Mercyhealth Wisconsin and Illinois

Operations

• Provides compassionate, culturally sensitive, holistic nursing care to patients in a clinical setting
• Utilizes the nursing process and collaborates with interdisciplinary team members in caring for patients
• Administers prescribed medications and treatments in accordance with approved nursing techniques, policies and procedures
• Documents according to standards of care
• Performs assessments, planning, intervention, and evaluation of care
• Develops, initiates, and executes a patient plan of care according to the individualized needs of the patient
• Participates in department or unit performance improvement activities
• Utilizes clinical expertise and guidance to other units’ departments in support of the patient’s longitudinal plan of care

Registered Nurse – PACU OPS

Risk

• Administer the risk management program on a day-to-day basis
• Identify, analyze, and manage potentially compensable events
• Manage and analyze risk management data
• Conduct risk management educational programs
• Perform risk assessments
• Collaborate with leadership to maintain an effective clinical risk management program
• Develop annual risk management plan
• Assist in designing risk management programs and policies
• Lead committees related to risk mitigation or improving patient safety
• Manage significant patient complaints
• Participate in quality committees and process improvement efforts
• Assist with insurance and claim management programs

Risk Manager

Financial Planning and Analysis

• Verifies claims are received by the payer and follows up to obtain payment
• Reviews claim adjustment reason codes or explanations of benefits for appropriate follow-up
• Evaluates next steps after denial review and takes action to resolve account balance
• Drafts appeals or complete reconsideration forms as needed
• Obtains and sends medical records during appeals process
• Calls patients or payers directly to resolve account balances
• Identifies trends with payor rejections or denials and escalates issues
• Maintains compliance with patient financial services policies and procedures
• Works and follows up with other departments in a timely fashion
• Coordinates with management and external departments for unresolved accounts

Patient Financial Services Follow-Up Representative, Revenue Cycle

Security Engineer

• Supervises the daily function of 24/7/365 security operations over multiple geographic locations and in two states.
• Supervises Security Access Specialist, valet personnel, the Security Operations Dispatch center, and Security Officers and Coordinators.
• Performs investigation of security related incidents.
• Performs intermediate and annual performance reviews as applicable for security department.
• Helps establish operational procedures for Security activities such as security awareness, traffic control, security of physical property, security training, active assailant and other related disciplines.
• Manages the Mercyhealth fleet assigned to Security to assure timely and appropriate licensure and safe operation of vehicles and assigned equipment.
• Confers with representatives of leadership to formulate policies, determine need for programs, and coordinate programs with physical plant and patient safety activities.
• Conduct in-services and environmental rounds for Mercyhealth and assures proper documentation for all.
• Maintains proficiency with OSHA regulations, NFPA standards, Joint Commission standards and other regulatory agencies.
• Conduct pro-active and reactive security assessments and reports on findings.
• Develop a plan of action as needed.
• Monitor and trend reported security incidents and implement performance improvement activities based on such trends.
• Confers with representatives of authorities having local jurisdiction, law enforcement and firefighting agencies to ensure cooperation and coordination of security activities.
• Oversees and manages all projects where security systems are involved (e.g. access control, surveillance systems, alarms).
• Maintain compliance with The Joint Commission Environment of Care chapter.
• Participate in facility Safety Committees.
• Maintain membership on other committees as assigned.
• Establish and meet performance improvement goals for department.
• Organize and promote initiatives to raise awareness about security best practices and conduct security training as requested.
• Travel within Mercyhealth System will be expected.
• Collaborate with DTS to ensure that physical security measures protect sensitive patient and organizational data.
• Oversee contracts and relationships with vendors to ensure they meet organizational standards and expectations.
• Collaborate with Emergency Management to develop and maintain emergency response plans and facilitate the necessary training and drills for preparedness.
• Ensure that all staff are compliant with current training and job requirements.
• Lead and/or participate in security related committees to discuss ongoing concerns, develop strategies, and share best practices across departments.
• Promote a culture of safety within the organization, encouraging staff to report security concerns and incidents.
• Collect, analyze, and issue reports on security related data including Workplace Violence.
• Performs and oversees other security related tasks and duties as assigned.

Security Supervisor – Day Shift

Medical Billing and Coding

• Reviews, analyzes, and interprets provider documentation with regards to procedure and diagnosis code selection
• Performs audits of provider coding and documentation to make recommendations for improvements and enhancements
• Maintains a close working relationship with assigned providers and medical office, frequently querying the provider when coding discrepancies arise
• Researches any coding inquiries the provider or medical staff may have, and presents findings to them
• Reviews hospital, clinical, and surgical documentation and the assigned diagnosis and procedure codes, releasing charges within the Epic system
• Identifies discrepancies between the provider code selection and the medical record documentation; makes appropriate corrections, and presents findings and education to the provider
• Demonstrates extensive knowledge of official coding guidelines established by the American Medical Association (AMA), the Center for Medicare & Medicaid Services (CMS) and contracted payers
• Works with billing partners in developing efficient coding processes and researching denials
• Responds to customer concerns through coding reviews requested by other departments
• Conducts provider coding orientation and education sessions and documents all information presented
• Maintains an in-depth knowledge of Epic ambulatory and hospital modules
• Works as a team to achieve productivity goals

Medical Coding Specialist

Manager

• Responsible for directing the equipment/supplies and interdepartmental coordination
• Holds the oversight for the sterilization department leadership
• Acts as a liaison between the staff, physicians, nursing and administration
• Responsible for assisting in the development, implementation and administration of patient care services
• Manages financial resources and capital allocation
• Develops solutions and action plans to address any cost/productivity/quality, infection control issues
• Maintains adequate departmental staffing schedules and prioritizes instrument needs for the OR schedule
• Completes annual performance appraisals
• Works with internal and external customers to provide quality sterile instrumentation for patients
• Collaborates with OR personnel; Manager, Team Leaders and other interdepartmental representatives

System Wide Sterilization Manager

• Carry out the strategic vision for Departments aligned with System and Department of Nursing Mission and Vision
• Manage budgets and teams to meet organizational objectives
• Ensure organized plans for staff selection, evaluation, and continued education
• Act as a visible nursing leader with strong relationship-building skills
• Achieve patient satisfaction targets
• Lead committees and develop colleagues through example
• Communicate effectively and persuasively with individuals and groups