Advocate Aurora Health

Manager

• Responsible for identifying and coordinating patient/family care to support terminally ill patients and families in all hospice settings
• Frequency of patient / family contacts will be at the discretion of the Case Manager and his/her assessment of need, but will be a minimum of every 15 days
• Utilizes teaching, assessment, and intervention skills to provide comfort care at end of life and maximize the quality of life for the patients and families
• Educates patients and families regarding disease processes and trajectory, disease management, hospice philosophies, signs and symptoms of decline and end of life
• Updates the primary physician as indicated and according to agency, accreditation, state and federal requirements
• Responsible for continuous review of all aspects of every patient of her/his caseload to include appropriate utilization of services and the appropriate hospice level of care criteria are met
• Makes referrals to other team members as appropriate
• Administers medication and treatments as prescribed by the physician
• Leads the interdisciplinary care group (IDG) specific to each patient and family on their caseload
• Working within the IDG to develop, revise, and implement the patient’s Plan of Care
• Coordinates all services and collaborates with members of the interdisciplinary team to provide consistent patient care
• Arranges for and/or recommends equipment, medical supplies and other necessary items and services as indicated
• Enters, completes and updates documentation in the electronic health record as required according to agency/department standards and policies, accreditation, state and federal guidelines
• Provides on-going assessment of patient response to treatments, medications and teaching while making appropriate changes in interventions and follow-up to meet patient needs
• Updates and revises POC as indicated with supportive documentation to changes
• Communicates problems and changes in condition to physicians, supervisor and other members of the IDG
• Enters verbal orders from the physician or APN into the Electronic Health Record
• Supervises and performs Home Health Aide and licensed practical nurse supervisory visits according to agency standards
• Instructs paraprofessional staff on a timely basis and in accordance with agency, state and federal regulations
• Facilitates the discharge planning process according to agency standards and utilizes interagency/system and community resources to assure continuity of care after discharge

Home Hospice RN Case Manager

Analyst

• Directs and executes multiple, concurrent projects independent of or with little supervision from leadership.
• Leads the evaluation of the request for service to understand business and technical open issues to be clarified with the client.
• Works in collaboration with the department's client to thoroughly understand the business needs, project scope, and anticipated deliverable associated with the request for service.
• Leads the on-going interface with the client to develop analytic approaches to the request.
• Understands and executes the development of specific population definitions to meet the needs of the project.
• Recommends to the client and department, processes to balance the data needs for the project against the urgency and requirements for action.
• Uses statistical techniques to describe and evaluate data and uses process analysis tools for the display, interpretation and presentation of data for management and organization action.
• Provides value-added analysis and recommended follow up actions in support of the business needs.
• Supports the process to integrate data from multiple sources to a single dataset for analysis.
• Leads the review and validation of complex, custom datasets specific to the project.
• Recommends and prepares to the client, a method of delivering results from the project to meet current and on-going needs and facilitates data discussion and interpretation.
• Develops simple to complex reports utilizing various Business Intelligence tools.
• Educates clients in clinical and financial operational concepts and their relationship to data.
• Consults with clients to create methods to quantify key elements of their operational performance within the limitations of available data sources.
• Guides clients through known and potential data issues, taking into consideration all data collection inconsistencies and inaccuracies in the source system.

Senior Clinical Analyst, Sepsis Abstractor

• Works with users and leadership to develop and/or modify procedures for workflow changes related to Epic clinical and business applications
• Assists users with using the full functionality of the applications
• Prepares input for requirements definition including user procedures, flowcharts, and preliminary report and screen definition
• Participates in testing, user training, and results evaluation
• Maintains product documentation including requirements, functional specifications, installation instructions, product test procedures, troubleshooting guidelines
• Communicates project status and upgrades to clinic users

Application Analyst Associate – Outpatient Pharmacy

• Identify, map, measure, analyze and improve routine to moderately complex clinical and business processes
• Perform current and future workflow analysis and map out critical business processes using business process reengineering techniques
• Prepare documentation for business requirements by using case diagrams, data flow diagrams, data models, and object models
• Translate user requirements into functional and technical design specifications
• Develop test plans, test cases, and test scripts to validate performance of all functions
• Provide client and support training through the development of training materials
• Communicate project status and upgrades to clinic users
• Assist with support and troubleshooting as needed

