Job Category: Patient Services

Current Employees:

If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

RCH Care Management

Scheduled Weekly Hours

40

Starting Pay Rate Range

$18.20 – $20.92

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

Supports the Case Management/Social Work functions related to payer pre-authorizations/notifications, utilization review submissions, education of patients and families regarding required regulatory notices, assists with patient discharge arrangements, specialized administrative assistance, record keeping and general care-coordination tasks as assigned by Case Management/Social Work partners.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions

*Flexible scheduling

Job Description

Essential Functions:

• Collaborates with the healthcare team, patients/families, payers, physician offices and other community agencies ensuring a team environment. Demonstrates excellent customer service skills in all interactions to provide a smooth and efficient department operation allowing for maximum comfort and confidentiality for the customer. Prioritizes workflow and knows when to ask for help.
• Verifies and obtains benefits levels from insurance carriers and employers when applicable and maintains appropriate and accurate documentation, both written and electronically. Maintains working knowledge of procedures and insurance requirements.
• Responsible to obtain the necessary knowledge and experience to perform job tasks in compliance with federal, state, and local laws, regulations and guidelines. Maintains compliance with all department policies and procedures. Completes Medicare Message follow up letter and Medicare Outpatient Observation Notices as identified by department process.
• Educates patients and families on coverage and coordination progress as directed by Case Management/ Utilization Management team.
• Coordinates, under direction of the nurse Case Manager/Social Worker and in collaboration with the healthcare team, patient care transitions which may include faxing information, arranging authorization and transportation, confirming arrangements, obtaining clothing, durable medical equipment etc.
• Supports comprehensive coordination of medical services including intake, screening and supporting the implementation of care plans to promote effective utilization of healthcare services.
• May assist in providing transportation as directed.
• Participate in staff meetings, training and/or in-services and on-going educational groups.
• Contributes to documentation of coordinated functions in appropriate computer systems and the patient’s electronic medical record.
• All other duties as assigned.

Additional Requirements

Required:

Education – High School Diploma/GED Equivalent in General Studies

Preferred:

Certification – Certified Nurse Aide (CNA) – South Dakota Board of Nursing

Experience – 1+ years of Clerical Experience; 1+ years of Medical Terminology Experience

Physical Requirements:
Sedentary work – Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

Job Category

Patient Services

Job Family

Patient Support

Shift

Requires the ability to work assigned schedules and hours as determined by the department

Employee Type

Regular

10 Monument Health Rapid City Hospital, Inc.

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

RCH Guest Hospitality

Scheduled Weekly Hours

40

Starting Pay Rate Range

$16.78 – $19.29

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

The Guest Services Specialist offers outstanding customer service to our patients, family members, visitors, guests, and other Monument Health caregivers via face-to-face interaction, email and phone. You will provide prompt, courteous and customer-oriented service to patients and visitors and will exemplify a service culture by providing caring experiences, positive first and last impressions, and serve as a liaison to Monument Health resources and caregivers. You will make recommendations and offer suggestions, as well as fulfill patient requests to satisfy their non-clinical needs. This position requires exemplary hospitality skills, knowledge of the facility and local area, work in a challenging environment and an ability to anticipate and exceed the needs of people during one of their most challenging times in life. The Guest Service Specialist collaborates with other Monument Health caregivers, leaders and volunteers to make patient and guest experiences as positive and effortless as possible. Work shifts may rotate and times vary beginning at 5:00 am and ending at 10:00 pm, including weekends and holidays.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions

*Flexible scheduling

Job Description

Essential Functions:

• Provide uncompromising service to hospital patients and their visitors by arranging personal and convenience services.
• Greet and assist patients and visitors within and around the hospital (Wayfinding).
• Assist visitors in connection with patient support and visitation.
• Guide and assist visitors through self-check-in at the kiosks for Visitor Management System.
• Monitor and manage waiting areas as assigned, promoting comfortable and calm healing space.
• Visit admitted patients on a periodic schedule to ensure non-clinical needs are met and promote program knowledge.
• Promote meaningful relationships through engaging and informed conversation with patients and visitors via face-to-face interaction, phone and email.
• Track accomplishments and challenges, constantly evaluating service levels and reporting them to direct supervisor.
• Patient/Visitor Transport to/from rooms via wheelchair.
• Provide driving directions and printed maps for area hotel accommodations and attractions.
• Enter all patient and visitor requests into a central database.
• Project an approachable and professional image at all times.
• Maintain a general understanding of events occurring at the hospital.
• Respond to patient and visitor requests in a professional, courteous and timely manner, without exception.
• All other duties as assigned.

