OTHER

FEED

UNKNOWN

If transportation is offered by the hospital, the Program Coordinator will drive the designated vehicle to and from assigned destinations to pick up and deliver patients and/or supplies and may be required to assist patients in and out of vehicles. Overview: The primary purpose of the Program Coordinator is to provide efficient and courteous registration, transfer and discharge of patients of the serious mental illness intensive outpatient program within established policies and procedures.

Overview:
<table><tbody><tr><td style="padding:0in 9pt 0in 9pt">The primary purpose of the Program Coordinator is to provide efficient and courteous registration, transfer and discharge of patients of the serious mental illness intensive outpatient program within established policies and procedures.  The Program Coordinator will thoroughly compile medical information for patients' records and statistical reports, maintain current and accurate patient account receivables and assist with administrative tasks. If transportation is offered by the hospital, the Program Coordinator will drive the designated vehicle to and from assigned destinations to pick up and deliver patients and/or supplies and may be required to assist patients in and out of vehicles. </td></tr></tbody></table>

Responsibilities:
 • Greets patients courteously, determines their needs, and offers assistance. • Registers patient by performing necessary procedures, such as, preparation of records, reports, notices, service charge slips, and payor information. • Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusual cases to immediate supervisor. • May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or third-party payments. • Answers inquiries to patient accounts and advises patient on insurance benefits. • Receives all payments and deposits, issues receipts for all monies received and otherwise makes proper accounting for all funds received. • Posts charges daily to proper patient accounts. • Posts payments to accounts daily. • Bills patients routinely within established policies and procedures. • Determines billing methods for third-party payor. • Maintains required registers for Medicare, Medicaid and others as required. • Contacts insurance carriers/agencies to obtain precertification of ancillary, admission and surgical procedures. • May transport patients in wheelchairs, assist patients safely in and out of chairs, assist with use of mobility devices, accompany and assist patients to restroom as needed. • Operates various office equipment to include copiers, fax machines and other equipment as assigned. • Maintains income register and report of adjustments to accounts receivable. • Operates communication systems, placing and answering telephone calls, paging or contacting staff and maintaining appropriate records. • May serve as general receptionist for clinic, supplying nontechnical information regarding the clinic or refers questions to proper person. • May give general information concerning a patient's condition or status under guidelines furnished by nursing or other appropriate personnel. • May make and maintain appointment schedules for Clinic Physicians. • May secure required signatures on reports and records relative to release of information, according to policies of the clinic. • May assist physicians and nursing personnel as required. • Contacts patients, physicians, or others for information necessary to properly complete insurance or other type billings. • Types memos, correspondence, billing forms, etc., as needed. • Maintains sufficient files according to established procedures for an efficient operation of the Business Office/Clinic including patient charts. • Compiles periodic and statistical reports and other data as directed. • Initiates, assembles and maintains the patient chart in an appropriate order, as designed by the hospital and unit policy. • Maintains log of patient charts issued and missing charts. • Coordinates client meals and transportation, as requested. • Maintains work area in a clean and safe manner. • Drives van as needed for patients requiring transportation to and from program appointments. • Assists patient(s) on and off the van following hospital and program fall policy and procedure. • Drives van as requested, greets all passengers in friendly, courteous and helpful manner. • Responds to passenger requests conforming to procedure guidelines, listens politely and attentively to all requests answering, when appropriate, or communicating the request to supervisor/designee for direction. • Opens doors and physically assists all passengers on and off the vehicle. • Stresses the need for and enforces utilization of passenger seat belts for passenger safety. • Arrives at work on time and when scheduled and prepares to start patient pickup/delivery runs on schedule as specified by supervisor. • Other duties, as assigned.   

Qualifications:
 Minimum Education • High School Diploma or GED equivalent Minimum Work Experience • 1 year of behavioral health experience preferred • Three (3) to six (6) months on-the-job training is required to attain proficiency of performance of assigned duties and responsibilities. Required Licenses/Certifications • Basic Life Support Certification, First Aid Certification and Hospital preferred de-escalation training. All certifications will be provided on the job. Required Skills, Knowledge and Abilities Ability to work collaboratively. Strong organizational and time-management skills, with the ability to manage a caseload and meet deadlines. Ability to maintain confidentiality and uphold client privacy in accordance with legal and ethical standards. Knowledge of local community resources and networks. Basic computer skills are required, including Word and Excel. Knowledgeable of medical terminology, CPT coding and ICD10 coding. Must type 60 words per minute accurately, operate various office machines, and possess general knowledge of clerical and business procedures. The candidate must demonstrate a willingness to learn and an interest in acquiring new skills. Ability to communicate effectively and document information accurately. Ability to communicate in English, both orally and written. Must be well organized and function well under stressful conditions.

