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Required Skills

1. Safety and Security

• Controls the entry and exit of colleagues and visitors to the unit.
• Checks in visitors and ensures all visitor belongings are correctly stored before allowing access to the unit.
• Unit Surveillance and monitoring cameras and alerting colleagues of potential safety issues.
• Provides a visible deterrence to prohibited activities.
• Reports any conditions that might constitute a security or safety risk to all staff.
• Assists in maintaining safe environment and reports unsafe conditions.
• Under the direction of the Registered Nurse, intercedes in disputes between individuals using verbal de-escalation techniques and skills, to diffuse potentially violent patient or visitor situations.
• Under the direction of the Registered Nurse, physically manages combative, violent persons who endanger staff, physicians, patients or visitors.
• Performs searches of persons, patient belongs, and rooms to ensure a safe environment.

1. Communication

• Promptly and courteously greets others in a friendly manner.
• Receives and directs others by using AIDET and Greet & Feet.
• Within scope of job description, responds to questions and provides direction.
• Facilitates telephone, verbal, written, and electronic communication with nursing staff, physicians, patients, and visitors promptly, accurately, and professionally.
• Consistently uses the Physician Profile to ascertain the correct method/number to page physicians.

1. Information Processing

• Prioritizes stat orders and immediate needs.
• Processes orders accurately.
• Accurately inputs data into the electronic medical record and maintains accurate paper records for those items that are not computerized.
• Refers patient/visitor concerns to nursing and/or customer service staff.
• Refers news media to nursing or public relations staff.

1. Medical Records Maintenance

• Assembles admission chart packs.
• Puts patient identifier on all chart forms.
• Scans patient documents to Medical Records.
• Gathers and copies appropriate paperwork from the RN for patient transfers to other units and facilities.
• Manages large amounts of sensitive and confidential information concerning patient and family information in medical documents.

1. Service Requisitions

• In partnership with the Nursing Material Specialists, assures adequate supplies are available.
• Reviews receipts of new supplies and equipment upon arrival; validates accuracy and places supplies in assigned location.
• Sends service requisitions to interdisciplinary departments.
• Facilitates maintenance of equipment with Biomed or appropriate department.

1. Unit Operations

• Completes basic patient care tasks as directed by registered nurse.
• Serves/monitors/collects food trays/utensils.
• Responds to call lights and bed/chair alarms.
• Provides 1:1 direct and constant patient observation including the completion of observation rounds as delegated.
• Assists in completing witness undress for patient safety upon admission
• Assists in completing environment and room safety checks.
• Expedites timely admission, discharge, and transfer of patients to facilitate patient flow.
• Participates in QI activities; maintaining logs, statistical records, and data collection.
• Acts as a preceptor as needed.
• Handles medications delivered from pharmacy directly or through the pneumatic tube system. Relocates these medications, in original containers, to designated secure storage locations or delivers directly to appropriate licensed staff.
• Assists with stocking unit supply stations.

1. Accountability

• Complies with established policies, procedures, standards, and guidelines.
• Follows the chain of command.
• 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.

1. Performs other related work as required or requested.

Required Skills

1. In collaboration with supervising physician(s), practices within professional scope and current standards to assess, diagnose, and treat patients.

1. Follows protocols according to supervising physician’s direction, which includes encouraging the patient to follow up with their primary care physician accordingly. Partners with the physician(s) to promote effective patient care. Provides to physician visit documentation and associated testing for review and signature. Effectively communicates with physician when needing clarification when deviating from protocol and prior to ordering costly tests, treatments, or referrals.

1. Completes thorough and timely documentation according to standards put forth by Medicare, Medicaid, and other relevant payer sources, as well as MHS policies pertaining to medical records.

1. Coordinates the resources required by the patient.

1. Collaborates, as needed, with other health care professionals, patient advocates, teachers, and family counselors in the formulation and initiation of a health care plan for patients. Routinely evaluates the plan and modifies the plan to improve outcomes.

1. Assumes responsibility for the development, implementation, and evaluation of plans for adherence to evidence-based quality indicators.

1. Serves as a clinical consultant to other healthcare professionals.

1. Reviews and utilizes current literature and research findings relevant to the health care of patients and their families.

1. Assists with implementing research findings and monitoring the impact on patient care outcomes.

1. Utilizes available data to analyze performance and develop plans to improve outcomes.

1. Works to further establish advanced clinical expertise and skills with regards to their specialty area.

1. Assists with the development, implementation, and evaluation of educational activities specific to their specialty area.

