Shriners Children's

Manager

• Coordinates the plan of care to achieve desired outcomes and integrates the work of the health care team
• Ensures the development of a safe and effective plan of care through early identification and assessment of the patient's needs and the resources available
• Collaborates by working with patients, families, caregivers, and the health care team locally and within the SHC system to jointly communicate, problem solve, and share accountability for optimal outcomes
• Arranges services among community agencies, physicians, patients, family, caregivers, and others involved in the plan of care
• Ensures prudent utilization of all resources by evaluation of the resources available to the patient and balancing cost and quality to ensure optimal clinical and financial outcomes

RN Care Manager – Part Time

Director

• Provides effective leadership to a multidisciplinary staff comprised of licensed therapists, assistants, and unlicensed auxiliary staff
• Directs, organizes and evaluates clinical practice determining work-flow processes, tasks, and procedures to maximize efficiency, productivity, safety, and evidence-based best practice across service lines
• Projects and meets the appropriate staffing and scheduling needs of the patients, staff, facility, and community while meeting regulatory requirements
• Sets expectations, clinical competency and standards of practice
• Collaborates with staff, multidisciplinary team, and administration in the delivery of timely patient/family centered care
• Aligns the goals of the department with the strategic goals of the facility and SHC system
• Meets standards for accreditation and certifications (i.e. CARF, GAIT, Rehab Agency, CORF, ORF, and Joint Commission)
• Communicates effectively with local leadership, medical staff, and headquarters rehabilitation, revenue cycle, revenue integrity and/or compliance regarding reports or proposed process changes
• Leads effective clinical practice activities in areas assigned, provides direct clinical patient care for discipline of origin as needed
• Leads program development to best serve intended populations, effectively and efficiently and be a leader in clinical practice

Director, Rehabilitation

Billing Specialist

• Managing all professional billing requirements and managing accounts receivable tasks according to standard and productivity measurements.
• Ensure all regulatory and payor guidelines are followed.
• Coordinating payor denial and appeal follow up activities to ensure timely response from third party payors and the processing of all payor denials, documentation requests and appeals.
• Review all denial accounts for categorization, level of appeal, special requirements for initiating appeals.
• Communicate global payer issues with the payer relations team.
• Communicating and coordinating with various individuals/distributions and assisting with monitoring of the day-to-day activities related to appeal follow up and denials.
• Maintaining the healthcare tracking tool/application that stores/communicates all claim edits, review and denial activity.
• Monitor all Claim Edit and Denial Management work queues and lists to ensure they are fully resolved.
• Ensure medical records requests are completed and submitted within 48 hours.
• Track all denials on a database to determine outcome.
• Collecting/analyzing, report status, metrics and trends of activity by different reviews from the tool.
• Distributing reports on a routine basis to specific distribution group.
• Organizing all data and activity in a retrievable way to ensure timely follow up on appeals to third party payors.
• Assisting with the coordination of denial and review activities and materials for committee meetings, including analyses, reports, etc.
• Supporting projects and initiatives of the Billing and Denials Management teams. This may include coordinating meetings, conducting research for payor criteria, and preparing documents.
• Able to build and maintain relationships with payer representatives.

• Oversees daily clinic workflows to ensure efficiency and patient-centered care
• Supervises and coaches administrative and clinical support staff
• Ensures adherence to pediatric-specific health regulations
• Monitors revenue cycle with attention to subspecialty billing opportunities
• Identifies gaps in authorizations, referrals and documentation
• Fosters a child-friendly and family-centered environment
• Designs and implements strategies to improve patient/family satisfaction
• Handles escalated patient/family concerns
• Uses data and root cause analysis to identify and solve workflow inefficiencies
• Acts as a liaison across care teams, leadership and external partners
• Recruits and retains staff experienced in pediatric care

Practice Manager

• Responsible for providing assessments, planning, interventions and follow-up for patients and family members
• Coordinates the plan of care to achieve desired outcomes
• Ensures the development of a safe and effective plan of care through early identification and assessment of the patient's needs
• Collaborates with patients, families, caregivers, and the health care team locally and within the SHC system
• Arranges services among community agencies, physicians, patients, family, caregivers, and others involved in the plan of care
• Ensures prudent utilization of all resources by evaluating the resources available to the patient

RN Care Manager

Analyst

• Ensure all items and services charged through the Charge Description Master (CDM) are described, coded, and priced appropriately
• Educate ancillary departmental and clinical staff on required changes for regulatory and payor changes
• Conduct charge capture assessment activities including interviews, research, and outcomes analysis
• Provide analysis, documentation, and recommendations for changes to the CDM
• Maintain communication with revenue departments regarding operational opportunities
• Collaborate with department managers and staff to identify areas of deficiency and develop process improvements
• Document all changes and revisions to CDM using appropriate software
• Perform audits focusing on revenue cycle integrity
• Develop ongoing education programs on charge capture and billing processes for staff members

Revenue Integrity Analyst

Engineer

• Operates and maintains stationary engines and mechanical equipment such as air compressors, generators, motors and steam boilers, air handlers to provide utilities such as heat and power for buildings and industrial processes.
• Informs management of malfunctioning equipment.
• Visually inspects equipment at periodic intervals to detect malfunctions or need for repairs, adjustment or lubrication.
• Maintains building by performing repairs and routine painting, plumbing, electrical wiring and other related maintenance activities.
• Thoroughly performs routine maintenance and cleaning of mechanical rooms and equipment as needed.