Additional Requirements

Required:

Education – High School Diploma or GED equivalent

Preferred:

Experience – 2 years of customer service experience, 1 years front desk, concierge, or other hospitality experience

Light work – Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

Job Category

Patient Services

Job Family

Community Outreach

Shift

Requires the ability to work assigned schedules and hours as determined by the department

Employee Type

Regular

10 Monument Health Rapid City Hospital, Inc.

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

RCH Guest Hospitality

Scheduled Weekly Hours

20

Starting Pay Rate Range

$16.30 – $18.73

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

Valet will park and retrieve customer vehicles. May require assisting customer out of and into vehicle. Must convey enthusiasm and a cheerful attitude at all times while providing prompt and courteous delivery of valet services. Must be able to adapt to changing situations and respond appropriately in order to perform in a team role to provide quality service to customers.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions

*Flexible scheduling

Job Description

Essential Functions:

• Offers to park vehicles, deliver guests to other Main Unit locations, andassist patients or visitors in handicap areas.
• Retrieves vehicles when requested and returns them to the patient’s most convenient location.
• Operates guest vehicles in a safe manner, making sure the vehicle is locked/secure after parking it in the designated area.
• Offers assistance to guests as appropriate. May include physically assisting guests into or from their vehicles.
• Alerts Security to any potential crimes or acts of vandalism that may occur on Hospital property.
• Provide assistance to employees, visitors and staff as required by departmental and Hospital policies, and as assigned by Manager.
• Assists in assuring patient drop-off areas of the hospital are clear by not allowing long term parking for any reason.
• Maintains the entrance (indoors and outdoors) of Rapid City Hospital.
• Maintains valet log in order to keep track of the number and location of parked vehicles.
• All other duties as assigned.

Additional Requirements

Required:
Certification – Driver's License – State

Preferred:
Education – High School Diploma/GED Equivalent in General Studies

Experience – 1+ years of Transmission (Auto/Manual) Experience

Scheduling Requirements: Requires the ability to work assigned schedules and hours as determined by the department.

Physical Requirements: Heavy work – exerting up to 25 pounds of force constantly (67-100% of the time), and/or up to 50 pounds frequently (34-66% of the time), and/or up to 100 pounds of force occassionally (up to 33% of the time), and or up to 100 pounds of force seldomly to move objects.

Job Category

Patient Services

Job Family

Patient Support

Shift

Requires the ability to work assigned schedules and hours as determined by the department

Employee Type

Regular

10 Monument Health Rapid City Hospital, Inc.

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

RCH Infusion Services

Scheduled Weekly Hours

40

Starting Pay Rate Range

$18.27 – $21.00

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

The Patient Services Specialist plays a vital role in ensuring timely and accurate patient access to medical services by managing the prearrival prior authorization services. This position enhances patient access to care by ensuring all scheduled medical service requests and referrals are financially cleared prior to the date of service provision through the performance of insurance eligibility validation, plan benefit verification, and any related financial clearance, prior authorization, and pre-determination processes.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions

*Flexible scheduling

Job Description

Universal Essential Functions:

