Jefferson

Manager

• Utilizes advanced nursing skills and knowledge to coordinate care for a defined patient population
• Coordinates all aspects of discharge planning and establishes a safe discharge plan for assigned patients
• Advocates for the patient and family throughout the entire episode of care
• Monitors patient’s progress intervening as necessary to ensure patient progresses efficiently
• Escalates unresolved barriers to Department Leadership

Case Manager, RN

Analyst

• Perform scenario modeling and analytics to inform managed care contract negotiations
• Monitor contract performance and assess impact of industry trends and government regulations
• Retrieve, aggregate, and analyze data from multiple sources
• Support the functions of the Payer Contracting department
• Collaborate with team members to understand their needs/goals
• Function as a trusted analytics delivery partner

Senior Payer Contract Analyst

Primary Care Physician

• Join our team at Abington Plaza Medical Associates
• Work in a hybrid inpatient/outpatient role
• Primarily outpatient with inpatient week/weekend 1 in every 6-7 weeks
• Provide the highest quality of care alongside a team of board-certified physicians

Primary Care Physician – Inpatient/Outpatient

Per Diem

• Performs patient procedures within the nursing scope of practice.
• Practices safe medication administration and assesses patient responses to medication.
• Participates in reviewing and/or implementing clinical pathways and care coordination

RN, Division Per Diem – ICU

Clinical Nurse Educator

• With a commitment to patient- and family-centered care, the professional nurse uses the nursing process in ways that values the uniqueness of each individual and addresses the physical, psychological, emotional, and social needs of the diversity of patients served by Jefferson Health.
• Develops nursing plans of care with the patient and their designated care partner(s) to effectively address the individualized needs and priorities of patients and are consistent with their cultural beliefs and values.
• Interacts with co-workers, patients, their family/designated care partner(s), and other staff consistent with the values of Jefferson.
• Integrates Evidence-Based Practice, clinical expertise, patients, their family/designated care partner(s) preferences and cultural beliefs and values for delivery of optimal healthcare.
• Partners with patients, their family/designated care partner(s) in identifying learning needs and priorities and provides education in ways that are useful, understandable, and affirming.
• Minimizes risk of harm to patients and others by following established nursing practices and protocols and individual performance.
• Uses information technology to communicate, manage knowledge, mitigate error, and support ethical decision making.
• Uses data to monitor the outcomes of care processes and uses improvement methods to design and test changes to continuously improve the quality and safety of patient care.
• Functions effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care.
• Recognizes the patients, their family/designated care partner(s) in providing safe, compassionate and coordinated care based on respect for patient's personal preferences, priorities, needs, and cultural beliefs and values.
• Creates an environment of belonging and inclusion, demonstrating skills in problem solving and conflict resolution.
• Demonstrates a commitment to learning and seeks opportunities for continued professional growth and development and acts in primary preceptor role to appropriate staff members.
• Actively participates in hospital- and practice setting-based committees, including safety and quality improvement.
• Demonstrates willingness to give and receive feedback and integrates appropriate changes into practice.

Clinical Nurse Educator – Endoscopy Unit

Assistant

• Provide chairside surgical support to the oral and maxillofacial surgery procedures and the facial pain physicians
• Perform a wide variety of oral and maxillofacial surgical procedures with competency
• Interact with co-workers, visitors, and other staff consistent with the values of Jefferson
• Sterilize instrumentation and prepare tray setups
• Setup required instrumentation in sterile environment
• Maintain all logs for inspections/certifications per OMFS workflows
• Reprocess/sterilize equipment and prepare tray set-up per protocol
• Maintain sterile technique while assisting in sterile OMFS procedures
• Proficient in radiographs – CBCT, Peri-apical and Panorex x-rays
• Follow clinical policies/ procedures and workflows to ensure compliance with the Joint Commission, OSHA, ADA, as well as TJUH Safety, Infection Control and Quality Assurance
• Maintain patient electronic medical record per OMFS charting workflows
• Ensure Patient safety following BLS guidelines and maintain current BLS certification

Dental Surgical Assistant – Oral and Maxillofacial Surgery

Associate

• Enhances the patient/customer experience by courteously and professionally processing arrival and departure activities associated with visits to the practice/department.
• Obtains pre certifications and/or pre authorizations for procedures, verifies insurance, referrals and patient demographic information.
• Supports delivery of the Jefferson Experience by placing emphasis on the prompt and courteous treatment of all patients and visitors to maintain an efficient flow of patients to examination rooms.
• Processes check in and/or check out, point of service activities and/or scheduling of patient appointments via EPIC.
• Maintains efficient flow of practice and escalates patient and/or provider concerns as appropriate.
• Greets and interacts with patients/visitors in a professional manner, on phone or in person.
• Adheres to HIPAA privacy and security requirements. Ensures compliance with all applicable federal, state, and local regulatory standards.

Patient Services Associate II – Pain Center

• Enhances the patient/customer experience by courteously and professionally processing arrival and departure activities associated with visits to the practice/department.
• Primarily working at the front desk of an outpatient practice the PSA I verifies insurance, referrals and patient demographic information.
• Supports delivery of the Jefferson Experience by placing emphasis on the prompt and courteous treatment of all patients and visitors to maintain an efficient flow of patients to examination rooms.
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Processes check in and/or check out, point of service activities and/or scheduling of patient appointments via EPIC.
• Greets and interacts with patients/visitors in a professional manner, on phone or in person.
• Maintains efficient flow of practice and escalates patient and/or provider concerns as appropriate.
• Adheres to HIPAA privacy and security requirements.
• Ensures compliance with all applicable federal, state, and local regulatory standards.

