Advocate Aurora Health

Therapist

• Uses Respiratory therapy processes to support assessment of patient utilizing a variety of skills such as pulmonary diagnostics, chest radiograph, hemodynamic values, laboratory values, and correlates blood gases and electrolytes
• Can identify and address the special needs of patient population specific to department services
• Operates specialized ventilators in critical and non-critical care venues
• Assists physician with bedside or other procedures as applicable to facility
• Provides medication treatments and therapies per physician order and/or patient driven respiratory protocols as prescribed
• Cleans, maintains, and ensures proper functionality of equipment
• Troubleshoots equipment as necessary and identifies the need for service and/or repair
• Educates and instructs patients in purpose, technique, self-care, goal of therapy, and disease management
• Facilitates clinical problem solving and collaborates with other departments to provide education on managing patients
• Under physician direction, the respiratory therapist must be able to adapt and comply to policies and procedures for a variety of different service areas
• Must demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served

Respiratory Therapist, RT

Director

• Exemplifies the Wake Forest Baptist Health (WFBH) Values and Code of Conduct
• Identify compliance risk through department led risk assessments, system monitoring, and periodic audits
• Ensures immediate action is taken on any issues identified
• Demonstrates leadership in areas of: Clinical Competence, Nursing practice standards, Human Resources, Financial Management, Planning, Directing, Continuous quality improvement
• Provides leadership in human resource development and management
• Collaborates with Human Resources Department on recruitment and retention of staff in all reporting departments
• Serves as a professional role model and mentor
• Accountable for the planning, development and implementation of an approved operational and capital budget
• Reviews and evaluates implications of proposed long- and short-term goals and strategic objectives
• Responsible for overall planning and development of clinical programs and standards
• Ensures compliance with hospital, regulatory, and Joint Commission guidelines

Director, Pre/Post Operative Care

Operations

• Analyzes and audits Managed Care reimbursements of designated contracts to ensure payor's compliance with payment terms.
• Utilizes third party software to identify and pursue payment discrepancies.
• Monitors claims payment experience to identify revenue opportunities.
• Documents and reports ongoing payment/rate compliance with financial contractual obligations.
• Analyzes trends in data to develop excel spreadsheets for payment anomalies.
• Submits payment recoveries to payers or regulatory agencies for determinations and resolution.
• Identifies discrepancies and contract compliance issues and resolves the problems working in conjunction with payers, providers, and Aurora departments.
• Serves as a liaison, and effectively communicates with providers, physicians, payors, consultants, agents, and Aurora departments.
• Ensures that all parties are meeting contractual obligations with respect to operation activities and facilitates positive relations, problem solving and service improvements.
• Develops and publishes all communication on assigned contracts, system wide email communications, reference tools, product and rate summaries, prior authorization requirements and other contract operational documents.
• Monitors contract change dates, necessary amendments obtain and validate rate increases, fee schedules, and reimbursement methodologies.
• Works in partnership with management to improve contract claim processing through identified errors and process improvement activities, recommend potential contractual amendments.
• Monitors and identifies training needs with in patient financial services and patient registration.
• Effectively educates and trains staff on managed care principles, contract requirements and administration procedures (referrals, pre-authorizations, etc.) to maximize revenue.
• Identifies and suggests operational process improvement initiatives that may result in further meeting contractual obligations.
• Acts as the key resource for internal customers throughout the Aurora Health Care system; business office, revenue cycle, clinics, hospitals, ancillaries, medical management on all contract aspects and compliance questions.

Contract Operations Specialist

People Operations

• Design and implement an integrated shared service center strategy
• Ensure the execution of consistent and legally sound processes
• Partner with other Human Resources functions to ensure alignment and integration of strategies
• Oversee and coordinate the day-to-day services and operations of the service center
• Ensure compliance with all Advocate Aurora Health Care policies, procedures, regulations and standards of practice
• Provide quality, consistent and efficient customer service and identify service center best practices supporting quality initiatives
• Develop and implement changes and enhancements as appropriate
• Monitor, measure and ensure adherence to established work processes, quality standards and customer service level agreements
• Manage issues related to regulatory requirements or financial impacts resulting from processing or scheduling of work.

Respiratory Therapist, RT

Director, Pre/Post Operative Care

Contract Operations Specialist

Manager, People Experience