Job Category: Patient Services

Current Employees:

If you are a current 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 Communications

Scheduled Weekly Hours

32

Starting Pay Rate Range

$16.95 – $19.48

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

Job Summary

Routes incoming calls to their destinations without delay. Monitors and dispatches appropriate personnel. Activates Emergency Preparedness procedures when necessary. Maintains direct radio communications with Plant Operations and Security. Operates the pocket paging system. Each operator shall be responsible for understanding the outlined responsibilities and performance standards and for implementing proper actions to meet these requirements.

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 (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Screens all calls and either routes them to their destination or takes appropriate action to fulfill the request of the caller. Ensuring that accurate and timely communication is facilitated and that the department is presented in a positive manner.
• Knowledgeable of all emergency procedures outlined in the EPM. Implements proper action in drills and actual disaster or emergency situations. Files incident report following activation of these procedures. Reads the EPM and initials quarterly.
• Is aware of security procedures to: ensure appropriate physical access, system/network access, and process/data integrity. Identifies areas where existing security policies and procedures require change or where new ones need to be developed.
• Employee is proficient with all computer applications required and used in the Communications Center environment and is able to effectively utilize the applications on a daily basis, as well as for special projects upon request.
• Employee is knowledgeable of all departmental equipment including alarm panels, hearing impaired/language line phones, and Zetron computer. Has the ability to understand equipment readouts, relay pertinent information, and perform other routine tasks.
• Knowledgeable and can perform the intake of repaired, returned, new or loaner pagers from vendor and properly documents, copies and processes all required steps to the process including notification to using departments.
• Coordinates courier or other various services as necessary in a professional and courteous manner. Ensures proper documentations of request and action is taken.
• Is flexible in work and break scheduling to optimize departmental support to the organization. As needed, responds to after normal working hours; to monitor, respond to, and remedy problems or emergency situations that may occur.
• Provide support to the organization, division, and peers as a critical function of all IT professionals. Support includes day-to-day peer level support, emergent after hours support, and any support required to maintain highly reliable IT systems.
• Document processes and activities appropriately to maintain highly reliable IT systems. Provide required elements to Call Tracking, Project Management, Change Management, and Disaster Recovery Services Guides to achieve this goal.
• All other duties as assigned.

Additional Requirements

NA

Job Category

Patient Services

Job Family

Patient Support

Shift

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 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

$29.20 – $36.50

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

Job Summary

Up to $10,000 sign on bonus for qualified candidates

The Orthopedic Care Navigator facilitates the care of the patients and the progress and organization of the Orthopedic Total Joint Program by coordinating the flow of the patients and progress of the department. Evaluation, comments and suggestions are used with the staff in order to promote an optimum level of patient care and staff development. Utilizes principles of the nursing process to organize and proved quality and continuity of nursing care in the department. The Orthopedic Care Navigator will be responsible for the development, management and coordination of all activities related to the Orthopedic Program with the main focus of creating the Joint Center of Excellence.

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 (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Conduct orthopedic educational programs and monitor effectiveness of such programs. Facilitate family involvement by supporting the “coach” role in the joint replacement process.
• Consistently keeps patient flow running smoothly. Demonstrates ability to make patient care decision based on the urgency of individual needs. Coordinate all patient processes and needs from the initial pre-op testing and patient registration to post op care. Serve as a liaison in the coordination of the patients preoperative care between physician's offices, the hospital and other facilities.
• Develop, implement and monitor the compliance with multidisciplinary orthopedic care pathways and revise based on patient satisfaction, standards of care and quality information.
• Anticipates the needs and wants of the provider by preparing the patient for surgery.
• Assess, set goals; prepares, implements, documents and adjusts the plan of treatment and education for each patient based on the patient's individual circumstances, medical condition and age, to meet the expectations of the patient, physician, and program.
• Market the orthopedic program through outreach community education, utilize “Graduates” as ambassadors, and provide evidence based patient feedback to the orthopedic surgeons and providers.
• Monitor joint replacement clinical outcomes and identify opportunities for improvement. Monitor growth of program as well as fiscal impact to the organization.
• Monitor patient satisfaction through patient satisfaction surveys and conduct in-house discharge phone calls to gather information regarding patient’s perceptions of care, patient outcomes and the joint replacement experience.
• Organize and lead the Orthopedic Program and the Joint Center of Excellence. Collaborate and coordinate with all disciplines regarding patient care. Receive information from multidisciplinary joint care team and drive solutions for identified problems.
• Consistently sets an example of excellence in clinical practice and professional behavior. Acts as a resource to clinical staff, patients, families and other customers regarding patient care. Mentors employees in the development and enhancement of clinical skills.
• All other duties as assigned.

Additional Requirements

Required:
Education – Completion of a nursing education program that is approved by a board of nursing
Certifications – Registered Nurse (RN) – South Dakota Board of Nursing

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

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.

Current Employees:

If you are a current 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 SP Hospice

Scheduled Weekly Hours

20

Starting Pay Rate Range

$21.24 – $26.55

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

Job Summary

The Chaplain is responsible for the assessment of patient/family spirtual needs and facilitates and provides pastoral ministry to patients and families.