• Collaborate with healthcare providers, clinical staff, and various departments throughout Monument Health as well as with the patient to secure necessary authorization for services while maintaining compliance with all regulatory requirements.
• Accurately verify patient insurance eligibility and benefits coverage, utilizing tools such as Electronic Health Records (EHR), add-on software, direct payer websites, and telephone or fax communications to ensure accurate reimbursement and compliance.
• Assess service requests to determine the need for pre-certification, pre-authorization (procedure or medication), or referrals, and communicate effectively with relevant stakeholders to secure approvals prior to the date of scheduled services.
• Maintain a strong working knowledge of various insurance payers, payer plans, and program contract requirements to facilitate appropriate insurance verification and authorization processes.
• Continuously meet competency requirements to sustain the necessary skills, knowledge, and abilities for role-specific functions, while adhering to productivity and quality performance standards.
• Create a positive service experience by being polite, compassionate, and professional with all internal and external customers.
• Document pre-authorization information accurately in the EHR system, ensuring that services scheduled by internal and external providers meet all financial clearance criteria and have approved authorization in the time allowed by the payers and programs to prevent denial or penalty assessment.
• Engage with departments and clinical staff to communicate the need for pre-authorizations or referrals promptly, working to prevent delays in patient care. May include requests for assistance with managing appeals as well as the facilitation and coordinating peer-to-peer reviews when needed.
• Identify high-risk requests that may require financial assistance and counseling and assist patients by providing guidance on available resources, financial assistance, or payment arrangements.
• Advocate for patients and providers by addressing challenges related to pre-authorization approvals and denials, working closely with leadership to resolve issues and ensure compliance with financial clearance policies.
• Provide backup support for Patient Admissions and Registration as needed
• All other duties as assigned.

Essential Functions for Medication Authorization and Assistant Specialist:

• Confirm prescription coverage and coordinate prior authorization, including collecting and submitting required clinical documentation (i.e. provider notes, labs and treatment history)
• Stay up to date on patient assistance programs and guide patients through required application documentation.
• Coordinate with providers and nursing staff to obtain required signatures and documentation from patients and providers
• Serve as a patient advocate by regularly communicating with pharmaceutical companies, providers and patients.
• Act as primary contact for patient inquiries about medication authorizations and assistance programs.
• Monitor assistance medications to ensure timely delivery and continuous patient access.
• All other duties as assigned.

Additional Requirements

Required:
Education – High School Diploma/GED Equivalent in General Studies

Preferred:
Experience – 1+ years in Health Care Services, Customer Service, Patient Scheduling, Patient Billing Experience
Education – Associates degree in Healthcare Related Field

Physical Requirements:
Sedentary work – Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

Job Category

Patient Services

Job Family

Patient Support

Shift

Requires the ability to work assigned schedules and hours as determined by the department

Employee Type

Regular

10 Monument Health Rapid City Hospital, Inc.

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

RCH Palliative Care

Scheduled Weekly Hours

40

Starting Pay Rate Range

$32.00 – $40.00

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

*UP TO A $10,000 SIGN ON BONUS AVAILABLE FOR QUALIFIED CANDIDATES*

The Patient Navigator navigates patients and family members through the diagnosis, treatment, and follow-up of the patient throughout an episode of care related to an identified organizational clinical service program (i.e. total joint replacement, identified care bundles, cancer treatment coordination, etc) to ensure smooth transitions between care settings. The Patient Navigator is responsible, along with the identified multidisciplinary care team, for the development, management and coordination of all activities related to the identified clinical service program. The Patient Navigator collaborates with the interdisciplinary teams in the management of education, bio-psychosocial and financial resources to achieve optimal outcomes for program patients. The Patient Navigator will work with identified patients throughout their episode of care until discharged from the program and transitioned to primary the care clinic team

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions

*Flexible scheduling

Job Description

Essential Functions:

• Acts as a resource to interdisciplinary team, patients and families throughout episode of care. Facilitates efficient, appropriate, seamless, coordinated care to help ensure positive patient outcomes.
• Supports patient and family by providing education, advocacy, addressing psychosocial needs, and identifying and addressing barriers to care.  Navigates patients and family throughout the diagnosis, treatment and follow-up through the episode of care
• Utilizes evaluative and outcomes data to facilitate the achievement of consistent clinical outcomes by concurrently assessing the quality of care provided based on predetermined indicators within the clinical service program and clinical judgement. Utilizes data and decisions to facilitate closure of healthcare gaps
• Organizes and completes a plan customized for each patient referred: scheduling, supportive resources and post-treatment resources through episode of care
• Participates with identified multidisciplinary team to discuss current and future patient cases and collaborative efforts to meet needs identified
• Assists with the evaluation, selection, and design of patient education materials for specific clinical programs.  Assists with providing education and outreach programs to patients, staff and community members
• Works with staff, administration and physicians to match resources with patient needs. Demonstrates effective fiscal management through cost containment measures while ensuring high quality, cost effective care is being provided to patients within clinical service program
• Assists leadership in the development of program goals and objectives.  Assists with the development, implementation, and maintenance of quality programs that include best practice patient care outcomes
• All other duties as assigned

