Days Archives - Arkansas Heart Hospital

Advanced Practice Provider – FT

Position Summary:

Advanced Practice Registered Nurse (APRNs)/Physician Assistant (PA) collaborates with physicians and works with other healthcare providers as needed to individualize the healthcare needs of their patients. APRN/PA provides diagnosis and treatment of health problems; focus on the effects health problems have on the patient and the family; explain health problems and the effects of medications; emphasize wellness and self-care; and manage their own case load.
APRN/PAs with prescriptive authority maintain a current collaboration agreement with a physician (as well as a physician who is available in their absence) who contractually agrees to be available for consultation and referral while maintaining the appropriate contracts as required by the Arkansas State Board of Nursing/State Medical Board.
APRN/PAs perform physical exams; order/ interpret lab and radiologic studies; diagnose and treat acute and chronic health problems; provide health maintenance; and promote healthy lifestyles for patients.

Work Schedule

Work schedules are agreed upon by the collaborative physician, Chief Clinical Officer (CCO) and APRN/PA to meet the needs of the patients.

Primary Duties:

Conducts comprehensive patient assessments according to patients presenting symptoms, progress and age-specific parameters.
Documents findings and communicates all pertinent information to interdisciplinary team members and collaborative physician(s) as appropriate.
Coordinates with interdisciplinary team members in the development, evaluation, and revision of the plan of care as appropriate to meet the patients needs and goals.
Provides competent care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
Provides education to patients/families/significant others, incorporating age-specific criteria and assessment of readiness to learn.
Maintains patient confidentiality.
Maintains standard universal precautions.
Prescribes and administers medications as outlined by prescriptive authority contract and completes treatments according to policies and within age-specific parameters.
Maintains and completes all required patient record documentation.
Directs admission and discharge planning in conjunction with interdisciplinary team identifying discharge medications, writing prescriptions, outlining dietary restrictions, discharge activities and follow up appointments to facilitate discharge process.
Utilizes critical thinking skills and decision making at an advanced level, i.e., lab, diagnostic test interpretation, etc.

Qualifications/Specifications

Education: Graduate of an accredited Masters level program of nursing education that fulfills completion requirements for Advanced Practice Registered Nursing. Will consider grandfathered BSN graduates that have fulfilled educational requirements to obtain Advanced Practice licensure as required by the Arkansas State Board of Nursing or Physician Assistant (PA) degree from a school accredited by the Arkansas State Medical Board (ASMB) required.
Licensure/Certification: Possession of an active current Arkansas Registered Nurse license and an Arkansas Advanced Practice Nurse license, active current certification by a nationally certifying body or Possession of an active current PA license issued by the ASMB and current Certified Physician Assistant (PAC), as issued by the National Commission on Certification of Physician Assistants (NCCPA) required. Current BLS and ACLS certifications. Eligible for or has current Medicare provider number and DEA registration. Certification(s) is to be renewed by recommended renewal date on certification card.
Experience: Minimum of one-year experience as an Acute Care Nurse Practitioner or Physician Assistant preferred.

Patient Registrar Conway Clinic (FTD)

Position Summary:

This position is responsible for admitting/registering patients to the appropriate department (i.e., clinic, hospital, emergency room, day patient) within the facility. Accumulates and enters all necessary demographic and billing information in the computer system with timeliness and accuracy. May act in the capacity of a cashier.

Primary Duties:

Admits/registers patients for office visit, procedure, diagnostic testing or admission to the hospital.
Explains policies, answer questions on patient admission and gathers all necessary information and signatures according to hospital policy and procedures.
If admitting patient to the hospital, assigns patient to a room, notifies designated nursing station of patients arrival and arranges transport of patient to the room.
Notifies appropriate outpatient departments when the patient has arrived and provides directions to the destination.
Performs pre-admission functions as defined in hospital policy.
May perform pre-certification/benefit verification processes in an efficient and timely manner.
UHC pre-certification is required on all IP stays within 24 hours of admission regardless of weekend or holidays.
Registration will contact UHC upon notification of IP status to initiate pre-cert.
Greets patients, families, and visitors arriving at the registration desk in a friendly, courteous manner.
Serves as liaison with clinical departments, patients and families regarding admission and registration processes.
Ensures patient and family needs are met and addressed while they are in lobby areas.
Remains focused on Delighting our Customers.
In collaboration with inpatient admission, OR, Cath Lab and Radiology, may coordinate the booking and scheduling of patients and transmit bookings to concierge throughout the shift.
May, in an active manner, solicit information from patients, doctors office staff and insurance companies to complete the Admission Questionnaire form and insurance pre-certification information.