Appalachian Regional Healthcare, Inc.

SMI Program Coordinator

Accounts Receivable

Administrative Skills

Behavioral Health

Billing

Billing Records

Case Management

Communication Skills

Communication Systems

Computer Skills

Copying Machines

Current Procedural Terminology (CPT)

English Language

Fast Food

Fax Machines

File Maintenance

Fund Accounting

Hospital

ICD-10

Insurance

Legal Standards

Medicaid

Medical Billing

Medical Coding

Medical Office Administration

Medical Records

Medical Terminology

Medical Treatment

Medicare

Microsoft Excel

Microsoft Word

Needs Assessment

Nursing

Office Equipment

Organizational Skills

Outpatient Care

Patient Charts

Patient Registration

Physician Assistant

Policy Development

Procedure Development

Project/Program Coordination

Record Keeping

Resolve Customer Issues

Safety/Work Safety

Statistical Reports

System Operations

Team Player

Telephone Skills

Third-Party Payer

Time Management

Van Driving

[AW]-iCims

Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.

YEAR

Overview:
Nurse Practitioner Per DiemThis position covers all zip codes in:  Morgan County, Kentucky ComplexCare Solutions (CCS) specializes in helping those in need by delivering high-value home and virtual assessments for health plans nationwide. We pride ourselves on our member engagement aimed towards evaluating current health status, gaps in care, potential health risks and care management opportunities with a focus on driving better clinical outcomes. CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are passionate about helping their local communities. We care dearly about those whom we serve, and we need your help to make a difference in the lives of our members. Providers have the opportunity to spend a full hour with these members, which allows them to capture a comprehensive picture of that individual’s personal needs and what is required to keep them in the home and out of the hospital. Compensation:<ul><li style="margin:0in">Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income</li><li style="margin:0in">In-home visit rate: $120 - $140 depending on state of residence</li><li style="margin:0in">If available, our telehealth rate is $85 per completed assessment</li></ul>Benefit:This position is eligible to participate in a company 401K plan providing the opportunity to save for retirement through employee contributions. New hires will be automatically enrolled in the company 401(k) plan at a 3% contribution rate with the option to opt out.

Responsibilities:
<ul><li>Knowledge of CMS Regulations and NCQA HEDIS Guidelines</li><li>Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA), Familiarity with ICD-10 and CPT-4 coding practices</li><li>Complete comprehensive, accurate and thorough review of the assigned member population, including timely completion and submission of all required encounter documentation (paper or electronic)</li><li>Ensure that all pertinent and active medical conditions are documented in the medical record in a manner compliant with CMS/DHHS, Company policy, and client requirements</li><li>Support the physician/patient relationship and ensure timely and adequate communication, documentation of assessment findings, recommendations, need for additional services, emergency services required if necessary and need for follow up and timelines for follow up to primary care provider (PCP) and health plan as required</li><li>Make general recommendations to members intended to improve members' knowledge of their chronic condition(s), such as information concerning recommended testing</li><li>Address and close identified gaps in care (disease-specific or preventive)</li><li>Recognize emergent or urgent situations requiring escalation and take appropriate action as specified in company policies, and as determined by reasonable professional judgment and ethical professional practice standards; and</li><li>Perform, document and communicate results of Point of Care (POC) Testing</li><li>Maintain compliance with Company policies, procedures and mission statement</li><li>Adhere to all confidentiality and HIPAA requirements as outlined within the Company’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position</li><li>Fulfill those responsibilities and/or duties that may be reasonably provided for the purpose of achieving operational and financial success of the Company</li><li>Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function</li><li>On a monthly basis, be available for a minimum of 25 slots of availability per month (approximately 37 hours)</li><li>We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such</li><li>Other duties as assigned</li></ul>

Qualifications:
<ul style="margin-top:0in"><li>Active un-encumbered license to practice nursing</li><li>ANCC or AANP board certification as a Nurse Practitioner or Clinical Nurse Specialist in Family, Adult, Gerontology or Emergency Medicine. </li><li>Maintains current CPR certification</li><li>Compliance, prior to hire, with recommended Healthcare Personnel Requirements for vaccinations and preventive testing:</li><li><ul style="margin-top:0in"><li>Hepatitis B</li><li>Influenza</li><li>MMR: Measles, Mumps and Rubella</li><li>Pertussis, Tetanus and diphtheria and acellular pertussis (Tdap)</li><li>Varicella</li><li>Tuberculosis</li></ul></li><li>Home Health exp a plus </li><li>Must be able to effectively communicate with elderly and chronically ill patients and families</li><li>Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial</li><li>Ability to multitask</li><li>Excellent customer service skills</li><li>Bi-lingual or multi-lingual a plus</li><li>Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision</li><li>Proficient with computer platforms, electronic health records (EHRs), secure messaging systems, and cloud-based documentation tools</li></ul>This company utilizes E-Verify. ComplexCare Solutions (CCS) is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. By embracing diversity, equity and inclusion we enhance our work environment and drive business success. ComplexCare Solutions (CCS) strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

