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Required Skills

1. Nursing Care

• Data Collection:
• Observes, records and reports objective and subjective patient data.
• Demonstrates ability to detect signs and symptoms of deviation from normal health status.
• Informs RN of abnormal or changing data and of patient/family responses to interventions. 

• Planning:
• Provides information to assist the RN in developing the nursing plan of care.

• Intervention:
• Completely performs tasks/procedures as appropriately delegated (see Table 1).
• Uses equipment safely.
• Takes appropriate action in life-threatening situations/emergencies.
• Accurately administers medications by appropriately delegated routes.
• Utilizes appropriate infection control safety measures.
• Acts to prevent harm or injury to patient, self and others.
• Documents and communicates to RN nursing interventions and patient responses.
• Seeks supervision prior to initiating new or unfamiliar nursing activities and/or with a change in patient condition.

• Evaluation:
• Observes, records and reports patient responses to nursing interventions and other relevant data to the RN.
• Assists the RN to evaluate and modify the plan of care. 

• Patient/Family Education:
• Assists the RN to identify, implement and evaluate age appropriate teaching interventions.
• Reinforces teaching initiated by other members of the healthcare team. 

• Communication:
• Informs RN of abnormal and/or changing data and patient/family response to interventions.
• Develops and maintains interviewing skills required for data collection. 

2. Quality and Safety

• Communicates and documents potential risk issues to appropriate personnel.
• Participates in continuous quality improvement.
• Participates in review and revision of policies, procedures, and standards of care.
• Complies with all safety policies.

 3. Accountability

• Advocates for patients and families.
• Appropriately follows the chain of command. .
• Participates in community organizations
• Identifies annual goals for own professional development.
• Provides constructive feedback to strengthen the Division of Nursing and the colleague’s department/unit.

4. Performs other related work as required or requested.

Required Skills

• Professionally and courteously interact with the general public, physicians and hospital personnel.

• Receive Physician orders for patient testing and ensures orders comply with Medicare’s Local Coverage (LCD) and National Coverage Decision’s (NCD).

• Obtain patient clinical and demographic data to appropriately provide the medical service identified by the practitioner and to provide the service at the time that best meets the patient schedule.

• Demonstrate a good understanding of the elements involved with the various procedures/exams and provide appropriate instructions to patients for specific testing ordered.

• Receive and interview incoming patients and/or relatives to obtain necessary information for scheduling walk-in testing.

• Coordinate and communicate necessary information to the Registration personnel to facilitate the pre-registration of scheduled patients.

• Communicate scheduling information to effected departments and physicians.

• Maintain computer system master files to optimize system/resource effectiveness.

• Coordinate and assist Financial Representative to ensure pre-certification/pre-authorizations are completed prior to service(s) being rendered.

• Provide excellent customer service to patients, visitors, physicians, hospital staff and co-workers.

• Keep supervisor informed of all potential problems.

• Displays a needs no reminder attitude.

• Ability to multitask and work in high call volume stressful environment.

• Coordinate with hospital staff to ensure patients are scheduled.

• 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

• Greet and assist the majority of visitors and patients, answering questions via telephone or in person, and providing directional information.
• Effectively perform general clerical and administrative functions.
• Complete all steps of pre-registration and registration, including patient interviews, obtaining signatures, providing Advance Directive information, and distributing hospital-specific literature.
• Pre-register and register all types of patients across multiple software systems.
• Demonstrate flexibility, organization, and the ability to function well in stressful situations while maintaining a professional demeanor with patients and colleagues.
• Conduct financial collections and referrals for Financial Counseling, interviewing and prescreening self-pay patients for potential financial assistance.
• Understand and comply with state and federal regulations, as well as hospital, department, and The Joint Commission policies related to patient access.
• Communicate effectively with ancillary departments, physicians, medical offices, and within the Patient Financial Services department.
• Conduct insurance verification tasks, pre-certification, and referral information from MD offices and insurance companies for both elective and emergent patients.
• Complete legal admission paperwork for psychiatric admissions in accordance with DHS guidelines.
• Ensure accurate documentation of patient information.
• Check and restock supplies as needed.
• Participate in performance improvement activities for the department and organization.
• Adhere to all HIPAA guidelines and maintain patient confidentiality.
• Complete annual educational and training requirements.
• Promote the mission, vision, and goals of the organization and department.
• Perform other related duties as required or requested.