Epic Application Analyst – Cadence

Director

• The Director supports defining Performance Excellence strategy and methodology with the Performance Excellence Vice President and ECG Leadership
• Promotes and supports performance excellence through continuous process improvement and problem-solving methodologies
• This position will also lead a performance excellence team based within a Division or multiple areas to drive improvement
• This role partners with executive leadership, division leaders, and frontline teams to lead large-scale performance excellence projects, embed a culture of continuous improvement, and translate strategy into measurable outcomes
• Provides thought leadership, governance, and accountability mechanisms to ensure improvement practices are standardized, scalable, and delivering value across all areas of the enterprise
• Provides management of large scale, high priority process improvement initiatives including but not limited to: assessment of existing processes that are not meeting desired metrics or outcomes, identification of improvement opportunities, implementation of demonstratable/measurable targeted improvements, design and implementation of continuous improvement systems, sustainment planning and strategic objectives deployment with data informed analyses and decisions throughout.
• Provides leadership and identifies strategic and operational project opportunities across the system to create superior value, service excellence and a high-performing culture in an integrated approach
• Collaborate with other leaders within the Enterprise Consulting Group to ensure alignment and coordination of projects and initiatives
• Build and maintain strong relationships with key stakeholders, including executive leadership, operational leaders, and project sponsors
• Create and execute change management plans to ensure successful adoption of solutions and redesigned work.
• Lead and inspire a high-performing team responsible for performance excellence, performance improvement and designing and implementing key operational and performance driven initiatives.

Director, Performance Excellence

Insurance

• Acquires and maintains current knowledge of all payor requirements as it relates to patient/hospital responsibility for authorizations and hospital billing, including all Federal and State regulations.
• Performs all insurance authorization of inpatient and outpatient services, by accurately collecting and analyzing clinical data in support of payor guidelines and submits accordingly.
• Uses resources to determine appropriate procedure codes for authorization to ensure appropriate reimbursement.
• Consults with patient and appropriate departments for uninsured status, uncovered services, out of network status and situations where the only insurance is Third Party Liability or Workers Compensation and provides next steps.
• Initiates communication to the patient when authorization is not obtained and explains the potential financial responsibility.
• Maintains knowledge of all stand-alone computer software programs to verify eligibility and authorization.
• Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage.
• Identifies at risk balances related to Medicaid eligibility rules and communicates to Financial Counseling, Utilization Management, and physicians.
• Completes cancellations and accurately reschedules patient according to department procedures.
• Manages incoming and outgoing calls to complete pre-registration with patients.
• Pre-registers and registers patients using established procedures for computer entry for all ancillary and nursing units, keeping current with the specialized needs, and preparing necessary documents/records when necessary.
• Ensures accurate entry of patient demographic and insurance information in the ADT system with special attention to carrier code assignment, complete benefit, eligibility record and authorization data.
• Generates and processes all required documents for completion of registration, providing detailed education to the patient on the documents and forms requiring patient signature.
• Participates in department staff meetings and keeps abreast of continuing education to ensure effective communication and to maintain skill competency.
• Seeks out education opportunities to increase knowledge in department procedures as it relates specifically to scheduling needs for that area.
• Attends all mandatory in-services 100% and completes all mandatory safety in-services and skill competencies as required.
• Actively participates in group projects to problem solve department issues.
• Operational knowledge of the various Advocate Aurora Health departments so that patient, visitor, and fellow employee questions are answered or referred in an appropriate manner.
• Maintains confidentiality of patients records by following HIPAA and all compliance policies and guidelines.

Senior Insurance Clearance Representative

Therapist

• Interprets physician referrals and completes musculoskeletal, neuromuscular, cardiopulmonary, and/or integumentary evaluations utilizing appropriate methods.
• Establishes a plan of care and implements individual treatment based on evaluation results and functional goals.
• Monitors and evaluates outcomes and appropriately adjusts the individualized treatment plan based on the patient's response to treatment and provides status updates to physicians.
• Identifies factors affecting patient's physical and psychosocial comfort and attends to these needs.
• Plans for and completes patient discharge including providing written home programs, patient/family teaching, referral for community services, and ordering equipment.
• Completes all required documentation following department policy, including patient progress notes, team conference reports, and discharge summaries as appropriate, to record patient care and progress of each patient assigned as well as daily statistics, billing, and scheduling.
• Applies insurance guidelines regarding authorization and number of visits.
• Responsible for cleaning up after patient treatment, putting away equipment, and keeping area neat and orderly.
• Performs various manual techniques, patient positioning, transferring and transporting duties, which require lifting and pushing/pulling, while utilizing proper technique.
• Demonstrates skill in use of modalities, exercise equipment and other devices that are available in area worked per department orientation checklist.
• Demonstrates knowledge of indications and contraindications of modalities and exercise.
• Participates in performance improvement activities designed to identify and resolve problems affecting patient care outcomes and to improve quality of care.
• Manages assigned caseload, informing site leadership of coverage needs and ability to cover; assists with coverage, based on department needs and regional needs.
• Pursues professional growth through participation in continuing education courses, department inservices, and reading professional literature.
• Orients new staff to clinical and department policies as requested.
• Participates in the evaluation process of co-workers by providing verbal or written feedback as requested.
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures.

