Qureos Mentor

Monument Health

Position PurposeWe are looking for an individual who has a passion for technology, analytics and healthcare. This is a highly technical role with deep and meaningful connections to clinical operations, business operations, strategy, and process improvement. The role will focus on the following key areas:Deep understanding of data and organizational information: The occupant of this role will be required to have a full and deep understanding of the processes and sources that generate information in the form of data for the organization. They will need to understand how we obtain or source data, the forms it takes, how it is manipulated or processed, where it is stored, how it can be used, and its strengths &amp; limitations. This deep knowledge of our data is fundamental to success in all other areas of the role.Strategic Stakeholder Engagement: This position entails independently engaging with stakeholders to understand and define strategic objectives, identifying critical business needs, and formulating actionable plans to achieve these goals. A deep understanding of organizational data is essential to serve as a reliable analytical resource for stakeholders. The individual will develop tailored solutions, present clear proposals, and ensure alignment with organizational strategy. Effective communication skills are paramount, as the role involves conveying complex information in a clear and accessible manner to diverse audiences. This role will also be responsible for keeping projects within scope, setting realistic expectations, and ensuring that deliverables are met on time.Metric development: Metrics are a natural extension of data. Monument Health uses metrics to measure the performance of our members, partners, and organization more generally. This role will be responsible to understand and demonstrate the principles of metric development (i.e. how metrics are calculated), understand why metrics are being calculated and how they relate back to the program or process being measured, manage the operational implementation of metrics via reporting, and be able to clearly and accurately explain metrics to a broad audience of stakeholders.Data analysis: The Senior Data Analyst role will have responsibility for conducting and presenting advanced analyses using data which are informative, clear, and free from bias. The Senior Data Analyst is expected to identify business needs, develop specific questions around it, assess the data available, develop a plan for analysis, select appropriate mathematical or statistical methods, perform analysis according to outlined plans and following appropriate methods that accounts for variance, bias, confounding, modification, &amp; other analysis pitfalls, develop summaries or visualizations, and clearly communicate conclusions inclusive of strengths and limitations with little to no oversight. This role must exercise discretion in determining what information is appropriate to share with stakeholders, maintaining confidentiality and trust.Reporting: Developing metrics, performing analysis, and understanding data all result in collaterals in the form of one-off or ongoing reporting. The Senior Data Analyst role will be responsible for developing reports for our internal team or for stakeholders &amp; partners. In order to do this effectively they will need to develop a mastery of the aforementioned areas. They will also need to demonstrate the effective use of technology, tools and platforms for report development, selection of appropriate data visualizations, and effective layout to optimize user time, understanding, and experience. The Senior Data Analyst role will also be responsible for the maintenance of reporting according to industry standards of optimization.Cross-functional IT Collaboration: This role is expected to possess or proactively develop skills in at least one additional area of responsibility within the IT department, such as pipeline development or application management. By immersing themselves in these domains, the individual will take ownership of tasks, becoming a subject matter expert (SME) and a key resource for the team.Process improvement: Monument Health places a high value on optimal use of resources via the principle of stewardship. This role will be responsible to identify opportunities to improve technical processes, build plans to address identified opportunities, and execute those plans. This role will be empowered to use a critical eye to identify how code, use of technical resources, algorithms, and reporting can be optimized and take necessary steps to achieve optimization goals.Citizenship: The Data Analyst role will be required to operate according to Monument Health core values and help advance the mission and vision of Monument Health.Essential Job Functions<ul><li>Compile, synthesize, and critically analyze clinical and other care-related information and data from a variety of sources in order to drive improvement in health outcomes, decrease cost and optimize the network.