Duke University Health System

Manage and supervise clinic service access activities and staff to ensure optimal patient care and efficient operations. | Requires six years of progressive healthcare experience or equivalent education, strong communication, organizational, leadership, and healthcare administrative skills. | At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Service Access Manager who will embrace our mission of Advancing Health Together. General Description Of The Job Class Manage service access activities and staff to achieve continuous and optimal patient care. Duties And Responsibilities Of This Level • Supervise and coordinate activities of a clinic/department to include establishing and maintaining systems for patient flow through the clinic/department and the utilization of clinic and ancillary facilities and manpower. • Direct and coordinate all scheduling, check-in, check-out, and financial services activities within the clinic/department. • Actively participate on committees to achieve desired outcomes and ensure follow-up on action plans (operating processes, policies and procedures, utilization of space, increase revenue, supply utilization, personnel, etc). • Serve as a representative for the clinic/department to both internal and external groups. • Plan and schedule work for the front-end staff, ensuring proper distribution of assignments and adequate manning, space and facilities for subsequent performance of duties. Train new personnel. • Communicate and model the values of DUHS through orientation, development, mentoring, performance counseling and evaluation of staff. Plan and implement strategies to promote effective recruitment, retention and development of diverse work teams. • Directly responsible for all personnel actions including, but not limited to, hiring, performance appraisals, promotions, vacation schedules, and maintaining payroll records and time reports. • Coordinate diagnostic and treatment activities of the clinic/department with services of other departments to ensure effective patient care and efficient service. • Greet and provide assistance to visitors and patients. Explains policies and procedures, and resolves problems. • Maintain liaison with professional medical staff and other personnel in administrating policies and procedures regarding patient flow and utilization of space, time, supplies, and equipment. • Develop policies and procedures to improve patient care and utilization of clinic/department resources. • Maintain interface with physicians, patients and administrative staff to provide information and to resolve problems relating to clinic services. • Collect and analyze data for the preparation of composite reports and special projects. • Generate, analyze and/or interpret entity-specific reports relating to department performance, staff performance, financial performance. • Independently execute appropriate action plans based on findings. • Enforces regulatory and compliance requirements (HIPPA, JCAHO, etc). Accountable for understanding, enforcing and following all internal controls, particularly as they relate to cash management policies and procedures. • Directly involved in the preparation of department budget. Make budgetary recommendations and projections. Monitor, verify and reconcile expenditures of budgeted funds, compiling information reflecting expenditures, and develop cost-comparisons. Identify cost savings within the operation. • Coordinate and supervise activities performed in determining sponsorship eligibility, making financial arrangements, and establishing fees. Generally reports to a Health Center Administrator/department head with responsibility for multiple sites. • Perform other related duties incidental to the work described herein. Education Required Qualifications at this Level High school diploma required. A Bachelor's degree in a related field is strongly preferred. Experience Requires six years of experience of a progressive nature in a healthcare setting to become knowledgeable of the complex activities associated with healthcare services. An Associate's degree may substitute for two years of experience. A Bachelor's degree may substitute for four years of experience. Degrees, Licensure, And/or Certification N/A Knowledge, Skills, And Abilities • Strong verbal and written communication skills • Data entry experience • Skilled in working with spreadsheets, databases and power point presentations • Medical terminology knowledge • Ability to organize and prioritize • Strong customer service background and experience • Ability create and apply specific departmental policies, rules and regulations relating to verifying patient information, collecting payments and maintaining records and forms • Knowledge and ability to apply situational leadership skills • Ability to effectively lead teams and establish and maintain effective relationships with other personnel • Knowledge of general accounting principles Distinguishing Characteristics of this Level N/A Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Virtually monitor patients continuously using telehealth technology, report changes to nursing staff, document observations, and assist with safety plans and equipment setup. | High school diploma or equivalent, preferred in-patient hospital experience or enrollment in nursing/medical programs, Nurse Aid Registry listing preferred, BLS certification, and CPI certification strongly preferred. | At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. General Description Of The Job Class Perform work under the supervision of a registered nurse, or virtual registered nurse, the remote safety observer will virtually maintain constant direct observation and visualization of the identified patient(s). Duties And Responsibilities Of This Level • Constant and direct observation of the patient virtually using approved telehealth technology. • Virtually monitoring changes in the patient's physical, emotional, and mental condition. • Communicate the status of the patient, including any changes, to bedside nursing team and virtual nursing team. • Observing and reporting patients' behavioral changes. • Document observation in electronic health record. • Escalate unsafe events via alarm or redirections. • Monitoring of patients in seclusion and/or restraint. • Collaboration with bedside staff and virtual nursing staff on patient's safety plan of care. • Participate in review of activities and processes for work area; assist in implementing changes to effect continual improvement in services provided; comply with regulatory and legal requirements. • Perform other related duties incidental to the work described herein. • Find and order RSO carts if needed. • Make assignments to each work station every shift. • Take handoff from bedside nursing staff on what to observe and share with assigned RSO for viewing. • Help bedside team with setting up carts, troubleshooting audio/video issues, and discontinuing carts. Required Qualifications At This Level Education Work requires completion of a high school diploma or equivalent. Experience In-Patient Hospital experience