Physical Therapist, Pelvic Health Outpatient

• Interprets physician referrals and completes musculoskeletal, neuromuscular, cardiopulmonary, and/or integumentary evaluations utilizing appropriate methods.
• Establishes a plan of care and implements individual treatment based on evaluation results and functional goals.
• Monitors and evaluates outcomes and appropriately adjusts the individualized treatment plan based on the patient's response to treatment and provides status updates to physicians.
• Identifies factors affecting patient's physical and psychosocial comfort and attends to these needs.
• Plans for and completes patient discharge including providing written home programs, patient/family teaching, referral for community services, and ordering equipment.
• Completes all required documentation following department policy, including patient progress notes, team conference reports, and discharge summaries as appropriate, to record patient care and progress of each patient assigned as well as daily statistics, billing, and scheduling.
• Applies insurance guidelines regarding authorization and number of visits.
• Responsible for cleaning up after patient treatment, putting away equipment, and keeping area neat and orderly.
• Performs various manual techniques, patient positioning, transferring and transporting duties, which require lifting and pushing/pulling, while utilizing proper technique.
• Demonstrates skill in use of modalities, exercise equipment and other devices that are available in area worked per department orientation checklist.

Physical Therapist, Pelvic Health – Virtual Outpatient

Financial Planning and Analysis

• Evaluates financial statements and other relevant documents sent from all referral sources to determine the patient's eligibility for assistance through a Medicaid program and/or Charity Care
• Refers for state agency assistance when appropriate
• Contacts physicians and/or other clinicians to discuss and/or establish the patient's long-term length of disability when required for adult Medicaid program assistance
• Reviews and assesses the patient's medical record to validate the disability requirement based on Social Security Disability guidelines
• Meets with patients/families to scrutinize the financial information for accuracy and to obtain other specific information needed to determine Medicaid eligibility
• Assures that self-pay patients who are scheduled for services are financially and clinically evaluated as quickly as possible for Medicaid eligibility
• Communicates with key individuals in the discharge planning arena to assure that Medicaid coverage has been discussed and/or executed for those patients' requiring placement at a lower level of care facility
• Provides specific direction and guidance to patients or other individuals as it relates to the Medicaid application and Social Security Disability (SSD)/Supplemental Security Income (SSI) application processes
• Identifies and resolves roadblocks related to excess reserve as quickly as possible to assure the patient's eligibility for the Medicaid Program and to maximize reimbursement opportunities for the medical center
• Completes Medicaid application when applicable and assures mailing to the Department of Social Services within the time frame which will assure coverage for the patient's medical bills incurred
• Acts on patient's behalf when the required documents have been signed and are on file
• Follows-up with the patient to assure that they have complied with instructions to apply for the appropriate program in the month requested
• Assures that patients who apply for adult Medicaid programs also apply for Social Security (SSA) by setting up the initial SSA interview
• Assures that documentation related to the Medicaid referral/application are scanned and thoroughly documented in the medical center's patient accounting system(s)
• Completes the Community Benefits eligibility process on patients found not to be eligible for Medicaid when appropriate

Financial Advocate

Business Intelligence Developer

• Lead metric design and documentation efforts in collaboration with leadership teams
• Independently manage multiple medium to large-scale projects and requests using standard project management tools
• Translate business requirements into specifications for the creation of well-designed and validated BI solutions
• Use presentation tools and techniques effectively and ability to create concise summaries of key report conclusions
• Train, mentor, and educate end users on organizational measurements and reporting tools
• Analyze and validate data measurements from raw source to BI solution ensuring alignment with process workflows
• Works with teammates to utilize change management processes and tools to create plans to support adoption of changes required by project or initiative
• Stay abreast of healthcare environment, EHR, ERP, Cloud, SQL, and BI technology, and industry trends to build professional skills and drive innovation

Enterprise BI Consultant – IT ERP

Compliance

• Supports multiple complex clinical research studies
• Plans, develops and prepares all required regulatory documents
• Supports submissions to ancillary committees
• Interfaces with relevant review boards and sponsors to resolve questions or issues regarding regulatory submissions
• Collaborates with the Research Business Services Office to assist with initial study submission, amendments and closeout
• Acts as a liaison to investigators and research coordinators for reporting Adverse Events, noncompliance, and other FDA required reporting events
• Maintains study level documentation for all studies
• Ensure files are audit ready
• Monitors compliance required documentation
• Enters and maintains study information and regulatory approvals in electronic systems
• Provides guidance and training to research staff to ensure compliance with highly complex regulations
• Attends and participates in educational programs, meetings and assigned committees
• Participates in the development and implementation of quality improvement and quality assurance activities