Additional Requirements

Required:
Education – Completion of a nursing education program that is approved by a board of nursing
Certifications – Basic Life Support (BLS) Certification – American Heart Association (AHA) – Within 60 days of hire or transfer; Registered Nurse (RN) – South Dakota Board of Nursing

Regarding BLS certification: The department you are applying to may require BLS certification sooner than 60 days post transfer/hire. The hiring manager will discuss this with you if it is applicable.

Preferred:

Education – Bachelors degree in Nursing

Experience – 1+ years of Case Management Experience; 1+ years of Patient Care Experience

Physical Requirements:
Light work – Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

Job Category

Patient Services

Job Family

Care Coordination

Shift

Requires the ability to work assigned schedules and hours as determined by the department

Employee Type

Regular

10 Monument Health Rapid City Hospital, Inc.

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

RCH Care Management

Scheduled Weekly Hours

32

Starting Pay Rate Range

$35.20 – $44.00

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

**** UP TO $20,000 FOR QUALIFIED CANDIDATES ****

It starts with heart. That is what you will do each day. As a Case Manager at Monument Health, you will be valued as an essential team member providing compassionate patient focused care. You will discover a culture of teamwork, professionalism, mutual respect, and— most importantly— a life-changing career. You will make a difference. Every day.

As a hospital based Case Manager, you will be responsible for the collaboration of medical staff, patients, family, and the Healthcare team by assessing, facilitating, planning, and advocating for the health needs of a patient resulting in quality, cost-effective outcomes. You will establish goals and priorities consistent with the mission and goals of Monument Health as well as work to meet the individualized plan of care for the patients of our communities.

Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. To do the right thing. Every time. If you share this philosophy, we hope you’ll join us.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions

*Flexible scheduling

Job Description

Essential Functions:

• Coordination of services for hospitalized patients whose care needs range from observation level of care to emergent/urgent higher level of care transitions to include facilitation of payer authorization and transportation. 
• Patient triage for hospitalized patients to ensure transitions to other appropriate settings which range from post-acute care to acute care transitions. 
• Uses critical thinking skills to assist providers in establishing plan of care recommendations for hospitalized patients.
• Partners with providers and Physician Advisors/Medical Directors to escalate cases for review on complex cases in compliance with Conditions or Participation and Escalation standards.
• Optimize care coordination with hospital, ER, nursing homes, assisted living facilities, physicians and community resources as necessary.   Facilitates planning for patient/family needs to ensure a smooth transition for the patient across the continuum of care.
• Coordinates the provider aspect of federal/state organization functions as detailed in the Conditions of Participation and other appropriate regulations.
• Supports the Medical Staff Quality Review process by identification of issues related to quality indicators set forth by the Medical Staff.
• Creates and updates the Plan of Care (POC) to include patient/family-centered goals with interventions that reflect the changing needs of the patient/family unit and is consistent with their current needs and desires.
• Maintains a working knowledge and relationship with community resources and payer benefits that link the individual with the most appropriate resources. Assists by maintaining expertise on benefits, reimbursement and contract/regulation changes per payer guidelines, Medicare and Medicaid to facilitate appropriate reimbursement, education and guidance to assist the Healthcare team and patient/family in decision making.
• Facilitates planning for patient/family needs to ensure a smooth transition for the patient across the continuum of care to include offering guidance to patients / families regarding applications for funding, guardianship and charity care programs as needed.
• Evaluates current treatment plan to identify barriers, determine realistic goals and objectives, and seek potential alternatives in conjunction with the medical staff. Coordinates team efforts with support services departments to ensure appropriate care and smooth discharge transition.
• Is a visible resource on the unit and coordinates interdisciplinary team huddles/communication, identifying and communicating the patient’s Healthcare needs based on the best practice standards to ensure care and communication needs are met in relation to both internal and external providers/services, ancillary department services, core measures, compliance with internal policies/regulatory guidelines and True North metrics.
• All other duties as assigned.

