Patient Access Services POS (Point of Service) collection goals as defined by Revenue Cycle leadership and best practice benchmarks.

1. Effectively triages, documents, and initiates referrals of patients to Medicaid vendor and/or for financial assistance. Maintains current knowledge of, and complies with the Illinois Fair Patient Billing Act, Illinois Uninsured Patient Discount Act, and established MMC procedures at all times.  Follows departmental productivity and quality control measures that support the operational goals and benchmarks.

1. Analyzes reports containing rejected accounts from a variety of hospital sources, including Non-Patient Access registration departments, and resolves toward verification of patient benefit eligibility, and subsequent reimbursement from all possible payer sources, or determines suitability for financial assistance.

1. Orients and cross-trains others within assigned area of responsibility as directed and defined by management. May assist other areas within the unit or department, as necessary, during times of special needs or staff absences. May be required to work night or weekend shifts.

1. Understands the functionality of all computer systems related to job function. Assists in mentoring, training, and development of other Patient Access staff; serves as a resource to staff for questions and problem solving. Demonstrates an advanced understanding of third party payer requirements.

1. Ensures compliance with all applicable HIPAA, Joint Commission, CDC, MMC, and state and federal statues, providing required associated literature to patients at all PAS access points. Educates patients regarding Advance Directives, Medicare D prescription coverage, and both Memorial and Illinois Department of Public Health grievance process as appropriate.

1. Meets department and team benchmarks for productivity, accuracy, call abandonment, and point of service collections. Consistently meets or exceeds given goals for each area on a monthly basis.
2. Participates in, and/or leads special projects as requested/assigned by management.

1. Stays abreast of all applicable regulation changes related to Patient Access. Completes all departmental and team required Revenue Cycle education.  Achieves and maintains any/all assigned Revenue Cycle Certification requirements.

1. Recognizes the need for changes in daily routine, willingly alters schedule, completes assignments before leaving, including but not limited to departmental/team assignment lists/reports; giving more than the designated shift assignment when workload dictates and in case of increased work volumes or special projects, works additional hours at least 75% of the time as requested/observed by Management or Patient Access Coordinator.

1. Demonstrates superior patient relations and interpersonal skills; demonstrates an appropriate level of mental and emotional tolerance and even temperament when dealing with staff, patients and general public, using tact, sensitivity and sound judgment.

1. Minimum requirements of an average of 40-45 encounters processed/submitted per day. Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient satisfaction and attendance.

1. Attendance at quarterly department meetings mandatory unless absence approved by PAS Management prior to meeting date.

1. Performs other related work as required or requested.

Required Skills

1. Review medical records and accurately code the principal and all secondary diagnoses and procedures using ICD-9-CM and ICD-10-CM coding conventions; sequence the diagnoses and procedures using coding guidelines; abstract and compile data from medical records to assign the most appropriate codes for optimal reimbursement.
2. Coding of Inpatient/Observation Accounts- as assigned performs coding analysis on inpatient/observation accounts utilizing 3M and /or other coding products. Prepares attestation/coding summaries/billing forms as appropriate.  Abstracts all coded records in coding system per procedure.  Assists with post bill audit as directed by Coding Manager.  Ensure the MS-DRG assignment is accurate.
3. Participates in required continuing education and compliance training programs to maintain an understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques to support the effective application of ICD-9-CM and ICD-10- CM coding guidelines to inpatient diagnoses and procedures. Staff will maintain up-to-date knowledge of medical records practices, standards, regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Centers for Medicare and Medicaid (CMS), Federal Intermediary (FI) and other related organizations.
4. Ensures compliance with all current Memorial Medical Center and department policies and procedures.
5. Review the complex (problematic coding that needs research and reference checking) medical records and accurately codes the primary/secondary diagnoses and procedures using ICD-9-CM and ICD-10-CM coding conventions. Assist with research and development, and presentation of continuing education programs on areas of specialization.
6. Productivity (quantity & quality) is a higher level than for Healthcare Coding Associate and Healthcare Coding Specialist.
7. Communicates with patient services to resolve billing/coding matters. Demonstrates ability to cooperate with Memorial Medical Center management personnel, physicians and other persons contacted during the working day.  Works directly with physician and Allied Medical Staff to clarify coding issues.  Utilizes physician documentation query form effectively.
8. Enter and retrieve patient medical data from computer terminal updating entries as necessary; audit medical record for accuracy and completeness, note deficiencies and refer for appropriate follow up and completion.
9. Assist with the training of employees in the use of coding manuals; review difficult classification situations and determine the most appropriate codes; monitor work of subordinate employees to ensure accuracy and completeness of assignments.
10. Participates in monthly coding meetings with Coding supervisors, CDI team, and others, as determined.
11. Serve as a member of designated divisional committees and other steering committees as appropriate.
12. Promotes MHS Guest Relations philosophy, Statement of Values, and follows MHS Behavior Standards and Code of Conduct.
13. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