Required Skills

1. Drive solutions architecture to meet the technology needs of business initiatives.

1. Design and support complex applications for use at the relevant hospital organizations.

1. Develops documentation to effectively communicate and analyze the information flow related to the delivery of quality applications.               

1. Work with the business stakeholders to identify business opportunities and with key partners to develop initial business cases for potential solution development efforts.

1. Assists manager, change management team, and support teams to progress environments and code across environments. Assists in the coordination of test plans and identifies issues of the application prior to implementation in a production environment.

1. Work with various teams to identify project risks and provide resolution to understand and implement solution integration points.

1. Develop high level solution designs and conceptual architectures that address business, application, information and technology architectural domains.

1. Participate in the conceptual phases of identifying and solving business problems and initiatives.

1. Actively participate in change management processes at application and departmental levels.

1. Assists with upgrades, installations, etc. including project planning and scheduling of project activities in coordination with system users, vendors, coordinating projects, and Information Technology personnel.

1. Participates in professional development opportunities.

1. Work with MHS at all levels and departments and be able to manage situations appropriately.

1. Monitors all assigned systems and documents performance, reacts to degradation of service through coordination with affected departments and recommends alternatives to existing system configuration.

1. Subject to call back at all times. Must be available to support the organization and staff as necessary particularly in crisis or downtime situations as necessary.

1. Through personal motivation, achieve results personally and through others particularly related to providing exceptional customer service.

1. Coordinates, accomplishes or supervises the activities of a project team in the performance of the tasks associated with system development including the system design, administration, testing, installation and ongoing system support.

1. Assist in developing and implementing departmental policies and procedures designed to meet customer requirements consistently and appropriately.

1. Manage time appropriately in order to meet assigned goals.

1. Support development and achievement of departmental goals and initiatives in positive constructive manner at all times. Develop and achieve personal goals annually. 

1. Work constructively with user communities to proactively identify areas for service enhancements throughout IT. Develop positive relationships with others to continuously support the mission, vision and strategic goals of MHS.

1. Develop creative solutions to ensure uninterrupted service and support of development activities whenever possible.

1. Proactively monitor industry development to ensure MHS is positioned to be a leading organization in areas under direct control and throughout IT. Identify creative solutions to problems and opportunities to enhance our value to the organization.  Embrace change to improve results.  Expect and require exceptional performance of self and others.

1. Solicit user feedback routinely to ensure we are meeting expectations and to proactively identify areas for continued improvement.

1. Serves as coordinator for disaster recovery on responsible systems.

1. Follow all security policies and ensure that any improvements in system security are identified and addressed in a timely and appropriate manner.

1. Maintain an excellent rapport with patients, visitors, physicians and fellow employees.

1. Evaluate existing applications to reprogram, update and add new features.

1. Design creative prototypes according to specifications.

1. Collaborate with a team of IT professionals to set specifications for new applications

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.

Required Skills

1. Ensure fulfillment of mission and progress towards vision. Exhibit behaviors consistent with MHS values, and ensure strategic plan is cascaded throughout the organization to achieve desired business outcomes.

1. Coordinates projects for the PMO and IMO; ensures initiatives are strategically focused on standardization or centralization of MHS functions or functional areas. Ensures project KPI’s are consistently met and project business case and requirements are documented to a consistent level of quality.

1. Identifies opportunities for improvement to existing project management methods.  As necessary, collaborates with Quality, Decision Sciences, Innovation, and/or Transformation Division colleagues to enhance project outcomes.

1. Continuously identify, monitor, and advise System Director, Integration and Project Management on PMO project risks.  Collaborate with System Director, Integration and Project Management to prepare risk mitigation plans and other documentation as required.

1. Effectively manages large and small-scale projects. Exercises good project management discipline and rigor in managing tasks, deliverables and needed resources. Completes projects within prescribed timeline and budget. Ensures all scope changes are evaluated, communicated and approved by the appropriate parties prior to implementation. Evaluates implementations and makes adjustments accordingly.

1. Supports a culture within MHS that enables structured approaches to project-related decision-making and prioritization of strategic initiatives.

1. Applies a governance framework for decision making to monitor and control the lifecycle of projects in the areas of meetings, reporting, risk and issue management, assurance, and project management control processes.