</li><li>Proactively identify areas for advanced analytics that align with organizational strategy.</li><li>Develop and maintain strong relationships and communication channels with stakeholders.</li><li>Independently manage portfolio of work, keeping projects within scope and deadlines.</li><li>Use code and open-source technologies to analyze and report key metrics, answer business/clinical questions using principles of causal inference and optimize internal processes and tools.</li><li>Present findings from analyses to stakeholders and colleagues using structured communication following critical internal review.</li><li>Complete comprehensive data reviews and perform internal analysis to evaluate the completeness and accuracy of clinical and business data.</li><li>Identify, use and teach new analytic and reporting technologies specific for the clinical and process analytics and reporting portfolio.</li><li>Drive metric development from conception through implementation utilizing trends, key performance indicators, industry standards, evidence-based literature, etc.</li><li>Manage clinical and process metric reporting using best demonstrated practices from analytic fields such as statistics, epidemiology, biostatistics, informatics, etc.</li><li>Develop, maintain, and utilize additional technical skills within another lane of responsibility in the IT department.</li><li>Light housekeeping (shared by all employees).</li><li>Protect Monument&rsquo;s value by keeping information confidential.</li><li>Review systems and processes and suggest/make modifications to address issues.</li><li>Occasional travel is required for conferences and assignments.</li><li>Perform other related duties as necessary for the purpose of ensuring the efficient and effective functioning of the organization.</li></ul>Knowledge, Skills, Abilities, and Other Characteristics<ul><li>Healthcare experience or other experience having worked in a healthcare setting is preferred.</li><li>1-3 years of increasing responsibility within an analytical role.</li><li>Demonstrable experience in using code to critically analyze or solve a problem is preferred.</li><li>Demonstrated analytic skills and aptitude for using open-source software and coding environments (e.g., Python, SQL, etc.).</li><li>Demonstrated skills in organization opted technologies (e.g., Tableau, GCP, etc.)</li><li>Must be a highly-motivated, self-driven person who can learn quickly and be comfortable in a fast-paced, start-up environment where direct feedback is regularly provided.</li><li>Must work well independently and on a team.</li><li>Must be skilled in high-impact, business communication and demonstrate critical thinking skills.</li><li>Must adopt and live the Monument Health core values.</li></ul>Education and Certifications RequirementsBaccalaureate degree required. Graduate degree preferred. Training in a technical field (e.g. math, statistics, epidemiology, biostatistics, business analytics, data science) is preferred.Location RequirementsThis position is open to candidates currently residing in, or willing to relocate to, one of the following states: Colorado, Nevada, Ohio, or Oklahoma.Pay: $40,000.00 - $65,000.00 per yearBenefits:<ul><li>Dental insurance</li><li>Disability insurance</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid holidays</li><li>Paid time off</li><li>Retirement plan</li><li>Unlimited paid time off</li><li>Vision insurance</li></ul>Application Question(s):<ul><li>Do you live in or are willing to relocate to one of the following states?</li></ul>Colorado Oklahoma Nevada OhioEducation:<ul><li>Bachelor's (Required)</li></ul>Experience:<ul><li>Data analytics: 1 year (Required)</li><li>Data visualization: 1 year (Required)</li></ul>Location:<ul><li>Grand Junction, CO 81501 (Preferred)</li></ul>Work Location: In person