preferred. Enrollment in nursing or medical programs strongly preferred. Degrees, Licensure, And/or Certification Listing on the Nurse Aid Registry of North Carolina preferred. If a hire does not meet this requirement, they must start the process to complete one of the requirements within 1 year of employment and complete within 2 years. BLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment. CPI certification strongly preferred. Knowledge, Skills, And Abilities • Technology skills • Understands basic first aid and CPR, and is capable of administering them if need be. • Demonstrates a personal interest in the health and well-being of others. • Is willing to place the needs of others first. • Has the ability to work with minimal supervision. • Is able to maintain patient confidentiality. • Possesses good time management skills. • Has good physical strength and stamina. • Knowledge of special procedures that are applicable to work performed. • Knowledge of procedures and techniques involved in administering routine treatments to patients. • Knowledge of sanitation, personal hygiene, infection control, and basic health and safety precautions applicable to work in a health care environment. • Knowledge of behavioral principles and individual responses to stressors. • Ability to establish and maintain effective working relationships with patients and hospital staff. • Ability to work with, express sensitivity and understanding, and secure the cooperation of patients, including maintaining sympathetic attitude towards patients. • Ability to keep calm in stressful situations. • Ability to maintain routine records and prepare reports. • Ability to recognize patients in emergency states and seek appropriate assistance. • Ability to maintain confidentiality and other patient rights. • Ability to understand, follow and communicate/relate oral and written instructions and pertinent information accurately. • Ability to apply proper body mechanics and safety. individuals in didactic or recreational groups Distinguishing Characteristics of this Level: N/A The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks Other Than Those Specifically Presented In This Description. Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Manage and verify credentialing applications for medical providers ensuring compliance with regulatory standards and maintain credentialing databases. | Bachelor's degree or equivalent experience in medical staff credentialing, knowledge of regulatory standards, and preferably NAMSS certification. | At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Job Band D1 General Description Of The Job Class Under the supervision of the Manager of DUHS CVO and the Lead Credentialing Specialist, the Credentialing Specialist is responsible for all aspects of the credentialing for all medical providers who provide patient care at Duke University Health System (DUHS), Responsible for ensuring providers are credentialed in accordance with The Joint Commission, NCQA, CMS, and AAAHC Standards for health plans, hospitals, ambulatory care centers, and patient care facilities. Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of appointments and all-time limited credentials. Duties And Responsibilities Of This Level • Processes Initial applications for DUHS, ensuring compliance with regulatory requirements. • Obtains verification from primary sources for all regulatory requirements and monitors all applications assigned credentialing to provide updates to applicants and documents in the credentialing system in compliance with regulatory standards. • Researches and maintains current and accurate data for all providers for the Health System within the Credentialing database. • Verifies the legitimacy of practitioner information with the primary source of the credentials and in accordance with the accreditation regulatory standards, and state/federal laws for universities, licensing agencies, hospitals, and certification bodies. • Maintains a complex credentialing database with up-to-date practitioner information, including medical license, drug enforcement administration (DEA) certificate professional liability insurance, board certifications, and renewal period expiration dates. • Executes queries for the National Practitioner Data Bank (NPDB) for initial applications through NPDB Continuous Query in the Credentialing database. • Ensures that any reports received through the queries are flagged for the Medical Staff Offices • Presents complete Health System applications with credentialing verification materials and flags any concerns for initial applications for the Medical Staff Offices to act upon. • Ensures data integrity within the Credentialing database for physician practice demographic information and ensures it is compliant with health plans, agencies, and other entities. • Analyzes complex information in the credentialing application process, ensuring there are no time gaps, we are obtaining the documentation required for compliance with policies, regulatory standards, and State and Federal laws. • Maintains confidentiality of all provider information within our credentialing database, as well as documentation gathered through the credentialing process. • Provides credentialing and privileging verifications in accordance with regulatory standards, and state/federal laws. • Composes, proofreads, or edits formal correspondence, memoranda, and short reports for internal and external circulations. Assembles attachments and corresponding materials. Reviews outgoing materials for completeness, dates, and signatures. • Serves as a credentialing subject matter expert with internal and external contacts on the administration of the program and/or program policies and procedures. • Applies office standards, policies, procedures, and authority levels when responding to questions from both internal and external customers. • Organizes and maintains resource information and job procedures pertinent to responsibilities. • Prepares a variety of documents, records, reports, etc. as needed to perform job responsibilities. • Performs other duties as assigned. Education Required Qualifications at this Level Work requires analytical, communication and organizational skills generally acquired through the completion of a bachelor's degree program. In lieu of a bachelor's degree, four years of relevant experience in Medical Staff Credentialing/Privileging (in addition to the experience requirement for the role) Experience One year of experience in a Medical Staff credentialing office. Degrees, Licensure, And/or Certification Certification by NAMSS (CPCS and/or CPMSM) preferred Knowledge, Skills, And Abilities Maintains knowledge, as the Subject Matter Expert for compliance of delegated credentialing contracts of current health plan and agency requirements in the managed care contracts for credentialed providers. Maintains knowledge, as the Subject Matter Expert of state/federal laws, regulatory standards for accreditation purposes, and DUHS Bylaws, policies, and procedures. Distinguishing Characteristics of this Level N/A Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.