Qualification/Specifications:

Education: High School graduate or equivalent required; Associate degree preferred.
Experience: Minimum of one year related experience (i.e., patient admissions, registration, scheduling, medical insurance) required; healthcare environment strongly preferred.

Precertification Specialist – Strong Hearts Clinic (FTD)

This position is responsible for obtaining and completing all insurance pre-certifications and authorizations as required for various clinical procedures. Determines necessity for precertification and coordinates with insurance companies, patients and clinical staff to obtain information. Maintains complete and accurate documentation in patient charts. Develops and maintains effective relations with insurance companies, physicians and medical office staff. Must have proficient knowledge of insurance requirements, medical/clinical terminology, medical necessity associated with various clinical procedure codes and certification/referral work flow. This position requires the ability to work with minimal supervision.

Work Schedule

Monday – Friday, or as directed by department supervisor.

Primary Duties

Obtain and complete all insurance precertification and authorizations as required for various clinical procedures.
Determine the necessity for precertification and coordinate with insurance companies and clinical staff to obtain information necessary to obtain precertification and authorization.
Maintain complete and accurate documentation within the patient medical record.
Maintain proficient knowledge of insurance requirements, medical/clinical terminology, and medical necessity associated with various clinical procedures.
Utilize clinical documentation to obtain the appropriate CPT procedure codes for various clinical procedures from coding staff as necessary.
Exercise effective time management and prioritization skills to effectively complete urgent precertification/authorization requests.
Maintain proficient knowledge of certification/referral work flow.
Develop and maintain effective relationships with physicians, medical office staff, and insurance companies.

Qualifications/Specifications:

Education: High school diploma or equivalent required. Associate of Science preferred.
Licensure/Certification: None required. Current medical assistant certification or state licensure as a Practical Nurse (or licensure from a state within the Nursing Compact) preferred.
Experience: Minimum of three years experience in medical registration/admissions, precertification and/or medical insurance required.

This position is designated as a safety sensitive position because of the essential duties of the job involves critical medical care to patients. A lapse in attention to detail may constitute a threat to health or safety resulting in injury, illness or death. This position is required to work in a constant state of alertness in a safe manner.

Clinical Assistant (LPN or MA) AHH Saline County Clinic (FTD)

Position Summary

This position is responsible for assisting clinical team members by performing a variety of duties for patients within the scope of practice of an LPN or Medical Assistant using the patient-focused care system and under the direction/supervision of an RN or physician.

Primary Duties

Patient Care:

Actively participates directly with patient care and ensures a safe and comforting environment.
Responds to patient needs in a timely manner.
Transports patients as needed.
Welcomes patients and ensures the admission paperwork is available; actively participates in the admission process.
Performs/Assists with positioning patients and transferring patients from bed to chair or wheelchair or stretcher.
Performs/Assists with range of motion exercises and ambulating.
Reports abnormal conditions to the RN or physician in a timely manner.
Identifies the organization of the human body, including its systems, structure and functions.
Demonstrates general principles of cleanliness (asepsis).
Applies the principle of basic nutrition to patient care.
Provides basic emergency care.
Coordinates the booking and scheduling of patients for procedures/appointments
Serves as liaison with physician/facility, patient and families regarding patient care.
Performs other duties as directed by supervisor, based on demonstrated competency.
Maintains patient confidentiality.
Maintains universal precautions.

Clinic patient work up

Actively solicits information from patient’s doctor’s office staff, and insurance pre-certification information
Explains procedures and answers questions regarding patient care and scheduled procedures.
Identifies, reports and records changes that result from disease or trauma to patient’s respiratory, cardiovascular, neurologic, gastrointestinal, genitourinary, reproductive, musculoskeletal, metabolic, psychological, integumentary, sensory, immune, hematologic and nutritional systems.
Able to apply simple dressings and assist RN/MD with more complex dressings.
Accurate and complete medication reconciliation.
Completely update the patient’s medical record at each visit including allergies, hospitalizations, and surgeries in the electronic medical record system with timeliness and accuracy.
Documents Flu and Pneumonia immunizations.
Performs 12 lead EKG
Obtains weight and basic patient information.
Performs phlebotomy and blood glucose monitoring.
Travels to outreach satellite clinics.
Performs clerical duties as needed.