Senior Data Analyst

<div>Current Employees:
If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the &quot;Career&quot; icon on your homepage.
Primary Location
Spearfish, SD USA
Department
Home Plus SP 10th St. Ambulatory Pharmacy
Scheduled Weekly Hours
40
Starting Pay Rate Range $16.70 - $23.56
Non-certified Pharmacy Technician - SD $16.70-$19.20, Certified Pharmacy Technician - SD $20.50-$23.56
(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
It starts with heart. That is what you will do each day. As a Pharmacy Technician at Monument Health, you will be valued as an essential team member providing compassionate patient focused care. You will discover a culture of teamwork, professionalism, mutual respect, and&mdash; most importantly&mdash; a life-changing career. You will make a difference. Every day. 
 
As a Pharmacy Tech, you are a critical part of providing pharmacy services to patients within the Monument Health system. Pharmacy Technicians have a passion for helping others and do so by preparing sterile compounds, non-sterile compounds, packages, and appropriately labeling medication doses for distribution to patients and operating automated technology. The environment is exciting and challenging where no two days are the same. No matter what stage you are in your career, you can build a future with Monument Health. 
 
Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. To do the right thing. Every time. If you share this philosophy, we hope you&rsquo;ll join us.
Job Description
Essential Functions:<ul><li>
Create an environment where responsiveness to patient and customer needs is a personal priority. Interact with staff, patients and the public in a courteous and respectful manner using appropriate verbal or written skills.</li><li>
Restock unit dose medications, liquids and injectables; accurately fill controlled substances and file paperwork; receive orders, unpack supplies, assure items are bar coded and scannable, and place inventory into the appropriate location when relevant to hospital site.</li><li>
Accurately pick medications from appropriate automated technology for replacement into Automated Dispensing Cabinets (ADC) or distribution to another campus. Sort and restock/waste returned medications; restock code carts, emergency boxes, and ADCs; deliver medications in a timely manner; answer phones professionally and transfer calls appropriately.</li><li>
Act as a positive member of the team. Assist in orienting new personnel; use time wisely; communicate pertinent information; work effectively with pharmacists, technicians and other hospital caregivers; work independently without direct supervision; assist other staff and exhibit an approachable, interactive demeanor.</li><li>
Process and accurately dispose of all waste materials, including all levels of hazardous waste. Knowledgeable of appropriate use of Personal Protective Equipment (PPE) and necessary action when receiving or manipulating hazardous medications or during hazardous spills.</li><li>
Maintain ability to effectively navigate computer software, troubleshoot and report problems to prevent repetitive issues in the future.</li><li>
Participate in department committees as assigned.</li><li>
All other duties as assigned.</li></ul>
Additional Requirements
Required:
Education - High School Diploma/GED Equivalent in General Studies
Certification - Registration within 30 days of hire- South Dakota Board of Pharmacy
Preferred:
Experience - 1+ years Healthcare; 1+ years of Pharmaceutical Experience; 1+ years of Retail Experience
Certification - Required within 12 months of hire Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board (PTCB) OR Certified Pharmacy Technician (CPhT) - National Healthcare Association (NHA)
Physical Requirements:
 
Medium work - Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects
Job Category
Clinical Care
Job Family
Pharmacy
Shift
Requires the ability to work assigned schedules and hours as determined by the department
Employee Type
Regular 