Additional Requirements

Required:

Education – Completion of nursing education program that is approved by a board of nursing or Bachelors/Masters Degree in Social Services
Certification – Registered Nurse (RN) – South Dakota Board of Nursing or Certified Social Work (CSW) – South Dakota Department of Social Services

Preferred:
Education – Bachelors in Nursing

Experience – 2+ years of Acute Experience; 2+ years of Registered Nurse Experience
Certification – Commission for Case Management Certification (CCMC) – Accredited University or accredited training professionals

Physical Requirements:
Medium work – Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

Job Category

Patient Services

Job Family

Care Coordination

Shift

Requires the ability to work assigned schedules and hours as determined by the department

Employee Type

Regular

10 Monument Health Rapid City Hospital, Inc.

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

RCH Care Management

Scheduled Weekly Hours

36

Starting Pay Rate Range

$35.20 – $44.00

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

**** UP TO $20,000 FOR QUALIFIED CANDIDATES ****

It starts with heart. That is what you will do each day. As a Case Manager at Monument Health, you will be valued as an essential team member providing compassionate patient focused care. You will discover a culture of teamwork, professionalism, mutual respect, and— most importantly— a life-changing career. You will make a difference. Every day.

As a hospital based Case Manager, you will be responsible for the collaboration of medical staff, patients, family, and the Healthcare team by assessing, facilitating, planning, and advocating for the health needs of a patient resulting in quality, cost-effective outcomes. You will establish goals and priorities consistent with the mission and goals of Monument Health as well as work to meet the individualized plan of care for the patients of our communities.

Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. To do the right thing. Every time. If you share this philosophy, we hope you’ll join us.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions

*Flexible scheduling

Job Description

Essential Functions:

• Coordination of services for hospitalized patients whose care needs range from observation level of care to emergent/urgent higher level of care transitions to include facilitation of payer authorization and transportation. 
• Patient triage for hospitalized patients to ensure transitions to other appropriate settings which range from post-acute care to acute care transitions. 
• Uses critical thinking skills to assist providers in establishing plan of care recommendations for hospitalized patients.
• Partners with providers and Physician Advisors/Medical Directors to escalate cases for review on complex cases in compliance with Conditions or Participation and Escalation standards.
• Optimize care coordination with hospital, ER, nursing homes, assisted living facilities, physicians and community resources as necessary.   Facilitates planning for patient/family needs to ensure a smooth transition for the patient across the continuum of care.
• Coordinates the provider aspect of federal/state organization functions as detailed in the Conditions of Participation and other appropriate regulations.
• Supports the Medical Staff Quality Review process by identification of issues related to quality indicators set forth by the Medical Staff.
• Creates and updates the Plan of Care (POC) to include patient/family-centered goals with interventions that reflect the changing needs of the patient/family unit and is consistent with their current needs and desires.
• Maintains a working knowledge and relationship with community resources and payer benefits that link the individual with the most appropriate resources. Assists by maintaining expertise on benefits, reimbursement and contract/regulation changes per payer guidelines, Medicare and Medicaid to facilitate appropriate reimbursement, education and guidance to assist the Healthcare team and patient/family in decision making.
• Facilitates planning for patient/family needs to ensure a smooth transition for the patient across the continuum of care to include offering guidance to patients / families regarding applications for funding, guardianship and charity care programs as needed.
• Evaluates current treatment plan to identify barriers, determine realistic goals and objectives, and seek potential alternatives in conjunction with the medical staff. Coordinates team efforts with support services departments to ensure appropriate care and smooth discharge transition.
• Is a visible resource on the unit and coordinates interdisciplinary team huddles/communication, identifying and communicating the patient’s Healthcare needs based on the best practice standards to ensure care and communication needs are met in relation to both internal and external providers/services, ancillary department services, core measures, compliance with internal policies/regulatory guidelines and True North metrics.
• All other duties as assigned.