Patient Service Associate I – Orthopedics

Guest Services

• Acts as the primary visitation representative for hospital patients, empathizing with patients and their family
• Responsible for proactively managing any identified concerns
• Promotes teamwork, relationship building, and fostering a positive patient care atmosphere
• Schedule: rotating days- 11:30am- 8pm
• rotating weekends and holidays

Guest Services Coordinator

General

• Interacts with co-workers, patients, their family/designated care partner(s), and other staff consistent with the values of Jefferson.
• Integrates Evidence-Based Practice, clinical expertise, patients, their family/designated care partner(s) preferences and cultural beliefs and values for delivery of optimal healthcare.
• Partners with patients, their family/designated care partner(s) in identifying learning needs and priorities and provides education in ways that are useful, understandable, and affirming.
• Minimizes risk of harm to patients and others by following established nursing practices and protocols and individual performance.
• Uses information technology to communicate, manage knowledge, mitigate error, and support ethical decision making.
• Uses data to monitor the outcomes of care processes and uses improvement methods to design and test changes to continuously improve the quality and safety of patient care.
• Functions effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care.
• Recognizes the patients, their family/designated care partner(s) in providing safe, compassionate and coordinated care based on respect for patient's personal preferences, priorities, needs, and cultural beliefs and values.
• Creates an environment of belonging and inclusion, demonstrating skills in problem solving and conflict resolution.
• Demonstrates a commitment to learning and seeks opportunities for continued professional growth and development and acts in primary preceptor role to appropriate staff members.
• Actively participates in hospital- and practice setting-based committees, including safety and quality improvement.
• Demonstrates willingness to give and receive feedback and integrates appropriate changes into practice.

Registered Nurse – Cardiac Catheterization

• enhances the patient/customer experience by courteously and professionally processing arrival and departure activities associated with visits to the practice/department
• Obtains pre certifications and/or pre authorizations for procedures
• verifies insurance, referrals and patient demographic information
• Supports delivery of the Jefferson Experience by placing emphasis on the prompt and courteous treatment of all patients and visitors
• Maintain efficient flow of practice and escalates patient and/or provider concerns as appropriate
• Greets and interacts with patients/visitors in a professional manner, on phone or in person
• Ensures compliance with all applicable federal, state, and local regulatory standards

Patient Services Associate II – Medical Oncology

• Providing comprehensive inpatient clinical care to OB/GYN patients consistent with existing practice protocols, organizational standards, legal and regulatory requirements
• Providing outpatient gynecologic and obstetric care in a collaborative practice with EMCM Ob/Gyn physicians
• Providing inpatient obstetrical coverage that involves initial evaluation of parturient and continued care and delivery of normally laboring patients under the guidance of the labor floor staff physician
• Performs complete history & physicals and documents in the medical record
• Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated
• The APP may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions
• Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures
• Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions
• Manages diagnostic tests through ordering, interpretation, performance, and supervision
• Formulates differential diagnoses by priority
• Diagnoses complications and orders appropriate interventions
• Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs
• Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum
• Implements and modifies plan of care
• Prescribes diagnostic strategies and therapeutic interventions
• May perform advanced procedures consistent with privileges and competency validation
• Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable

Certified Nurse Midwife

Representative

• Handles scheduling related requests for patients and families utilizing an automated call distribution software and protocols to efficiently and accurately schedule appointments.
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Schedule patient appointments and register patient across the Jefferson Health System in accordance with established clinical and insurance requirements to improve access and care coordination.
• Utilize Electronic Medical Record (EMR) to complete scheduling and registration, confirm appointments, obtain and/or verify demographic information, obtain and/or verify insurance benefit eligibility, answer inquiries and resolve user issues in accordance with established protocols.

Central Scheduling Representative – Virtual Check In/Out

• Reviews payor denials and audits for potential lost revenue
• Writes comprehensive, factual arguments to present to third-party payers, medical review boards, or other responsible parties applying clinical criteria to establish medical necessity
• Functions as a hospital liaison with external third-party payors to appeal denied claims
• Works closely with Physician advisor team to facilitate appeals to payors
• Monitors and reports payor trends to management team
• Creates an appeal letter to uphold the procedure based on medical policy guidelines of the payor
• Facilitates write off accounts that cannot provide adequate medical necessity or documentation for the payor
• Investigates and coordinates completion of patient records required to retrospectively precertify accounts and appeal insurance denials
• Contacts insurance companies and conducts appeals via telephone or email
• Coordinates appeals that need a physician's input for the payor and writes off claims that have no further appeal rights
• Identifies areas for revenue loss due to documentation or processes not being reimbursable thru payors
• Ensures that all appeals are sent to the correct payor within the appeal guidelines
• Ensures compliance with regulatory and accrediting requirements
• Reviews claim documentation and pulls supporting medical documentation from the system to support the medical policy guidelines of the payor
• Searches for supporting clinical evidence to support appeal arguments when existing resources are unavailable

Clinical Appeals Nurse

• provide patient-centered care for a diverse acute care population
• evaluate, stabilize, diagnose, and manage emergent and urgent medical conditions
• collaborate with multidisciplinary teams to ensure safe, efficient, evidence-based care