40 Monument Health Home Plus
Make a difference. Every day.
Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.</div>

Pharmacy Technician

<div>Current Employees:
If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the &quot;Career&quot; icon on your homepage.
Primary Location
Rapid City, SD USA
Department
Home Plus RC HME
Scheduled Weekly Hours
40
Starting Pay Rate Range
$17.82 - $22.27
(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
The Order Specialist works with customer accounts in reviewing all orders for completed documentation and accurate insurance processing. The Order Specialist validates database, customer documents, and insurance records for proper regulation submission. This position will maintain accurate records of customer information and products and ensure an effective experience for the customer.
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:<ul><li>Supportive work culture</li><li>Medical, Vision and Dental Coverage
</li><li>Retirement Plans, Health Savings Account, and Flexible Spending Account</li><li>Instant pay is available for qualifying positions</li><li>Paid Time Off Accrual Bank</li><li>Opportunities for growth and advancement</li><li>Tuition assistance/reimbursement</li><li>Excellent pay differentials on qualifying positions</li><li>Flexible scheduling</li></ul>
Job Description
Essential Functions:<ul><li>
Creates customer profiles for all new customers. Verifies and updates customer demographics and insurance information in the system of record.</li><li>
Generates sales orders and purchase requests for medical equipment prescribed to patients.</li><li>
Demonstrates knowledge of third-party payer information, including Medicare, Medicaid, VA, Tricare/UHC and commercial payers, to ensure compliance with rules and regulations to maintain accurate reimbursement.</li><li>
Analyze insurance claims to ensure all required documentation is obtained and meets regulatory insurance standards.</li><li>
Evaluate outstanding orders and process for proper completion. Follows up with all customers on order status; resolves any requests or issues received from customers.</li><li>
Works with insurance providers to resolve claim issues. Researches and reworks all claim kickbacks, rejections, and denials.</li><li>
Review medical records to ensure orders are consistent with multiple insurance regulations. Request necessary additional required documents from providers prior to processing claims in accordance with primary payer specifics and billing requirements.</li><li>
Coordinates deliveries with technicians and customers. May assist in the preparation and packaging of packages for delivery or mailing.</li><li>
Answer incoming phone calls while maintaining an open line of communication between departments &amp; customers.</li><li>
Assisting walk-in customers with retail sales and supply orders. Knowledge of DME (Durable Medical Equipment) product and providing education/fitting as needed.</li><li>
Manages product inventory and maintains an organized retail area.</li><li>
Performs point of service collections including prepayments, outstanding balances, co-payment and co-insurance; daily reconciliation of cash drawer. Provides patients with basic account reconciliation.</li><li>
All other duties as assigned.</li></ul>
Additional Requirements
Required:
Education - High School Diploma/GED Equivalent
Preferred:
Experience - 3+ years Home Medical Equipment Experience; 3+ years Healthcare Experience;
3+ years Customer Service Experience
Light work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
Job Category
Patient Services
Job Family
Patient Support
Shift
Requires the ability to work assigned schedules and hours as determined by the department
Employee Type
Regular 

40 Monument Health Home Plus
Make a difference. Every day.
Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.</div>

Order Specialist

<div>Current Employees:
If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the &quot;Career&quot; icon on your homepage.
Primary Location
Rapid City, SD USA
Department
MHMC-RC 5th St. Surgery
Scheduled Weekly Hours
40
Starting Pay Rate Range
$20.45 - $23.51
(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
**UP TO $5,000 SIGN ON BONUS FOR QUALIFIED CANDIDATES** 
 
It starts with heart. That is what you will do each day. As a Medical Assistant at Monument Health, you will be valued as an essential team member providing compassionate patient focused care. You will discover a culture of teamwork, professionalism, mutual respect, and&mdash; most importantly&mdash; a life-changing career. You will make a difference. Every day.
 
 
As a Medical Assistant, you will work collaboratively to provide direct and indirect patient care in the ambulatory clinic setting. You will actively participate as a member of the health care team and perform assigned tasks in accordance with the policies and procedures of Monument Health to meet the needs of each patient.
 