ComplexCare Solutions

Nurse Practitioner (Per Diem)

American Nurses Credentialing Center (ANCC)

CPR Certification

Cardiology

Centers for Medicare and Medicaid Services (CMS)

Certified Coding Specialist (CCS)

Clinical Nursing

Clinical Outcomes

Clinical Practices/Protocols

Cloud Computing

Computer Systems

Content Management Systems (CMS)

Corporate Policies

Customer Support/Service

Department of Health and Human Services

Diabetes

Disease

Diversity

Documentation

Emergency Medicine

Emergency Services

Equal Employment Opportunity (EEO)

HIPAA (Health Insurance Portability and Accountability Act)

Health Plan

Healthcare

Healthcare Effectiveness Data and Information Set (HEDIS)

Hepatitis B

Home Care

Maintain Compliance

Medical Conditions

Medical Record System

Messaging Technology

Multilingual

Multitasking

National Committee for Quality Assurance (NCQA)

Nurse Practitioner

Nursing Credentials

Operations Processes

Patient Assessment

Primary Care

Regulations

Risk Management

Staff Requirements

Telehealth

Treatment Plan

The Documentation Specialist evaluates the medical records to ascertain the degree of documentation compliance with State and Federal regulations; and provides consultative services to the medical records staff, physicians, and other pertinent staff. Provides consultation to physicians concerning new State and Federal regulations; advises them on the impact upon medical records services and actions required for implementation and compliance.

Overview:
<ol><li>ACCOUNTABILITY OBJECTIVE:</li></ol> The Documentation Specialist evaluates the medical records to ascertain the degree of documentation compliance with State and Federal regulations; and provides consultative services to the medical records staff, physicians, and other pertinent staff. <ol><li>REPORTING RELATIONSHIPS:</li></ol> The Documentation Specialist reports to the System Director, MPAS, Community CEO’s or MPAS designee and does not supervise anyone.  This position has frequent contact with the System Compliance Department, Administrators,  physicians,  medical records, State and Federal agencies, various Department Heads, and nursing staff.

Responsibilities:
MAJOR ACTIVITIES:                     Evaluates the quality of medical record systems in the system to determine that the service is in compliance with State and Federal regulations and medical records standards. Reviews patient chart documentation for compliance with professional medical records standards and practices and for State and Federal regulations. Provides consultation to physicians concerning new State and Federal regulations; advises them on the impact upon medical records services and actions required for implementation and compliance. Consults with facility administrators and their medical records staff to provide them with interpretations of State and Federal regulations; advises them on appropriate corrective measures for compliance. Maintains liaison with various State, Federal, and local organizations regarding the development, definition, and administration of medical records standards and practices. Review patients' records to ascertain if appropriate type and quality of care was given according to established criteria for the diagnosis. Performs retrospective chart review of patients who have a change of status to assure that necessary payment status is changed. Visits system facilities and interviews administrators, nursing staff and medical records staff to obtain information regarding policies and procedures. Reviews and evaluates policies and procedures to determine that they are in writing and meet the requirements of the various regulations.                May investigate complaints regarding medical records services and prepare reports of the findings.                Perform other related duties within the scope of the job classification.

Qualifications:
<ol><li>EDUCATION, TRAINING REQUIREMENT:</li></ol>                Graduate from an accredited School of Nursing with current licensure in state of employment.                Possess a high degree of clinical documentation knowledge to support coding, review of medical records, and physicians. Possess a high degree of skill in human relations with ability to deal constructively on a one-to-one basis with physicians, nursing staff, department heads, administrative personnel, health information personnel, patients, and representatives of government or third party agencies.

Clinical Documentation Specialist - Whitesburg

Clinical Study Publications

Code Reviews

Consulting

Federal Government

Federal Laws and Regulations

Government

Healthcare Quality

Medical Protocols

Policy Evaluation

Quality of Care

Records Management

Reporting Skills

State Laws and Regulations

Support Documentation

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SMI Program CoordinatorAppalachian Regional Healthcare, Inc.

Nurse Practitioner (Per Diem)ComplexCare Solutions

Clinical Documentation Specialist - WhitesburgAppalachian Regional Healthcare, Inc.

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