Qualifications/Specifications

Education: Graduate of an accredited Practical Nurse program or Medical Assistant program required.
Licensure/ Certification: If LPN – Current state licensure as a Practical Nurse or licensure from a state within the Nursing Compact required. Current BLS at time of employment.
Experience: None required. Minimum of 6 months’ continuous LPN or Medical Assistant experience preferred.

Registered Nurse – Emergency Room (FTD)

Position Summary

This professional staff person is responsible for performing assessments, developing a plan of care and implementing and evaluating the care. The RN-Critical administers medications and treatments as ordered by physicians and in keeping with the current clinical nursing practice. Also responsible for directing, monitoring and evaluating the care delegated to non-licensed personnel. The RN-Critical leads the interdisciplinary care team for patients with primarily cardiovascular disease. In addition, the RN-Critical performs a range of technical services in a cross-functional mode to comprehensively serve patient needs. Assumes (under the direction of the Laboratory) responsibility for patient specimen testing, quality control, quality improvement and equipment maintenance.

Primary Duties:

.Documents findings and communicates all pertinent information to interdisciplinary team members as appropriate.
Collaborates with interdisciplinary team members in the development, evaluation and revision of the plan of care as appropriate to meet the patient’s needs and goals.
Provides competent direct care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
Assists healthcare team members in the understanding of hospital policies and procedures.
Provides education to patients/families/significant others, incorporating population-specific criteria and assessment of readiness to learn.
Maintains patient confidentiality.
Maintains standard precautions.
Administers medications and completes treatments according to hospital policy and within population-specific parameters.
Maintains all necessary documentation.
Facilitates discharge plan in collaboration with interdisciplinary team.
Demonstrates knowledge and ability to use necessary patient care equipment.
Coordinates response of the interdisciplinary team to emergency situations.
Performs Point-of-Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point-of-Care quality control standards.

Qualifications/Specifications:

Education: Graduate of an accredited nursing program required.
Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact required. BLS certification required within 30 days of employment and prior to providing direct patient care. Successful completion of ACLS certification is required for any Registered Nurse by completion of clinical orientation. PALS certification required within 90 days of employment. Certifications will be renewed by recommended renewal date on the certification documentation.

Director-Cath Lab

Primarily responsible for the day-to-day clinical operations of an assigned area with regard to patient care management, resource management, fiscal management, knowledge and adherence to TJC, federal and state regulations. Participates in direct care as needed, with the remaining time involving managerial tasks. Collaborates with other Directors and departments in sharing of staff and resources, as well as assists in the cross training of the staff. Assumes the leadership role in individual area of expertise and for projects as assigned. Assumes, under the direction of the Laboratory, responsibility for patient specimen testing, quality control, quality improvement, and equipment maintenance.

Managerial Tasks:

Assists in the overall operation of the hospital through active participation in projects aimed at achieving the hospital’s mission, vision and incorporates the values of the hospital in day-to-day activities.
Uses data, planning, communication and education to improve performance.
Supports a safe, quality environment for patients and staff.
Assists in the selection of staff, equipment, supplies and goods, for the running of the hospital, and caring for patients, with goals of quality and cost efficiency.
Communicates with staff and physicians on administrative issues and follows-up to bring closure to such issues.
Operates within budgetary parameters.
Responsible for appropriate staffing levels to accommodate patient acuity and volume.
Assumes a leadership role in the maintenance of the patient-focused care delivery system.
Plans, Develops and Provides annual competency reviews and performance evaluations of staff and assists in staff development in collaboration with the Education Department.
Supports the multi-skilled worker environment (i.e., cross training).
Assists staff in problem-solving and work issues.
Responsible for hiring competent staff for the department.
Responds to issues of harassment and discrimination per company policy.
Completes employee evaluation(s) in a timely manner per company policy.

Patient Care:

Actively participates in administering patient care and management of related service.
Coordinates the admission, discharge and transfer of patients in collaboration with other team leaders.
Assists families and patients by teaching the skills and information necessary for successful post-discharge care, incorporating age-specific criteria and assessment of readiness to learn.
Assures that patient equipment and supplies are available and in working order.
Participates in performance improvement activities such as patient satisfaction, physician satisfaction, and staff satisfaction performing surveys as necessary.
Identifies and implements corrective actions as necessary. Monitors annual quality indicators for compliance to standards.
Applies the knowledge of growth and development to appropriate patient populations.
Maintains personal responsibility for professional growth and development.
Ensures the provision of a safe and comforting environment.
Maintains patient confidentiality.
Maintains standard precautions.
Performs Point of Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point of Care quality control standards.