 
Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. To do the right thing. Every time. If you share this philosophy, we hope you&rsquo;ll join us.
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:<ul><li>Supportive work culture</li><li>Medical, Vision and Dental Coverage
</li><li>Retirement Plans, Health Savings Account, and Flexible Spending Account</li><li>Instant pay is available for qualifying positions</li><li>Paid Time Off Accrual Bank</li><li>Opportunities for growth and advancement</li><li>Tuition assistance/reimbursement</li><li>Excellent pay differentials on qualifying positions</li><li>Flexible scheduling</li></ul>
Job Description
Essential Functions:<ul><li>
Properly prepares the examination and treatment areas per clinic standards.</li><li>
Completes patient rooming procedures to include vital signs, data collection and other identified components specific to the clinic setting and within outlined Scope of Responsibilities.</li><li>
Accurately administers and documents unit dose medications/ immunizations in accordance with clinic policy following successful training/competency.</li><li>
Performs EKG's and laboratory testing per CLIA license of the clinic following successful training/competency.</li><li>
Ensures documentation in the patient record is accurate, clear, concise within outlined Scope of Responsibilities. May function as provider scribe following successful training.</li><li>
Completes all assigned clerical activities and supply maintenance/ordering as directed.</li><li>
Assists with scheduling follow up care/appointments as ordered/directed.</li><li>
Distributes pre-printed/pre-approved patient education materials. Directs all patient questions to provider or RN.</li><li>
Functions within the documented Monument Health Scope of Responsibilities.</li><li>
All other duties as assigned.</li></ul>
Additional Requirements
Required:
Education - High School Diploma/GED Equivalent in General Studies; Graduate of an Accredited Medical Assistant University or accredited training program
Certification - Medical Assistant-Certified (MA) by one of the listed certifying bodies; Basic Life Support (BLS) Healthcare Professional Certification - American Heart Association (AHA) - Within 60 days of hire or transfer.
Any Medial Assistant hired between July 1, 2021 and June 30, 2024 may be granted 6 months to obtain national certification.
Any Medical Assistant hired after July 1, 2024 must hold one of the following national certifications upon hire:
<ul><li>American Association of Medical Assistants (AAMA)</li><li>American Medical Technologists (AMT)</li><li>National Healthcareer Association (NHA)</li><li>National Center for Competency Testing (NCCT)</li><li>American Medical Certification Association (AMCA)</li></ul>
Regarding BLS certification: The department you are applying to may require BLS certification sooner than 60 days post transfer/hire. The hiring manager will discuss this with you if it is applicable. 
Preferred: 
Experience - 1+ years of Clinical Experience; 1+ years of Healthcare Experience
Scheduling Requirements: Requires the ability to work assigned schedules and hours as determined by the department.
 
 
Physical Requirements: Heavy work - exerting up to 25 pounds of force constantly (67-100% of the time), and/or up to 50 pounds frequently (34-66% of the time), and/or up to 100 pounds of force occassionally (up to 33% of the time), and or up to 100 pounds of force seldomly to move objects. Possible exposure to blood, bodily fluids, or tissues.
Job Category
Nursing
Job Family
Nursing Support
Shift
Requires the ability to work assigned schedules and hours as determined by the department
Employee Type
Regular 

10 Monument Health Rapid City Hospital, Inc.
Make a difference. Every day.
Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.</div>

Medical Assistant | Breast Surgery

<div>Current Employees:
If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the &quot;Career&quot; icon on your homepage.
Primary Location
Rapid City, SD USA
Department
RCH Rapid City Childrens Center
Scheduled Weekly Hours
0
Starting Pay Rate Range
$16.10 - $18.51
(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
To provide basic child care duties and support the Child Care Assistants in implementing lesson plans.
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:<ul><li>Supportive work culture</li><li>Medical, Vision and Dental Coverage
</li><li>Retirement Plans, Health Savings Account, and Flexible Spending Account</li><li>Instant pay is available for qualifying positions</li><li>Paid Time Off Accrual Bank</li><li>Opportunities for growth and advancement</li><li>Tuition assistance/reimbursement</li><li>Excellent pay differentials on qualifying positions</li><li>Flexible scheduling</li></ul>
Job Description
Essential Functions:<ul><li>
Establishes a nurturing and respectful relationship with all children and provides activities that enhance each child's self-concept and socialization skills.</li><li>
Establishes a positive learning environment and provides a variety of activities that promote children's physical skills, intellectual abilities, communication skills and creative expression.</li><li>
Utilizes knowledge gained through training and takes precautionary measures in order to provide for the safety of the children, parents, and other program participants.</li><li>
Contributes to the overall quality early childhood programming by promoting a positive developmentally appropriate practice and ensuring an overall safe, healthy and secure environment for children, staff and visitors.</li><li>
Integrates positive guidance techniques on a regular basis, such as communicating expectations, giving children realistic choices, and redirecting inappropriate behaviors.</li><li>
All other duties as assigned.</li></ul><h2 class="jobSectionHeader">
Junior Child Care Aide&rsquo;s (16 or 17 years old), can do any job that has not been declared hazardous by the Secretary of Labor. At Monument Health, below are examples of duties that CANNOT be performed by a Junior Child Care Aide:</h2><ul><li>
Work in a classroom independently; must have a Regular (non Junior) caregiver with them at all times.</li><li>
Operating motor vehicles on public roads and working as outside helpers on motor vehicles.</li><li>
Work in any room which involves exposure to ionized radiation.</li><li>
Work in department within facilities such as X-ray rooms and laboratories.</li><li>
Work in areas where they could be exposed to radioactive substances and ionizing radiation.</li><li>
Operating, riding on, and assisting in the operation of most power-driven hoisting apparatus such as forklifts and cherry pickers, to include spotting. Motorized floor jacks permitted.</li></ul>
Additional Requirements
Required:
Certification - HeartSaver CPR/AED - American Heart Association (AHA) - Within 90 days of hire or transfer
Preferred: 
Experience - 1+ years of Early Childhood Experience
Physical Requirements:
 