Maintenance Engineer

Systems Engineer

• Own configuration of Workday HCM across Core HCM, Payroll, Absence, Benefits, Compensation, Time Tracking, Learning, Talent, and Recruiting.
• Own configuration of Workday Financials across General Ledger, Banking & Settlements, Procurement, Expenses, and Accounting Center.
• Manage condition rules, validations, business processes, and security assignments for HR and Finance-related functionality.
• Own configurations of Workday Supply Chain modules such as Procurement, Inventory, Supplier Accounts, and Strategic Sourcing.
• Provide support for all Workday service requests and incidents from Operations teams.
• Research, diagnose, and resolve Workday functional problems.
• Partner with HR, Finance and Supply Chain Operations to analyze process pain points and deliver Workday-enabled solutions.
• Identify opportunities to streamline HR, Finance and Supply Chain processes using Workday tools.

Workday Systems Analyst – Finance

• Coordinates the plan of care to achieve desired outcomes and integrates the work of the health care team
• Ensures the development of a safe and effective plan of care through early identification and assessment of the patient's needs
• Collaborates by working with patients, families, caregivers, and the health care team locally and within the SHC system
• Arranges services among community agencies, physicians, patients, family, caregivers, and others involved in the plan of care
• Ensures prudent utilization of all resources by evaluation of the resources available to the patient
• Documents assessments, interventions, plans and evaluations in accordance with regulatory agency requirements and SHC policy
• Other duties as assigned.

Therapist

• Provide comprehensive evaluation and treatment services tailored to each child’s developmental, physical, and functional needs
• Care is delivered in an age-appropriate, family-centered manner
• Focus on complex mobility and wheelchair services
• Complete wheelchair and seating evaluations, collaborate with families and vendors
• Select appropriate mobility equipment
• Write detailed Letters of Medical Necessity to support procurement
• Work closely with an interdisciplinary team and local leaders to provide evidence-based care

Physical Therapist

• Provides evaluation and therapy services, including direct patient care, patient/family education and transition or care, in an efficient, age-appropriate, and culturally sensitive manner upon licensed independent practitioner referral.
• Provides comprehensive compliant and safe clinical care demonstrating family centered care philosophy.
• Offers exceptional care following the Shriners Children's FOCUSED Program.
• Demonstrates competency in the examination of patients, including history and systems review, tests and measures.
• Designs and implements comprehensive treatment plans based on patient assessments.
• Maintains current knowledge/skills needed to fabricate orthotic devices as indicated by treatment plans.
• Utilizes language appropriate to patient/family level of understanding.
• Records clinical activity timely and compliant with HIPAA and facility standards.
• Participates in program development and departmental responsibilities as assigned.

Physical Therapist, Wheelchair Specialist II

• Demonstrates competency in the examination of the patient to include history and systems review, selection and administration of specific tests and measures to obtain clinical data
• Demonstrate the knowledge and advanced skills to design and implement a comprehensive treatment plan, utilizing evidence base practice, for patients of diverse ages and diagnoses based on their assessment
• Demonstrates and maintains current knowledge /skills necessary to fabricate orthotic devices as indicated by the treatment plan
• Utilizes language appropriate to patient/family level of understanding, and written or demonstrated methods for exercises/activities, splints and equipment use
• Records clinical activity as close as possible to the time care was delivered, only uses abbreviations approved by the facility, is objective and factual using quantitative metrics, and is HIPAA compliant
• Participates in program development and departmental responsibilities as assigned while demonstrating adherence to deadlines
• Responsible for maintaining current knowledge in changes related to scope of practice, coding/billing practices, compliant documentation and any other knowledge related to the compliant practice in a revenue cycle environment

Physical Therapist – Wheelchair Specialist I, Per Diem

• Provide family-centered, age appropriate clinical cardio pulmonary care
• Utilize assessment findings in a timely manner to establish patient and family needs in collaboration with the health care team
• Communicate findings in both verbal and written format
• Seek personal/ professional development
• Assure safe operation of life support equipment
• Perform other duties as required
• Take a leadership role as assigned
• Act as a clinical resource to other departments
• May precept staff after displaying proficiency
• Participate in hospital / departmental committees, special projects and research

Respiratory Therapist II – Part Time

Appointment Setter

• Assist the Intake Coordinator daily with coordination of new patient scheduling
• Provide coverage in the absence of the Coordinator
• Assist with the completion of scheduling queues
• Assist Revenue Cycle Manager in research and resolution of denials as assigned
• Conduct Financial Counseling as needed
• Weekly and monthly monitoring of physician grids for accuracy
• Assist the Revenue Cycle Manager with essential tasks for maintaining efficient daily function of the Revenue Cycle process

RN Care Manager – Part Time

Director, Rehabilitation

Billing Specialist

Practice Manager

Practice Manager

RN Care Manager

Revenue Integrity Analyst

Maintenance Engineer

Workday Systems Analyst – Finance

RN Care Manager

Physical Therapist

Physical Therapist, Wheelchair Specialist II

Physical Therapist – Wheelchair Specialist I, Per Diem

Respiratory Therapist II – Part Time

Appointment Coordinator