1. Maintains an active role in community and professional programs.

1. Assists in meeting financial goals related to revenue and expense. Maintains productivity according to budget. Communicates when expected volumes are not met or when opportunities exist to improve productivity or decrease cost.

1. Assists in meeting customer service goals by delivering care in a manner consistent with a high level of patient satisfaction. Reviews survey results and looks for ways to improve.

1. Demonstrates support for and participates in accomplishing team goals and objectives.

1. Performs other related work as required or requested.

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

Direct Clinical Services

• Develop initial comprehensive assessment data including clients presenting problems, mental status, relevant psychiatric, medical and developmental histories to make decisions regarding diagnosis (per DSM-V), treatment objectives and ongoing treatment plans and/or to provide information and make appropriate referrals to other treatment resources in the community.
• Provide 25 hours of billable services per week to clients.
• Implement crisis or pre-crisis intervention procedures with potentially suicidal, homicidal, or severely disabled clients. Where appropriate referrals will be made to consulting psychiatrists or inpatient psychiatric facilities to prevent further destabilization.
• Interview collateral contacts, previous and current treatment professionals, and significant others, to further establish a database for assessment and ongoing treatment plan as needed.
• Clarify priority problems, goals for change, and session limits according to agency policy to assist clients in developing appropriate expectations for treatment in relationship to the agency. Use a variety of psychotherapeutic treatment approaches and interventions to change targeted behaviors and stabilize adaptive behaviors with individuals, couples and families.
• Manage the termination process and discharge planning to enhance clients’ abilities to retain treatment changes and/or use other available support services.
• May organize, plan and participate in therapy groups for clients and/or their families, as assigned.

Client Information System

• Establish appropriate professional files, including: comprehensive assessments, progress notes, treatment objectives and plans, previous treatment records, clients’ consent to current treatment and for exchange of information.
• Complete required administrative forms. Collect necessary information for billing and fee collection.
• Provide necessary client information to other agencies or health care providers to coordinate services to identified clients.
• May prepare necessary documents/reports for DCFS as needed.

Training Activities/Professional Growth

• Supervisor and employee mutually identify professional goals that will enhance job related skills.
• Participate in ongoing agency meetings, committees and special projects to enhance professional expertise.
• Complete mandatory education requirements by specified deadlines.
• Participate in required staff meetings and in-services to keep abreast of agency policy and administrative procedures, meet requirements for continuing education, and upgrade professional knowledge.

Consultation/Networking

• Engage in appropriate team work functions (such as mutual support, clarification of office responsibilities and procedures) according to best professional judgment and agency policy to provide a professional working environment and effective service delivery.
• Develop cooperative relationships outside the agency with family, physicians, public officials or interested agencies to provide for the development of mental health services in the community.

Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
• COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
• QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
• EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

Job Relationships

• Demonstrate through initiative and apparent effort involvement in clinical supervision.
• Communicate directly with supervisor for clarification of administrative policy, program evaluation to promote a professional working environment and effective service delivery system.
• Adhere to MHS/MBH Behavioral Standards

Other Job Responsibilities

• Ability to accommodate evening/weekend hours.
• Perform other duties as required by agency needs.

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

• Perform Patient assessments with patients in a specific service area.

• Assign an Occupational Therapy treatment diagnosis.

• Establishes plan of care with objective, measurable goals.

• Provides interventions supported by evidenced based practice in accordance to the established plan of care.

• Assesses the effectiveness of treatment and modifies treatment to achieve goals.

• Plans for discharge.

• Communicates with patient, family, caregivers and members of team to promote maximum benefit of care.

• Provide patient care documentation that meets quality standards and supports ethical billing practice.

• Demonstrates ability to organize workload and manage time effectively.

• Maintains positive working relationship with patients and referral base.

• Demonstrates teamwork by routinely offering to help others or assisting others whenever needed.

• Demonstrates ability to handle difficult and/or stressful situations appropriately.

• Shares knowledge through service as a clinical instructor and mentoring new staff.

• Shares knowledge with department and community through participation with educational offerings.