Light work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
Job Category
Support Services
Job Family
Child Care
Shift
Requires the ability to work assigned schedules and hours as determined by the department
Employee Type
PRN 

10 Monument Health Rapid City Hospital, Inc.
Make a difference. Every day.
Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.</div>

Junior Child Care Aide

<div>Current Employees:
If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the &quot;Career&quot; icon on your homepage.
Primary Location
Rapid City, SD USA
Department
RCH Health Information Management
Scheduled Weekly Hours
40
Starting Pay Rate Range
$22.41 - $28.01
(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
HIM Coder II is responsible for coding a variety of services. Those services can include hospital outpatient, surgical services, hospital and clinic professional services as well as procedures and any ancillary services. The coder will be responsible for accurately assigning ICD- 10 codes, CPT and HCPCS codes in accordance with Monument Health guidelines, Official coding guidelines and payor standards.
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:<ul><li>Supportive work culture</li><li>Medical, Vision and Dental Coverage
</li><li>Retirement Plans, Health Savings Account, and Flexible Spending Account</li><li>Instant pay is available for qualifying positions</li><li>Paid Time Off Accrual Bank</li><li>Opportunities for growth and advancement</li><li>Tuition assistance/reimbursement</li><li>Excellent pay differentials on qualifying positions</li><li>Flexible scheduling</li></ul>
Job Description
Essential Functions:<ul><li>
Review and abstract information in the medical record to accurately code for that episode of care.</li><li>
Code hospital and professional services by accurately assigning ICD-10, CPT and HCPSCS codes for appropriate billing.</li><li>
Apply knowledge of medical science, medical terminology, anatomy and physiology and the official coding guidelines to select the correct codes.</li><li>
Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local and National Coverage Determinations (LCD, NCD&rsquo;s), Medically unlikely edits (MUE&rsquo;s) and Medicare guidelines.</li><li>
Participate in coding education and training.</li><li>
Provide ongoing feedback to physicians and staff regarding coding guidelines and requirements.</li><li>
Query providers for missing documentation.</li><li>
Resolve payor edits and denials and respond to other teams including, compliance, revenue integrity and billing.</li><li>
Navigate and utilize encoder, grouper software and other coding resources.</li><li>
Maintain coding productivity and accuracy standards.</li><li>
Assist with patient audits. Obtains necessary information.</li><li>
All other duties as assigned.</li></ul>
Additional Requirements
Required: 
Education - High School Diploma/GED Equivalent in General Studies 
 
Preferred: 
Experience - 1+ years of Coding Experience 
Certifications - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC)
Physical Requirements:
 
Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.
Job Category
Revenue Cycle
Job Family
Health Information Management
Shift
Requires the ability to work assigned schedules and hours as determined by the department
Employee Type
Regular 

10 Monument Health Rapid City Hospital, Inc.
Make a difference. Every day.
Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.</div>

