Qureos Mentor

Monument Health

<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 NCCTG
Scheduled Weekly Hours
40
Starting Pay Rate Range
$32.00 - $40.00
(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
Function as a readily approachable and effective &quot;clinical resource&quot; for the extended clinical research team. Provide clinical leadership through mentorship, education and provide direction for the activities of other research team members. Responsible for the research of and following through on clinical questions which arise. Responsible for the investigation and following through of clinical questions which may arise within areas of focus. Work with administrative, clinical and medical leadership to develop, implement, and facilitate the evolution of systems that ensure adherence to research protocols, institutional policies, local/state/federal regulations, and &quot;Good Clinical Practices&quot;. Responsible for the full implementation and management of trials in direct collaboration with administrative and clinical leadership, investigators, sponsors, and clinical research organizations.
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>
Coordinates the efforts of case finding and recruitment of study patients.</li><li>
Discusses protocol participation with patients, completes eligibility forms and assures completion of informed consent.</li><li>
Identifies educational needs of study patients and their families, providing needed education or resources to meet learning needs. Utilizes critical thinking in implementing and coordinating medical and nursing interventions.</li><li>
Initiates interdisciplinary collaboration to assure treatments are administered and modified according to protocol requirements and necessary testing is completed.</li><li>
Organizes and completes data collection. Develops forms when needed.</li><li>
Assists with adverse drug reaction reports. Responds appropriately to emergency situations, basing patient management decisions on individual patient needs.</li><li>
Prepares for record reviews and audits with on site teams, FDA, NCI, IRB or other agencies and sponsors when requested.</li><li>
Initiates interdisciplinary collaboration with clinical trials research team and medical/radiation therapy treatment team to provide access to new treatments when appropriate. Enhances and documents participation in standard treatments through active navigation of patients/families.</li><li>
All other duties as assigned.</li></ul>
Additional Requirements
Required:
Education - Completion of a nursing education program that is approved by a board of nursing
Certification - Registered Nurse (RN) - South Dakota Board of Nursing
Preferred:
Education - Bachelors degree in Nursing
Certification - Clinical Research Coordinator Certification - Accredited University or accredited training professional; and Human Subject Protection (HSP) - Collaborative Institutional Training Initiative (CITI); and Good Clinical Practice (GCP) - Collaborative Institutional Training Initiative (CITI)
Experience - 1+ years Registered Nurse; 1+ years Clinical Research
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
Education and Research
Job Family
Research
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>

Clinical Research Registered Nurse

<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 Revenue Cycle Integrity and Innovation
Scheduled Weekly Hours
40
Starting Pay Rate Range
$24.43 - $30.54
(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
The Revenue Integrity Analyst is accountable for monitoring charge capture, coding and variances between actual and expected reimbursement from payers. Accurately compiles information required to defend claims submission for specific services provided. Knowledge of state and federal laws and industry standards that relate to contracts, charge capture and to the appeal process is vital.
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>
Understands the Revenue Cycle and the responsibility and goals of each area and how they impact the financial wellbeing of the organization.</li><li>
Demonstrates knowledge of compliance standards and payor specific data to properly file claims, ensuring prompt, appropriate reimbursement of services and supplies billed to third parties and appropriate payment of services and supplies due from patients.</li><li>
Demonstrates working knowledge of interfaced, integrated Revenue Cycle software support tools.</li><li>
Verifies all necessary elements in the electronic medical record; appropriate charges for services rendered, accurate coding for services, reason for denials, denial status, and appeal and results of action taken.</li><li>
Performs prospective and retrospective audits, using appropriate tools to detect omissions or errors in charge capture, coding and billing.</li><li>
Verifies accuracy of transactions which appear on the account and communicates errors, omissions and corrections to appropriate caregivers.</li><li>
Understands the basics of outpatient Health Information coding, with emphasis on assigned specialties/departments.</li><li>
Has a working knowledge of the procedures and EHR workflows that are in place to generate charge capture, for assigned departments.</li><li>
Identifies additional or corrected information needed to process a denied claim through communications with the Revenue Cycle team or payor representatives in a timely manner, to expedite payor reimbursement.</li><li>
Works with Revenue Integrity leaders and caregivers to assure accurate and complete Charge Description Masters and Physician Fee Schedules via scheduled review.
</li><li>Provides a detailed and complete report monthly of charge capture audits, denials, appeals, follow-up and results on appealed accounts, root cause analysis of issues responsible for inaccurate charge capture or denied services.</li><li>
Participates in the planning, development, implementation, and maintenance of departmental monitoring tools</li><li>
Additional duties as assigned..</li></ul>
Additional Requirements
Required:
Education - High School Diploma/ GED
Experience - Healthcare Billing, Payment Processing, and Denial Management 3+ years 
 