Additional Requirements

Required:

Education – Completion of nursing education program that is approved by a board of nursing or Bachelors/Masters Degree in Social Services
Certification – Registered Nurse (RN) – South Dakota Board of Nursing or Certified Social Work (CSW) – South Dakota Department of Social Services

Preferred:
Education – Bachelors in Nursing

Experience – 2+ years of Acute Experience; 2+ years of Registered Nurse Experience
Certification – Commission for Case Management Certification (CCMC) – Accredited University or accredited training professionals

Physical Requirements:
Medium work – Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

Job Category

Patient Services

Job Family

Care Coordination

Shift

Requires the ability to work assigned schedules and hours as determined by the department

Employee Type

Regular

10 Monument Health Rapid City Hospital, Inc.

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

CS Patient Experience

Scheduled Weekly Hours

40

Starting Pay Rate Range

$69,888.00 – $87,360.00

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

The Patient Experience Improvement and Transformation Specialist is responsible for supporting patient experience initiatives and interventions focusing on ensuring our patient’s experience is consistent and exceptional. Assists the Patient Experience Director in the development and implementation of strategies aimed at maximizing patient experience and ensuring that teams have the necessary tools and support to do so.

Responsible for assisting with implementing strategies to enhance the quality of care and overall experience for patients and their loved ones. You will play a vital role in cultivating a culture of exceptional service across our health system and instilling a sense of warmth and compassion throughout the organization.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions

*Flexible scheduling

Job Description

Essential Functions:

• Analyze experience of care surveys and other patient feedback data to identify key areas for improvement.
• Lead or support department level initiatives by applying structured process improvement and change management principals and tools.
• Provide hands-on coaching and mentoring to clinical staff to enhance empathy and communication skills.
• Round on patients and families to address concerns and improve service delivery.
• Assist in the delivery of training programs focused on quality, compassionate care.
• Support local patient experience champions and collaborate in patient experience meetings.
• Help clinical caregivers understand and apply patient experience feedback to improve care.
• Foster a culture of empathy and inclusivity among caregivers.
• Promote patient-centered care by engaging with patients and families for continuous feedback.
• All other duties as assigned.

Additional Requirements

Required

Education – Completion of a clinical degree program

Certifications – as required by area of clinical degree

Work Experience – 3+ years Clinical Experience

Preferred:

Education – Completion of a nursing education program that is approved by a board of nursing

Certifications – Registered Nurse (RN) – South Dakota Board of Nursing

Physical Requirements:
Light work – Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

Job Category

Patient Services

Job Family

Community Outreach

Shift

Requires the ability to work assigned schedules and hours as determined by the department

Employee Type

Regular

15 Corporate Services Division

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

Home Plus RC HME

Scheduled Weekly Hours

40

Starting Pay Rate Range

$18.00 – $22.50

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

The Order Specialist works with customer accounts in reviewing all orders for completed documentation and accurate insurance processing. The Order Specialist validates database, customer documents, and insurance records for proper regulation submission. This position will maintain accurate records of customer information and products and ensure an effective experience for the customer.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions

*Flexible scheduling

Job Description

Essential Functions:

• Creates customer profiles for all new customers. Verifies and updates customer demographics and insurance information in the system of record.
• Generates sales orders and purchase requests for medical equipment prescribed to patients.
• Demonstrates knowledge of third-party payer information, including Medicare, Medicaid, VA, Tricare/UHC and commercial payers, to ensure compliance with rules and regulations to maintain accurate reimbursement.
• Analyze insurance claims to ensure all required documentation is obtained and meets regulatory insurance standards.
• Evaluate outstanding orders and process for proper completion. Follows up with all customers on order status; resolves any requests or issues received from customers.
• Works with insurance providers to resolve claim issues. Researches and reworks all claim kickbacks, rejections, and denials.
• Review medical records to ensure orders are consistent with multiple insurance regulations. Request necessary additional required documents from providers prior to processing claims in accordance with primary payer specifics and billing requirements.
• Coordinates deliveries with technicians and customers. May assist in the preparation and packaging of packages for delivery or mailing.
• Answer incoming phone calls while maintaining an open line of communication between departments & customers.
• Assisting walk-in customers with retail sales and supply orders. Knowledge of DME (Durable Medical Equipment) product and providing education/fitting as needed.
• Manages product inventory and maintains an organized retail area.
• Performs point of service collections including prepayments, outstanding balances, co-payment and co-insurance; daily reconciliation of cash drawer.  Provides patients with basic account reconciliation.
• All other duties as assigned.