Research Regulatory Specialist – NCCT

• Develops, implements and evaluates patient care according to identified needs
• Manages clients in crisis utilizing appropriate therapeutic skills and assessment techniques
• Writes appropriate treatment plans according to patient diagnosis, age and clinical presentation
• Writes appropriate discharge plans based on individual needs of client and follows through with termination process
• Collaborates with appropriate guardians and community agencies to ensure effective service delivery
• Completes patient care assignments with attention to detail and accuracy
• Provides accurate and consistent documentation of patient care/response in the medical record
• Completes accurate and timely billing information
• Designs, plans, implements effective patient education
• Maintains open lines of communication, collaborates with healthcare team for patient outcome

Psychotherapist, PRN

• Conducts a physical therapy evaluation of each patient and establishes a plan of care and treatment goals
• Interprets physician referrals and completes musculoskeletal, neuromuscular, cardiopulmonary, and/or integument evaluations utilizing appropriate methods
• Evaluates outcomes within an appropriate time frame
• Provides ongoing assessment of patient response to treatments and teaches and applies interventions as appropriate
• Updates and revises plan of care as indicated and provides physician with status report on a regular basis
• Communicates problems to physicians and management and clearly states plans, actions and goals so changes are reflected as they occur
• Completes a plan of care as indicated and provides physician with status report
• Maintains and updates clinical and patient records according to state and federal guidelines
• Manages assigned caseload including scheduling and informing site leadership of coverage needs and ability to provide coverage
• Manages patient's medical condition including medications
• Acts as a patient advocate to insure optimal outcomes
• Manages assigned caseload for optimal functional and financial outcomes; reviews caseload for Low Utilization Payment Adjustments (LUPA), optimal number of visits based on progress, Prospective Payment Plan (PPS), and Outcome Based Quality Initiatives (OBQI) outcomes
• May manage a caseload of Physical Therapist Assistants (PTA) including evaluating their patients, insuring compliance with established Care Plan, and adhering to all State of Wisconsin regulations regarding PTA supervision
• Performs Home Health Aide joint visits as appropriate to maximize patient's functional abilities in the home
• May assist with evaluating patients, turning patient over to PTA and informing PTA of Plan of Care (POC) per State of Wisconsin regulations
• Teaches appropriate treatment procedures and supportive activities to patients and caregivers and develops plan for obtaining adaptive devices as needed
• Participates in chart audits and continuous quality improvement activities
• Facilitates discharge planning process and utilizes interagency/system and community resources to assure continuity of care after discharge
• Acts as a resource to employees, which includes training/orienting, mentoring, and providing guidance on more complex issues
• Serves as an instructor for students, meeting all expectations of the Clinical Student Program
• Performs various patient positioning and transporting duties, which require lifting and pushing/pulling, while utilizing proper technique.

Home Health Physical Therapy Case Manager

• Implementation of Occupational Therapy treatment programs for patients with multiple and specialized diagnoses safely and effectively, as planned, in conjunction with OTR
• Performs therapy treatment programs on inpatients and/or outpatients
• Instructs patients and patients' families in home programs and provide education as needed
• Trains patients in ADL skills and use of ADL equipment
• Monitors patient response to treatment modifying as necessary
• Follows established procedure and safety precautions in the application and use of modalities
• Acts as an assistant to the OTR when the OTR is performing tests, evaluation, and treatment procedures
• Conferences with physicians and other allied health professionals to make recommendations for occupational therapy treatment programs
• Schedules patients according to need/priority
• Maximizes support personnel by delegating as appropriate
• Documents and maintains appropriate records and productivity
• Prepares, maintains, and transmits accurate patient documentation including, EMR, charges, and productivity logs
• Attends and participates in department and multi-disciplinary meetings on regularly scheduled days and checks meeting minutes if unable to attend

Certified Occupational Therapy Assistant – Home Health

Recruitment

• Creates recruitment strategies, screens and interviews top talent for defined functional areas and manages recruitment service level agreements
• Develops relationships with hiring managers and HR partners
• Consults with hiring leadership to anticipate, develop and provide solutions for short-term hiring needs and business goals
• Screens applications, selecting appropriate candidates for interviews using phone, audio, and video resources
• Interviews job applicants to determine suitability for employment and provides hiring recommendations to hiring leaders
• Responsible for moving candidates through the talent acquisition process in a timely efficient manner according to the service level agreements
• May work with the sourcing team to assess recruitment and sourcing success or manage own success by tracking related trends, statistics, averages and effectively consulting with hiring leaders
• Identifies key gaps, assesses needs, and presents effective solutions
• Maintains recruitment models that meet clients’ needs and serves as best practice guides for quality and expedient, effective hiring solutions
• Performs social media campaigning to proactively engage candidates through innovative and diverse methods
• Leverages a variety of recruiting resources, social media and internet space to find top talent such as search engine optimization, Linkedin, Facebook, Twitter and other social media platforms
• Ensures communications align with the organization's culture and strategic plans
• Promotes the Organization’s mission, brand and strategies and translates jobs into career opportunities to attract top talent into the organization.