Essential Functions and Job Duties

• CLINICAL JUDGEMENT – Clinical reasoning, which includes decision-making, critical thinking, and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence-based guidelines.
  • Demonstrates the ability to assess the full scope of patient needs, using the nursing process on a continuous basis.
  • Utilizes past nursing experience to anticipate problems while seeking out multi-disciplinary collaboration with comfort, when necessary.
  • Recognizes patterns and trends that may predict the direction of illness.
• CARING PRACTICES:  Nursing activity that create a compassionate, supportive, and therapeutic environment for patients/families and staff.  Working on another’s behalf and representing the concerns of the patient/family and nursing staff; serving as a moral agent in identifying and helping to resolve ethical and clinical concerns within and outside the clinical setting.
  • Promotes safety throughout patient’s and family’s transitions along the healthcare continuum.
  • Actively anticipates and monitors patient and family changes, responds appropriately.
  • Effectively resolves patient complaints.
  • Engages all patients in a personalized, compassionate manner.
• COLLABORATION/SYSTEMS THINKING – Working with others (e.g., patients, families, healthcare providers) in a way that promotes/encourages each person’s contribution toward achieving optimal/realistic patient/family goals.  Involves intra-and inter- disciplinary work with colleagues and community.  Body of knowledge and tools that allow the nurse to manage whatever Environmental and system resources exist for the patient/family and staff, within or across healthcare and non-healthcare systems.
  • Consults and coordinates with team members to assess, plan, implement and evaluate patient care plans.
  • Actively utilizes evidence-based practice and customer service data to improve caring practices.
  • Effectively plans and communicates patient care plans.
  • Facilitates active involvement of others in team meetings regarding patient care and/or practice issues.
  • Seeks out opportunities to be taught, coached, and mentored.
  • Recruits diverse resources when appropriate to optimize patient outcomes.
  • Serves as a resource to department and patient/family.
• RESPONSE TO DIVERSITY – The sensitivity to recognize, appreciate and incorporate differences into the provision of care.  Differences may include, but are not limited to, cultural differences, personalities, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age, and values.
  • Integrates cultural differences into patient/family care; incorporates appropriate alternative therapies.
  • Tailors healthcare culture to meet the diverse needs and strengths of each patient/family. 
• FACILITATION OF LEARNING – The ability to facilitate learning for patients/families, nursing staff, other members of the healthcare team, and community.  Include both formal and informal facilitation of learning.
  • Develops and modifies patient/family education programs throughout delivery of care, collaborating and incorporating all healthcare providers’ and educational plans.
  • Provides individualized care.
  • Evaluates patient’s understanding by observing behavior changes throughout plan of care.
  • Sets patient-driven goals for education.
  • Work toward achieving Bachelor of Science in Nursing degree.
• CLINICAL INQUIRY (INNOVATOR/EVALUATOR) – The ongoing process of questioning and evaluating practice and providing informed practice.  Creating practice changes through research utilization and experimental learning.
  • Adapts standards of care to serve particular patient populations.
  • Seeks out advice to improve patient care.
  • Evaluates current practices based on patient responses, analysis of literature, research, and education.
  • Incorporates evidence based practice into care delivery.
  • Actively pursues continuing educational opportunities.
• Performs other duties as assigned.