Qualifications

Education: Graduate of an accredited nursing program required. BSN preferred, MSN preferred.
Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact required. BLS certification required within 30 days of employment and prior to providing direct patient care. Successful completion of AHA-approved course in ACLS within 30 days of employment required for all experienced RNs in all nursing areas.
- RCIS required for Cath/EP Lab Directors within six months of eligibility. Limited Specialty License required within two months of acquiring RCIS.
- PALS or ENPC certification required for Emergency Department Director within 6 months of employment.
- Proficiency in Phlebotomy and Vital Signs for Wound Care Center Director at time of hire.
Experience: Minimum of three years continuous clinical experience in a critical/acute care setting required. Minimum of two years’ recent management experience preferred.

Clinic Coordinator – Main Clinic (FTD)

Position Summary:

This position is responsible for scheduling, financially clearing, and pre-registering patients via telephone. This position is also main point of contact for physician referrals to the clinic. This position includes obtaining and entering demographic and insurance information. This employee will place daily calls to various insurance companies for authorization/notification and benefits verification purposes. Other required duties include point of service cash collection, close interaction with internal and external administrative liaisons and additional obligations as assigned.

Work Schedule:

Varied shifts, Monday through Friday. May include some weekends dependent on business need.

Primary Duties:

Schedules / pre-registers patient which includes obtaining and entering demographic and insurance information.
Financially clears patients which includes verifying insurance and benefit information per the patient’s insurance plan.
Contacts various insurance companies on a daily basis for insurance authorization/notification and verification purposes.
Calls patient to advise of any deductible or co-pay due at time of appointment.
Accesses and utilizes various online resources for benefits verification purposes.
Ensures all requested patients from a facility have been pre-registered in a timely manner.
Ensures all POS cash is collected and posted according to the policy and procedure guidelines outlined in the department.
Refers patients with financial issues who are unable to make appropriate payment arrangements to the facility financial counselor for handling.
Interacts with various internal and external administrative liaisons.
Knowledgeable of Managed Care as well as Medicare, Medicaid and other third-party payers.Performs all other duties as directed to provide the most efficient service to the hospital in a manner that supports and/or supplements the overall effectiveness of the department and the hospital.Coordinates with Patient Support Specialists and other clinic departments to coordinate patients.
This position is designated as a safety sensitive position because of the essential duties of the job involves critical medical care to patients. A lapse in attention to detail may constitute a threat to health or safety resulting in injury, illness or death. This position is required to work in a constant state of alertness in a safe manner.

Qualifications/Specifications:

Education: High School diploma or GED required.
Licensure/Certification: None required.
Experience: Minimum of three years’ experience in a related field (i.e., patient admissions, registration, insurance verification). Previous healthcare experience preferred.

PBX Operator – Russellville Clinic (FTD)

This position is responsible for all switchboard functions of receiving incoming calls, paging and placement of outgoing calls. This position requires exceptional customer service skills in addition to proficiency in PBX functions. Registration job functions are required. Employee must have the ability to work with minimum supervision.

Primary Duties

Always receives calls promptly and courteously and forwards appropriately.
Always displays a courteous and professional tone when paging.
Other assigned duties as directed by supervisor based on demonstrated competency.

Team Lead Duties (if assigned)

Ensures training and mentoring of new PBX operators occurs within the team and monitors for additional training if needed
Communicates all changes to staff in writing
Ensures that PBX operators follow the appropriate protocol when taking calls. Ensures the tasks are appropriately assigned and if additional training is needed with facilitate.
Ensures proper coverage exists at all times to ensure no delays in answering incoming calls
Ability to write clearly and concisely, handle necessary scheduling issues and coordinate between staff and clinical team
Monitor and approves time off request for staff members and communicates with management daily to ensure proper coverage is maintained

Qualifications: Specifications:

Education: High School graduate or equivalent required.
Licensure/Certification: None required.
Experience: Minimum of 3 months experience, healthcare setting preferred.

Certified Coder – FT

Position Summary:

The Certified Procedural Coding Specialist will read and interpret health record documentation to identify all diagnoses and procedures that affect the current inpatient/outpatient encounter visit; assess the adequacy of health record documentation; apply knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures.