Additional Requirements

Required:

Education – High School Diploma/GED Equivalent

Preferred:

Experience – 3+ years Home Medical Equipment Experience; 3+ years Healthcare Experience;

3+ years Customer Service Experience

Light work – Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

Job Category

Patient Services

Job Family

Patient Support

Shift

Requires the ability to work assigned schedules and hours as determined by the department

Employee Type

Regular

40 Monument Health Home Plus

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

MHOSH-Clinic Orthopedic Surgery

Scheduled Weekly Hours

40

Starting Pay Rate Range

$32.00 – $40.00

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

*UP TO A $10,000 SIGN ON BONUS AVAILABLE FOR QUALIFIED CANDIDATES*

The Patient Navigator navigates patients and family members through the diagnosis, treatment, and follow-up of the patient throughout an episode of care related to an identified organizational clinical service program (i.e. total joint replacement, identified care bundles, cancer treatment coordination, etc) to ensure smooth transitions between care settings. The Patient Navigator is responsible, along with the identified multidisciplinary care team, for the development, management and coordination of all activities related to the identified clinical service program. The Patient Navigator collaborates with the interdisciplinary teams in the management of education, bio-psychosocial and financial resources to achieve optimal outcomes for program patients. The Patient Navigator will work with identified patients throughout their episode of care until discharged from the program and transitioned to primary the care clinic team

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions

*Flexible scheduling

Job Description

Essential Functions:

• Acts as a resource to interdisciplinary team, patients and families throughout episode of care. Facilitates efficient, appropriate, seamless, coordinated care to help ensure positive patient outcomes.
• Supports patient and family by providing education, advocacy, addressing psychosocial needs, and identifying and addressing barriers to care.  Navigates patients and family throughout the diagnosis, treatment and follow-up through the episode of care
• Utilizes evaluative and outcomes data to facilitate the achievement of consistent clinical outcomes by concurrently assessing the quality of care provided based on predetermined indicators within the clinical service program and clinical judgement. Utilizes data and decisions to facilitate closure of healthcare gaps
• Organizes and completes a plan customized for each patient referred: scheduling, supportive resources and post-treatment resources through episode of care
• Participates with identified multidisciplinary team to discuss current and future patient cases and collaborative efforts to meet needs identified
• Assists with the evaluation, selection, and design of patient education materials for specific clinical programs.  Assists with providing education and outreach programs to patients, staff and community members
• Works with staff, administration and physicians to match resources with patient needs. Demonstrates effective fiscal management through cost containment measures while ensuring high quality, cost effective care is being provided to patients within clinical service program
• Assists leadership in the development of program goals and objectives.  Assists with the development, implementation, and maintenance of quality programs that include best practice patient care outcomes
• All other duties as assigned

Additional Requirements

Required:
Education – Completion of a nursing education program that is approved by a board of nursing
Certifications – Basic Life Support (BLS) Certification – American Heart Association (AHA) – Within 60 days of hire or transfer; Registered Nurse (RN) – South Dakota Board of Nursing

Regarding BLS certification: The department you are applying to may require BLS certification sooner than 60 days post transfer/hire. The hiring manager will discuss this with you if it is applicable.

Preferred:

Education – Bachelors degree in Nursing

Experience – 1+ years of Case Management Experience; 1+ years of Patient Care Experience

Physical Requirements:
Light work – Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

Job Category

Patient Services

Job Family

Care Coordination

Shift

Requires the ability to work assigned schedules and hours as determined by the department

Employee Type

Regular

70 Monument Health Orthopedic and Specialty Hospital

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.