Trinity Health

Compliance

• Manage quality improvement processes to enhance clinical care and outcomes
• Coordinate with Quality and Compliance Director to establish effective workflows and documentation
• Participate in regulatory surveys and compliance monitoring, developing improvement plans
• Develop and implement clinical audit tools and corrective action plans
• Lead performance improvement initiatives and assist colleagues with project design
• Support process evaluation and root cause analyses
• Monitor and analyze infection control data
• Prepare monthly quality metrics reports
• Ensure grievance and appeals processes comply with regulations and support participant satisfaction
• Collaborate on policy reviews and updates
• Analyze Participant Satisfaction and HOS-M survey data with Quality Director
• Oversee infection control program compliance
• Conduct internal audits and reports to maintain continuous compliance
• Collaborate on Emergency Preparedness Plan execution per CMS regulations

Quality and Compliance Specialist

Producer

• Accountable for Trinity Health’s TA Production and Onboarding function for assigned area.
• Manages team of TA Coordinators and ensures the implementation and adherence to a streamlined, centralized and unified onboarding approach.
• Reports to and aligns to the Director TA Production Operations.
• Drives shared production services to ensure program goals are achieved; including key metrics related to on-time starts, post-acceptance drop-off rates, and new-hire satisfaction.

TA Production & Preboarding Manager

Procurement

• Leads strategic sourcing activities for complex small and medium initiatives
• Coordinates with Strategic Sourcing leadership to conduct competitive sourcing processes for direct and indirect commodities and services
• Analyzes responses, performs cost benefit analysis, develops reports/presentations and presents/makes recommendations for initiatives with moderate risk and value
• Conducts competitive sourcing and negotiation process on initiatives with moderate risk and value
• Determines most favorable quotes and/or negotiates with vendors to obtain optimal price, terms and conditions
• Responsible for supporting the contracting and value validation process in the supply chain organization

Strategic Sourcing Category Manager

General

• Deliver skilled nursing care in the comfort of patients’ homes
• Create individualized care plans
• Administer medications
• Educate patients and families
• Support recovery and independence
• Practice at the top of your license with flexibility, autonomy, and 1:1 patient relationships

Home Health Registered Nurse, RN

Consultant

• Knows, understands, incorporates and demonstrates the mission, vision and values of Trinity Health in leadership behaviors, practices and decisions.
• Leads and maintains business owner responsibility for projects of all sizes. Defines and manages project plans and goals; conducts business workflow mapping; impact analyses and modeling; applies action steps, develops status reports or communication plans and keeps senior executives, management and key stakeholders apprised ensuring project plans and deliverables are met and in alignment with organization goals.
• Provides a leadership advisory role in problem solving, responding to challenges and potential risk factors and assists in identifying, understanding and utilizing process improvement methodologies.
• Establishes strategies and goals for colleagues, manages resources within budget targets, coordinating allocation of staff resources assigned to achieve optimal outcomes.
• Performs all managerial tasks associated with effective day-to-day operations of a team of individuals and the PS&PD function. Mentors, leads and helps train analysts; facilitates learning for other centralized and regional colleagues collaborating on payer strategy programs.
• Directs the processes and guidelines around the configuration and maintenance of applicable Analytic Platforms. Develops reporting tools and dashboards for executive management using these systems and analytic tools.
• Serves as a seasoned, knowledgeable resource providing an extensive understanding of strategic issues and tactical initiatives and ensuring processes, workforce, technology and culture factors are addressed in enterprise, RHM, and System Office plans. Develops recommendations that provide practical options and tactical solutions while considering the impact on processes, workforce, technology and culture.
• Provides guidance to senior leaders regarding systems and processes for which they are responsible. Works to ensure alignment in terms of organizational priorities, adequate funding, executive sponsorship, business owner support, staff resources and financial stewardship goals. Applies operational improvement methodologies (i.e., change management techniques, management principles, process redesign, executive coaching, etc.) or systems implementation methodologies to achieve needed outcomes.
• Establishes and prioritizes objectives to align with budget, resources and timing. Oversees and participates in multiple cross-functional teams to ensure that key initiatives are completed within budget, within scope and on time. Monitors, measures and reports on budget variances, resource constraints and operational issues.
• Manages executive relationships to ensure active and focused engagement throughout initiatives. Participates in senior level forums and facilitates meetings and work groups to develop strategies, establish standards and resolve issues. Collaborates with leadership and key stakeholders to influence outcomes, remove barriers and resolve issues. May represent executive leader in various meetings. Apprises executive leaders and other key stakeholders of meeting content and outcomes. Serves as an escalation point for System Office and RHM concerns.
• Establishes and maintains on-going effective relationships and communication to customers, senior leadership, managers, stakeholders, staff and partner/vendor organization related to projects, new opportunities, and standardization opportunities. Facilitates a coordinated communication plan for internal and external audiences in order to foster a greater understanding of the benefits and value of the System objectives as well as other accomplished initiatives.
• Develops and implements strategies that incorporate business needs and requirements, industry trends and technology solutions which facilitates the achievement of strategic and financial objectives.
• Oversees or directs the integration of vendor tasks and vendor deliverables. Leads or participates in vendor negotiations for products and services. Manages vendor service issues and maintains effective relationships.
• Maintains a working knowledge of applicable Federal, state and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