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 (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Responsible for the spiritual care of patients and their families.
• Responds to calls for sacramental ministry.
• Supports an interdisciplinary approach to pastoral care through coordination of clergy, pastoral visitors, and volunteers from the pastoral community.
• Utilizes time effectively and efficiently to ensure patient referrals are completed in a timely manner.
• Effectively communicates and displays a knowledge and understanding of the role and capabilities of various professionals and collaborates effectively.
• Utilizes effective verbal, nonverbal and written communication skills which reflect professional standards.
• Collaborates with the Patient and Family Liaison representative.
• Effectively communicates and displays a knowledge and understanding of the role and capabilities of various professionals and collaborates effectively.
• All other duties as assigned.

Additional Requirements

Required:
Education – Bachelors degree in Theology or Ministry

Preferred:
Experience – 1+ years of Hospice Experience; 1+ years of Pastoral Experience
Certifications – Certificate of Ordination – Evangelical Free Church of America (EFCA); National Association of Catholic Chaplains Certification – Accredited University or accredited training professionals

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

Pastoral Services

Shift

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 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

$17.84 – $20.50

(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 (extra pay for working evening, nights or weekends)

*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

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 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

Scheduled Weekly Hours

40

Starting Pay Rate Range

$17.95 – $20.63

(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 pre-arrival 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 (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

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, 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.
• 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 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.
• 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

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 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

$34.00 – $42.50

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

Job Summary

Provides clinically based care management to support the delivery of effective and efficient patient and family centered care in the acute care hospital setting. Responsible for collaboration with medical staff, patients, family and the health care team by assessing, facilitating, planning and advocating for health needs on an individual basis resulting in quality, cost-effective outcomes. Determines realistic goals and coordinates efforts to ensure smooth discharge planning and clear follow up after discharge. Utilizes InterQual criteria guidelines to confirm medical necessity for admission and continued stay. Establishes goals and priorities consistent with the mission and goals of Monument Health, as well as meet requirements of JCAHO and other applicable federal, state and local regulatory and/or accrediting bodies. Collaborates with medical staff and the interdisciplinary team to promote quality patient outcomes.

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 (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Applies up-to-date information related to reimbursement procedures, managed care contracts and patient status in facilitating/collaborating in the plan of care.
• Coordinates the provider aspect of federal/state organization functions as detailed in the Conditions of Participation and other appropriate regulations.
• Supports compliance with Utilization Review and regulatory guidelines. Identify trends related to compliance of regulations and collaborates with appropriate hospital personnel and external agencies to ensure appropriate process changes are implemented.
• 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.
• 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 health care 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

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

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 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

$34.00 – $42.50

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

Job Summary

Provides clinically based care management to support the delivery of effective and efficient patient and family centered care in the acute care hospital setting. Responsible for collaboration with medical staff, patients, family and the health care team by assessing, facilitating, planning and advocating for health needs on an individual basis resulting in quality, cost-effective outcomes. Determines realistic goals and coordinates efforts to ensure smooth discharge planning and clear follow up after discharge. Utilizes InterQual criteria guidelines to confirm medical necessity for admission and continued stay. Establishes goals and priorities consistent with the mission and goals of Monument Health, as well as meet requirements of JCAHO and other applicable federal, state and local regulatory and/or accrediting bodies. Collaborates with medical staff and the interdisciplinary team to promote quality patient outcomes.

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 (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Applies up-to-date information related to reimbursement procedures, managed care contracts and patient status in facilitating/collaborating in the plan of care.
• Coordinates the provider aspect of federal/state organization functions as detailed in the Conditions of Participation and other appropriate regulations.
• Supports compliance with Utilization Review and regulatory guidelines. Identify trends related to compliance of regulations and collaborates with appropriate hospital personnel and external agencies to ensure appropriate process changes are implemented.
• 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.
• 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 health care 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

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

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 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

0

Starting Pay Rate Range

$34.00 – $42.50

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

Job Summary

Provides clinically based care management to support the delivery of effective and efficient patient and family centered care in the acute care hospital setting. Responsible for collaboration with medical staff, patients, family and the health care team by assessing, facilitating, planning and advocating for health needs on an individual basis resulting in quality, cost-effective outcomes. Determines realistic goals and coordinates efforts to ensure smooth discharge planning and clear follow up after discharge. Utilizes InterQual criteria guidelines to confirm medical necessity for admission and continued stay. Establishes goals and priorities consistent with the mission and goals of Monument Health, as well as meet requirements of JCAHO and other applicable federal, state and local regulatory and/or accrediting bodies. Collaborates with medical staff and the interdisciplinary team to promote quality patient outcomes. Performs follow up discharge call with in 48 hours.

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 (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Applies up-to-date information related to reimbursement procedures, managed care contracts and patient status in facilitating/collaborating in the plan of care.
• Coordinates the provider aspect of federal/state organization functions as detailed in the Conditions of Participation and other appropriate regulations.
• Supports compliance with Utilization Review and regulatory guidelines. Identify trends related to compliance of regulations and collaborates with appropriate hospital personnel and external agencies to ensure appropriate process changes are implemented.
• 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.
• 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 health care 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.
• Performs follow-up phone calls to patients within 48 hours of discharge and triages patients/family calls up to the first outpatient follow-up visit. Confirms follow up appointments are made and coordinates further communication/clarification with providers as indicated.
• All other duties as assigned.

Additional Requirements

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

Employee Type

PRN

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.