• 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

• Follows nursing process of assessment, planning, intervention and evaluation, incorporating physical as well as psycho-social needs of designated patient populations in person, and over the telephone. Practices within professional scope and current standards of care. Applies the Minimum Necessary Standard when accessing protected health information.
• Documents according to professional scope and current standard of care ensuring that entries are complete. Reviews quality audits and makes improvements accordingly.
• Assists in various aspects of patient flow process including, but not limited to securing/stocking necessary supplies, preparing exam room and patient for examination, assisting the provider with the exam or procedure, providing treatments and medications as ordered by the provider and cleaning/disinfecting exam/treatment area after use.
• Assists with various aspects of diagnostic testing including obtaining and/or preparing specimens, labeling/recording, and communicating results. Performs miscellaneous CLIA-waived testing. May perform EKG’s/rhythm strips, spirometry, pulse oximetry, nebulizers, as well as other testing outlined by the provider.
• Assists clinic in meeting financial goals related to revenue and expense. Obtains appropriate insurance referrals and pre-certifications. Finds most cost effective means when securing/stocking necessary supplies.
• Responsible for working with team to improve processes and implement quality plans, and provide a high level of patient satisfaction.
• Demonstrates support for and participates in accomplishing team goals and objectives.
• Performs other related work as required or requested.

Required Skills

• Greet the majority of visitors and patients, answer patient questions (via telephone/ in person) and give directional information.

• Effectively perform general clerical/administrative functions.

• Responsible for completing all steps of pre-registration/registration including patient interview, obtaining of signatures, providing Advance Directive information and distributes hospital specific literature.

• Pre-register and register all types of patients in multiple software systems.

• Demonstrates an ability to be flexible, organized and function well in stressful situations.

• Maintains a professional demeanor in respect to patients and fellow employees.

• Ability to conduct financial collections and referrals for Financial Counseling. Ability to interview/prescreen self pay patients for possible financial assistance.

• Understands and complies with state and federal regulations as well as hospital, department and The Joint Commission policies and procedures related to patient access.

• Communicates with ancillary department, physicians, medical offices and within Patient Financial Services department.

• Conducts insurance verification tasks, pre-certification, or referral information from MD offices and/or insurance companies and authorization for elective and emergent patients.

• Ability to complete legal admission paperwork for psychiatric admits in accordance to DHS guidelines.

• Ensures accurate documentation of patient information.

• Responsible for checking and re-stocking supplies as needed.

• Participates in performance improvement activities for the department and organization.

• Adheres to all HIPAA guidelines and patient confidentiality policies.

• Completes annual educational and training requirements.

• Promotes the mission, vision, and goals of the organization and department.

• Performs other related work as required or requested.

Required Skills

1. Embodies the Memorial Health Values of Safety, Integrity, Quality, and Stewardship that support our mission and vision.
2. Assists with the day-to-day administration of all colleague benefit programs. Serves as a primary contact for colleagues, retirees, plan participants, vendors and third-party administrators, communicating enrollment information/benefits changes, processing invoices and other benefits related issues.
3. Provides information to colleagues regarding benefit plans and coverage.
4. Coordinates with Colleague Health to ensure payment of insurance premiums for workers’ compensation payments, and with the Payroll Department for colleagues on a leave of absence.
5. Participates in the coordination and organization of the annual benefits open enrollment process and new colleague onboarding, including production of benefit materials, mailings, and colleague communications.
6. Provides professional and administrative support for the all MH benefits including but not limited to Medical, Dental, Flexible Spending Accounts, Life Insurance, Long Term Disability Insurance, PTO Donation, Wellness Program, Paid time off benefits and Retirement Savings Plan.
7. Administer individual colleague qualifying event enrollment changes during the year.
8. Ensures compliance with COBRA & HIPAA. Provides paperwork, responds to colleague and customer inquiries and provides guidance; assesses and tracks eligibility, prepares and maintains correspondence, and coordinates COBRA administration process with third party administrator.
9. Assists beneficiaries with Life Insurance claims. Reviews enrollment forms for accuracy and provides necessary documents and paperwork to insurance carrier for processing.
10. Assists retirees with insurance needs. Tracks payments for retiree insurance and advises third party administrator of new retiree participants, terminations and address changes.
11. Documents and maintains administrative procedures for assigned benefit processes. Prepares and reviews written communications such as Summary Plan Descriptions, open enrollment material, benefit policies, etc., and assists with the ongoing maintenance of same.
12. Maintains benefit records, databases, and benefit files as needed to ensure eligibility, enrollment and benefit deductions.
13. Reconciles enrollments, billings and colleague records to ensure adequate eligibility and payment information and compliance with contract provisions. Researches and resolves benefit and billing questions from colleagues, vendors, providers and payroll.
14. Serves as a resource to affiliate Human Resources leadership and colleagues in addressing various benefit matters and answering benefits questions. Stays current with changes in benefits and related legislation. (HIPAA, COBRA, Affordable Care Act (ACA)).
15. Provides support to Benefits staff. Participates in department meetings and activities, sharing observations, suggestions and recommendations for process improvement, accurate workflow and effectiveness of operations. Assists with special projects as needed.
16. Removes terminated colleagues from the MH Discount vendor platform.
17. Meets with and counsels colleagues/dependents in relation to their benefits on an as-needed basis.
18. Provides reports to numerous areas, this included not but is limited to Finance, HRIS and HR.
19. Manages large amounts of sensitive, confidential information concerning employees and business information contained in minutes, letters and other documents. Maintains strict confidentiality concerning all correspondence and job related activities, information and records.
20. 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. Embodies the Memorial Health System Performance Excellence Standards of Safety, Quality, Integrity and Stewardship that support our mission, vision and values:

• SAFETY: Prevent Harm – I will put safety first in everything I do.  I will speak up, without fear, on matters of patient and colleague safety.  I will take action to create an environment of zero harm.

• QUALITY: Improve Outcomes –  I will continually advance my knowledge and skills.  I will seek out continuous improvement opportunities.  I will deliver evidence-based care that leads to excellence in outcomes.

• INTEGRITY: Show respect and Compassion  – I will respect others and show compassion.  I will behave honesty and ethically.  I will be accountable for my attitude, actions and health.

• STEWARDSHIP: Reduce Waste – I will use resources wisely and maintain financial stability.  I will work together to coordinate care and services across the health system.  I will promote healthier communities.

1. Obtains and negotiates bids on clinical and non-clinical supplies, which may impact multiple hospitals, departments, or processes. Identifies and collaborates on contract parameters, such as cost, market share and/or spend commitment, rebate incentives, and other related metrics. Determines the appropriate language and develops the contract (typical scope: up to $10M per individual project or up to $50M by contract portfolio.) Annual spend on drugs, supplies and contracted services is $400M for the health system.

1. Obtains clinical and non-clinical service agreements to be utilized across health system affiliates and departments. Negotiates pricing, level of service, and contract parameters such as warranties, performance guarantees, and other related metrics.  Coordinates with Contract Manager on legal review of agreements.

1. Obtains and analyzes clinical and non-clinical capital equipment quotes from all health system affiliates. Reviews with System Leadership Team to standardize equipment across the health system.  Negotiates pricing and contract parameters such as warranties, performance guarantees, and other related metrics.

1. Collaborates with System Leadership Team. Plans, develops materials for, and facilitates multi-disciplinary value analysis team meetings with the objective of identifying, implementing, and tracking performance of cost reduction initiatives for the health system.  Provides ongoing customer service to assigned departments.

1. Consults with executive leaders regarding requests for purchase of equipment and/or services. Researches and documents request specifications and conducts feasibility studies and reimbursement analyses as appropriate.

1. Analyzes and determines which requests require a Request for Proposal (RFP) and identifies which suppliers will be targeted. Develops and/or modifies RFP template language based on project scope and requirements. Develops a project plan with critical milestones and monitors the plan to ensure all steps are completed in a timely fashion.

1. Develops parameters for external bids, as necessary, and performs the necessary research to identify possible suppliers based on approved criteria and defined customer specifications, such as service needs, cost, relationship history, performance requirements, and supplier reputation and service orientation.

1. Uses a variety of software and analytical tools to perform complex data and cost analyses relating to new and/or revised contracts. This includes calculating projected fixed and variable costs, depreciation, and salvage.

1. Develops and maintains a wide variety of reports for utilization analysis, cost reduction opportunities, and product/capital/service identification and comparison purposes. Analyzes these reports and leads value analysis teams at the department level to assist with cost savings and product standardization.

1. Makes recommendations to executive leaders regarding identified trends or product utilization observations.

1. Collaborates on negotiation with potential suppliers in developing contract language, including performance and/or product guarantees, price tiers, and service metrics.

1. Tracks contracts’ service coverage period with supplier and monitors expiration dates to allow time for contract renewal or reevaluation.

1. Monitors ongoing provider performance for changes in cost, service, and utilization trends.

1. Secures the necessary review and approval for bid requests and contracts before implementation.

1. Keeps abreast of developing trends in product development, pricing strategies, and legislation affecting contracts within assigned area of responsibility.

1. Monitors and implements necessary strategies with assigned departments to assure that non-file purchases meet materials departmental standards.

1. 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.