Senior Managed Care Contracting Consultant

• Qualified and willing to float throughout the hospital and/or throughout multiple hospital locations and/or regions
• Knows, understands, incorporates & demonstrates standard elements of professional practice: Assess, Outcomes Identification / Solutions, Plan, Implement, Evaluate
• Acts independently & appropriately within license, scope of knowledge & experience in practice area
• Retains accountability for delegation, choices, decisions & outcomes
• Collaborates with key stakeholders & contributes to quality & improvement practices & outcomes
• Exhibits agility & willingness to take on new & additional responsibilities
• Embraces new ideas & cultural differences while managing competing priorities

Travel Registered Nurse, RN, Med Surg Tele

Travel Registered Nurse, RN, Pediatrics

Referral Specialist

• Provide exceptional customer service to patients
• Facilitate the transfer of care between primary care providers and specialists
• Collaborate with multiple clinics to utilize resources
• Navigate and negotiate tracking and coordination of referrals
• Ensure accurate collection of patient information
• Support all clinic departments in referral processes
• Contact insurance companies for prior approval requirements

Healthcare Resource Specialist, Referral Team

• Are you an experienced Registered Nurse looking for premium compensation and maximum flexibility?
• Explore FirstChoice – Trinity Health's mobile staffing solution!
• FirstChoice RNs are utilized to fill short and long-term assignments throughout the health system.
• Qualified and willing to float throughout the hospital and/or throughout multiple hospital locations and/or regions.
• Knows, understands, incorporates & demonstrates standard elements of professional practice: Assess, Outcomes Identification / Solutions, Plan, Implement, Evaluate.
• Acts independently & appropriately within license, scope of knowledge & experience in practice area.
• Retains accountability for delegation, choices, decisions & outcomes.
• Collaborates with key stakeholders & contributes to quality & improvement practices & outcomes.
• Exhibits agility & willingness to take on new & additional responsibilities.
• Embraces new ideas & cultural differences while managing competing priorities.

Travel Registered Nurse, RN – Emergency Department

Travel Registered Nurse, RN, Emergency Department

Financial Planning and Analysis

• The Financial Clearance Specialist II is responsible for all pre-service accounts' financial clearance and collection prior to the date of service.
• Obtains and verifies accurate insurance information, benefit validation, authorization, and preservice collections.
• Begins the overall patient experience and initiates the billing process for services provided by the hospital.
• Responsible for complex, high-dollar services including surgical, observation and in-house services working in multiple areas of verification including outpatient verification, elective short procedure / inpatient verification, & urgent admission verification or scheduling.
• Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms (primarily EDI transactions and payer web access, and in some cases by calling payers directly) and documenting information within the EMR system.
• Determines need for appropriate service authorizations (pre-certifications, 3rd party authorizations, referrals) and will contact the physician and Case Management/Utilization Review personnel, as necessary.
• Informs patient/guarantor of their liabilities and collects appropriate patient liabilities, including co-payments, co-insurances, deductibles, deposits and outstanding balances at the point of pre-registration.

Financial Clearance Specialist

Patient Access

• Researches, collects & analyzes information.
• Identifies opportunities, develops solutions, & leads through resolution.
• Collaborates on performance improvement activities.
• Responsible for distribution of analytical reports.
• Utilizes multiple system applications to perform analysis, create reports & develop educational materials.
• Maintains a working knowledge of applicable federal, state & local laws / regulations.
• Research & compiles information to support ad-hoc operational projects & initiatives.
• Synthesizes & analyzes data & provides detailed summaries.

Patient Access Representative I – 2nd Shift

Medical Assistant

• Perform duties in support of nurses and physicians in providing quality medical care
• Participate in orientation and continuing education
• Complete population specific competency annually

Quality and Compliance Specialist

TA Production & Preboarding Manager

Strategic Sourcing Category Manager

Home Health Registered Nurse, RN

Senior Managed Care Contracting Consultant

Travel Registered Nurse, RN, Med Surg Tele

Travel Registered Nurse, RN, Pediatrics

Healthcare Resource Specialist, Referral Team

Travel Registered Nurse, RN – Emergency Department

Travel Registered Nurse, RN – Emergency Department

Travel Registered Nurse, RN, Emergency Department

Financial Clearance Specialist

Travel Registered Nurse, RN, Med Surg Tele

Patient Access Representative I – 2nd Shift

Medical Assistant – PCC OB GYN