1. Supports the PMO by performing ongoing quality assurance to ensure accuracy and consistency of output in the system.

1. Supports business stakeholders by coordinating the extraction and interpretation of data from various sources to understand the current situation and how it will change with project implementation to help ensure successful projects.

1. Manages large amounts of sensitive, confidential information concerning personnel, financial, strategic, and business information contained in minutes, letters and other documents, as well as through meetings, discussions and interventions.

1. Develops productive relationships in order to build trust and foster collaboration and communication with the System Leadership team, MHS leaders and colleagues to aid MHS goal and objective accomplishment.

1. Evaluates effectiveness of offerings and services and makes adjustments accordingly. Reports and analyzes metrics in order to understand utilization, impact and improvement opportunities.

1. Maintains professional growth and development through continuing education, seminars, workshops and professional affiliations.

1. Perform 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

• Complies with American College of Surgeons Standards for Cancer Registry on collection and analysis of data on reportable cancer diagnoses made at the hospital.
• Abstracts data sets per standards.
• Obtains and maintains follow-up information of all patients in registry data base.
• Reports monthly to Illinois Department of Public Health, annually to the National Cancer Data Base, and as requested to other professional organizations.
• Maintains status as Certified Tumor Registrar (CTR); attends mandatory and optional inservices and meetings to ensure competency and personal growth.
• Performs other duties as assigned by Medical Director or Administrative Director.

Required Skills

1. Responsible for credentialing Medical Staff initial applicants and reapplicants to Memorial Health Hospitals under the oversight of the Manager, Credentialing and Medical Staff Services.

1. Supports Memorial Health Managed Care with their provider credentialing for internal and external managed care credentialing needs under the oversight of the Manager, Credentialing and Medical Staff Services.

1. Overseas the practitioner credentialing database ensuring accurate and current information is available to all stakeholders.

1. Participates in the development and implementation of credentialing processes and procedures.

1. Audits, assesses, procures, implements, effectively utilizes and maintains practitioner/provider credentialing processes and information systems (e.g., files, reports, minutes, databases) by analyzing the needs and resources of medical services/credentialing.

1. Supports MH affiliate hospital Medical Staff Offices in the privileging process.

1. Ensures that policies, procedures and mechanisms to support the credentialing process in accordance with Medical Staff Bylaws, Rules and Regulations and in compliance with standards of all external regulatory and accrediting bodies.

1. Provides administrative support required to ensure effective management and coordination of the medical/allied health professional staff credentialing processes.
2. Assists the Manager, Credentialing and Medical Staff Services in the management of data to support the peer review process.

1. Maintains cooperative and supporting working relationships with all individuals who have involvement with organized the Credentialing and Verification Office.

1. Maintains a commitment to the MHS mission vision, values, goals and behavioral 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.

Required Skills

1. Assists in developing, modifying, and administering an array of custom solutions including, but not limited to the SharePoint environment of sites and applications.

1. Assists in design, maintenance, and support of complex applications for use at the relevant hospital organizations.

1. Develops documentation to effectively communicate and analyze the information flow related to the delivery of quality applications.               

1. Serve as the first-line support for maintenance of assigned systems.

1. 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.

1. Assists manager, change management team, and support teams to progress environments and code across environments. Assists in the coordination of test plans and identifies issues of the application prior to implementation in a production environment.

1. Work with various teams to identify project risks and provide resolution to understand and implement solution integration points.

1. Assist in resolution of help desk issues of low to medium complexity.

1. Assists with coordination of system installations, updates or problem resolution which impacts system performance between the hardware and application vendor.

1. Actively participate in change management processes at application and departmental levels.

1. Assists with upgrades, installations, etc. including project planning and scheduling of project activities in coordination with system users, vendors, coordinating projects, and Information Technology personnel.

1. Evaluates existing applications to reprogram, update and add new features.

1. Designs creative prototypes according to specifications.

1. Collaborates with a team of IT professionals to set specifications for new applications.

1. Participates in professional development opportunities.

1. Work with MHS at all levels and departments and be able to manage situations appropriately.

1. Monitors all assigned systems and documents performance, reacts to degradation of service through coordination with affected departments and recommends alternatives to existing system configuration.

1. Subject to call back at all times. Must be available to support the organization and staff as necessary particularly in crisis or downtime situations as necessary.