Preferred:
Education - Bachelors degree in healthcare management
Certification - Revenue Integrity certification through the appropriate agency within two years of employment
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
Revenue Integrity
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>

Revenue Integrity 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
RCH Infusion Services &ndash; SP
Scheduled Weekly Hours
40
Starting Pay Rate Range
$16.52 - $19.00
(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 Clinical 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 Clinical Assistant, you will work collaboratively both under supervision and independently to provide direct and indirect patient care in the clinic setting. You will participate as an active member of the health care team by performing assigned tasks, designated activities, and functions for which you have received training in accordance with the policies and procedures of Monument Health to meet the needs of the 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>
The Clinical Assistant 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>
Assists with Point of Care laboratory testing following successful competency training.</li><li>
Ensures documentation in the patient record is accurate, clear, and concise within outlined Scope of Responsibilities.</li><li>
Completes all assigned clerical activities and supply maintenance/ordering as directed.</li><li>
Assists with scheduling follow up care as ordered/directed.</li><li>
Functions within the documented Monument Health Scope of Responsibilities.</li><li>
**In some clinic locations may assist the medical imaging department to perform limited x-ray exams following successful competency training.</li><li>
All other duties as assigned.</li></ul>
Additional Requirements
Required:
Certifications - Basic Life Support (BLS) Healthcare Professional Certification - American Heart Association (AHA) - Within 60 days of hire or transfer.
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: 
Education - High School Diploma/GED Equivalent in General Studies
Education - 80 hours of initial training in radiation safety, positioning, image review
Certifications - Certified Nurse Aide (CNA) - South Dakota Board of Nursing
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>

Clinical Assistant | Infusion Services

<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 Home Care Services
Scheduled Weekly Hours
40
Starting Pay Rate Range
$37.40 - $46.75
(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 Case Manager - Home Care and Hospice 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 Case Manager - Home Care and Hospice, you will be responsible for the collaboration of medical staff, patients, family, and the Healthcare team by assessing, facilitating, planning, and advocating for the health needs of a patient resulting in quality, cost-effective outcomes. You will establish goals and priorities consistent with the mission and goals of Monument Health as well as work to meet the individualized plan of care for the patients of our communities.
 
 
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>
Optimize care coordination with hospital, ER, Nursing homes, Assisted living facilities, physicians and community resources as necessary. Collaborates with physicians, providers and interdisciplinary team to indentify appropriate patients for home care and hospice.</li><li>
Acts as a resource to interdisciplinary teams, patients and families throughout episode of care. Facilitates efficient, appropriate, seamless, coordinated care to help ensure positive patient outcomes.</li><li>
Quality review of data, care plans, coding, documentation, oasis, HIS is analyzed to ensure the achievement of consistent clinical/financial outcomes. Data outcomes is used to identify indicators where process improvements projects are developed.
</li><li>Works with caregivers, schedulers, physicians and administration to coordinate care based on patient needs, geographic area, caregiver skill set to meet regulatory standards. Demonstrates effective fiscal management through cost containment measures while ensuring high quality, cost effective care is being provided to patients within the home care program.</li><li>
Assists leadership in the development of program goals and objectives. Assist with the development , implemnatation and maintenance of quality programs that include best practice patient care outcomes.</li><li>
Directly or indirectly ensures 24 hour care provided 7 days per week across our service area.</li><li>
Coaches staff and assists in performing supervisory visits to ensure regulatory compliance is met. Takes a leadership role in the participation of any survey across the division. Assists leadership in action plans/audits.</li><li>
All other duties assigned.</li></ul>
Additional Requirements
Required:
Education - Completion of a nursing education program that is approved by a board of nursing
Certification - Registered Nurse (RN) - South Dakota Board of Nursing; Basic Life Support (BLS) Certification - American Heart Association (AHA) - Within 60 days of hire or transfer.
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: 
Education - Bachelors in Nursing
Experience - 3+ years of Registered Nurse Experience; 3+ years of Home Medical Equipment 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
Patient Services
Job Family
Care Coordination
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>

Case Manager- Home Care and Hospice

<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