Coder II

<div>Current Employees:
If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the &quot;Career&quot; icon on your homepage.
Primary Location
Rapid City, SD USA
Department
RCH Care Management
Scheduled Weekly Hours
40
Starting Pay Rate Range
$34.42 - $43.03
(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
*UP TO A $20,000 SIGN ON BONUS AVAILABLE FOR QUALIFIED CANDIDATES* 
 
The Case Manager MSW is a hospital based professional that coordinates and evaluates care options for patients and are responsible for assessing the needs, partnering with the multidisciplinary team and patient / family to develop a plan that aligns with patient goals and access to resources. Coordinates, plans, and delivers the appropriate intervention related to the patients&rsquo; biopsychosocial needs. Responsible for working with a multidisciplinary team and providing expertise related to the field while balancing regulatory guidelines related to Utilization Review and Conditions of Participation for Discharge Planning
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:<ul><li>Supportive work culture</li><li>Medical, Vision and Dental Coverage
</li><li>Retirement Plans, Health Savings Account, and Flexible Spending Account</li><li>Instant pay is available for qualifying positions</li><li>Paid Time Off Accrual Bank</li><li>Opportunities for growth and advancement</li><li>Tuition assistance/reimbursement</li><li>Excellent pay differentials on qualifying positions</li><li>Flexible scheduling</li></ul>
Job Description
Essential Functions:<ul><li>
Stays current with the provider aspect of federal/state organization regulations to ensure compliance with guidelines and reports / tracks internal metrics accordingly such as Potentially Avoidable Hospital Days, appropriate disposition codes and facilitates notices of non-coverage as appropriate.</li></ul><ul><li>
Support the patient, family, and involved caregiver to understand, accept and follow medical recommendations and provide services planned to assist in achieving the optimum social, spiritual, and health adjustment within their capacity and level of health literacy.</li><li>
This role serves as a resource for the MDT, patient/family and community partners related to their field.
</li><li>Display competence in motivational interviewing, social competence and promote empowerment among a population of hospitalized individuals.</li><li>
Identifies psychosocial, historical, financial, cultural and spiritual needs that guide the planning process with the patient to attain optimal outcomes in conjunction with the MDT.</li><li>
Evaluates current treatment plan to identify barriers, determine realistic goals and objectives, and seek potential alternatives in conjunction with the medical staff. Coordinates team efforts with support service departments to ensure appropriate care and smooth discharge transitions.
</li><li>Partners with providers and Physician Advisors /Medical Directors to escalate cases for review on complex cases in compliance with Conditions of Participation and Escalation standards.
</li><li>Completes an evaluation of hospitalized patients and customizes their plan based on their social determinants of health, MDT plan of care recommendations, access to services and the patient / family goals.
</li><li>Maintains a working knowledge and relationship with community resources and payer benefits that link the individual with the most appropriate resources.</li><li>
Assist by maintaining expertise on benefits, reimbursement, and contract/regulation changes per payer guidelines to provide education to assist the healthcare team and patient/family in decision making.</li><li>
Adheres to federal/state and regulatory standards related to scope of practice per SD Board of Social Work, Joint Commission requirements for Conditions of Participation: Discharge Planning / Utilization Review and the Standards of Practice / Scope of Services from the American Case Management Association.</li><li>
Assist patients to maintain their sense of competency, identity and autonomy and prepares the patient to deal with the changes and the family to support the patient including education on Surrogate Decision Makers / Living Wills and Power of Attorney</li><li>
All other duties as assigned.</li></ul>
Additional Requirements
Required:
Education - Masters degree in Social Services 
Certification - Certified Social Work (CSW) - South Dakota Department of Social Services
Preferred:
Experience - 3+ years of Healthcare Experience
Physical Requirements:
 
Light work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.
Job Category
Patient Services
Job Family
Care Coordination
Shift
Requires the ability to work assigned schedules and hours as determined by the department
Employee Type
Regular 

10 Monument Health Rapid City Hospital, Inc.
Make a difference. Every day.
Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.</div>

Case Manager MSW

Join Monument Health and explore 8   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.