1. Through personal motivation, achieve results personally and through others particularly related to providing exceptional customer service.

1. Coordinates, accomplishes or supervises the activities of a project team in the performance of the tasks associated with system development including the system design, administration, testing, installation and ongoing system support.

1. Assist in developing and implementing departmental policies and procedures designed to meet customer requirements consistently and appropriately.

1. Manage time appropriately in order to meet assigned goals.

1. Support development and achievement of departmental goals and initiatives in positive constructive manner at all times. Develop and achieve personal goals annually. 

1. Work constructively with user communities to proactively identify areas for service enhancements throughout IT.

1. Develop positive relationships with others to continuously support the mission, vision and strategic goals of MHS. Develop creative solutions to ensure uninterrupted service and support of development activities whenever possible.

1. Proactively monitor industry development to ensure MHS is positioned to be a leading organization in areas under direct control and throughout IT. Identify creative solutions to problems and opportunities to enhance our value to the organization. 

1. Embrace change to improve results. Expect and require exceptional performance of self and others. Solicit user feedback routinely to ensure we are meeting expectations and to proactively identify areas for continued improvement.

1. Serves as coordinator for disaster recovery on responsible systems.

1. Follow all security policies and ensure that any improvements in system security are identified and addressed in a timely and appropriate manner.

1. Maintain an excellent rapport with patients, visitors, physicians and fellow employees.

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.

Required Skills

1. Assists in developing, modifying, and administering an array of custom solutions including, but not limited to the SharePoint environment of sites and applications.

1. Assists in design, maintenance, and support of complex applications for use at the relevant hospital organizations.

1. Develops documentation to effectively communicate and analyze the information flow related to the delivery of quality applications.               

1. Serve as the first-line support for maintenance of assigned systems.

1. 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.

1. Assists manager, change management team, and support teams to progress environments and code across environments. Assists in the coordination of test plans and identifies issues of the application prior to implementation in a production environment.

1. Work with various teams to identify project risks and provide resolution to understand and implement solution integration points.

1. Assist in resolution of help desk issues of low to medium complexity.

1. Assists with coordination of system installations, updates or problem resolution which impacts system performance between the hardware and application vendor.

1. Actively participate in change management processes at application and departmental levels.

1. Assists with upgrades, installations, etc. including project planning and scheduling of project activities in coordination with system users, vendors, coordinating projects, and Information Technology personnel.

1. Evaluates existing applications to reprogram, update and add new features.

1. Designs creative prototypes according to specifications.

1. Collaborates with a team of IT professionals to set specifications for new applications.

1. Participates in professional development opportunities.

1. Work with MHS at all levels and departments and be able to manage situations appropriately.

1. Monitors all assigned systems and documents performance, reacts to degradation of service through coordination with affected departments and recommends alternatives to existing system configuration.

1. Subject to call back at all times. Must be available to support the organization and staff as necessary particularly in crisis or downtime situations as necessary.

1. Through personal motivation, achieve results personally and through others particularly related to providing exceptional customer service.

1. Coordinates, accomplishes or supervises the activities of a project team in the performance of the tasks associated with system development including the system design, administration, testing, installation and ongoing system support.

1. Assist in developing and implementing departmental policies and procedures designed to meet customer requirements consistently and appropriately.

1. Manage time appropriately in order to meet assigned goals.

1. Support development and achievement of departmental goals and initiatives in positive constructive manner at all times. Develop and achieve personal goals annually. 

1. Work constructively with user communities to proactively identify areas for service enhancements throughout IT.

1. Develop positive relationships with others to continuously support the mission, vision and strategic goals of MHS. Develop creative solutions to ensure uninterrupted service and support of development activities whenever possible.

1. Proactively monitor industry development to ensure MHS is positioned to be a leading organization in areas under direct control and throughout IT. Identify creative solutions to problems and opportunities to enhance our value to the organization. 

1. Embrace change to improve results. Expect and require exceptional performance of self and others. Solicit user feedback routinely to ensure we are meeting expectations and to proactively identify areas for continued improvement.

1. Serves as coordinator for disaster recovery on responsible systems.

1. Follow all security policies and ensure that any improvements in system security are identified and addressed in a timely and appropriate manner.

1. Maintain an excellent rapport with patients, visitors, physicians and fellow employees.

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.