Primary Duties

Essential Functions:

Maintains accurate patient accounts including deductibles, co-payments, co-insurance, termination dates, effective dates, pending claims, etc.
Processes claims for secondary insurance companies and conducts research on any claims denied by insurance companies. Matches remit copy with hard copy claim. Keys in account numbers. Checks balances due from secondary insurance companies. Verifies benefit determinations.
Initiates appeal process for denied claims.
Processes all monetary transactions in an appropriate manner and reports daily to supervisor.
Assists patients in a professional and courteous manner with their questions and concerns.
Works with insurance companies to verify patient information or to adjust claims.
Works insurance tracking report to ensure insurance companies process claims in a timely manner. Tracks refilled claims; ensures accounts are followed up on in a timely manner.
Codes and abstracts all diagnoses and procedures from physicians dictation and according to ICD-9-CM and CPT-4/HCPCS hospital coding policies and procedures, and Federal and State Coding & reimbursement guidelines with 95% accuracy.
Initiates physician interaction when ambiguous or conflicting information is in the medical record.
Exhibits knowledge and aptitude regarding coding software and resources for accurate code assignment.
Provides backup to other members of department as needed.
Other assigned duties as directed by supervisor based on demonstrated competency

Knowledge:

Knowledge of medical billing and insurance procedures.
Knowledge of ICD-9 and CPT coding.
Correct telephone etiquette.

Skills:

Computer programs and applications.
Operation of basic office machinery, including a copy machine, fax machine, and telephone.
Good telephone skills, including correct etiquette.

Abilities:

Understand and interpret policies and regulations.
Prepare documents in response to complaints and inquiries.
Examine documents for accuracy and completeness.
Communicate effectively and work with others.
To deliver quality customer service to patients and coworkers.

Qualifications/Specifications:

Education: High School diploma or equivalent required. Associate degree preferred.
Licensure/Certification: Certified Professional Coder (CPC) certification required.
Experience: Minimum of one year experience in clinic or physician practice medical billing/insurance, medical records and/or coding using ICD-9 and CPT coding systems required.

Licensed Practical Nurse or Registered Nurse – Vein & Vascular/Hyperbaric/ CHF

Position Summary

This position is responsible for assisting clinical team members by performing a variety of duties for patients within the scope of practice of an LPN or RN using the patient-focused care system and under the direction/supervision of an RN or physician. In addition, responsible for scheduling, financially clearing, and pre-registering patients via telephone.

This position is responsible for administering hyperbaric oxygen therapy and diagnostic testing to patients of the Wound Care Center under the supervision of a Certified Hyperbaric Registered Nurse or Board Certified Hyperbaric Registered Physician. Assists in providing coverage when needed in the Wound Care Center in the absence of the Hyperbaric Registered Nurse. All therapeutic and diagnostic modalities will be ordered by the Hyperbaric Physician.

Primary Duties

Patient Care:

Actively participates directly with patient care and ensures a safe and comforting environment.
Responds to patients need in a timely manner.
Transports patients as needed.
Welcomes patients and ensures the admission paperwork is all available and actively participates in the admission process.
Assists patients with ADLs including meals, bathing and hygiene needs.
Performs/Assists with positioning patients and transferring patients from bed to chair or wheelchair or stretcher.
Performs/Assists with range of motion exercises and ambulating.
Performs Cardiac Rehab exercises with patients as per protocol.
Reports abnormal conditions to the RN in a timely manner.
Assists in the maintenance of skin integrity with the use of emollients, creams, etc. Cares for superficial skin tears under the direction of the RN.
Identifies the organization of the human body, including its systems, structure and functions.
Demonstrates general principles of cleanliness (asepsis).
Applies the principles of basic nutrition to patient care.
Provides basic emergency care.
Performs Point of Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point of Care quality control standards.
Actively solicits information from patient’s doctor’s office staff, and insurance pre-certification information
Explains procedures and answers questions regarding patient care and scheduled procedures.
Identifies, reports and records changes that result from disease or trauma to patient’s respiratory, cardiovascular, neurologic, gastrointestinal, genitourinary, reproductive, musculoskeletal, metabolic, psychological, integumentary, sensory, immune, hematologic and nutritional systems.
Able to apply simple dressings and assist RN/MD with more complex dressings.
Accurate and complete medication reconciliation.
Completely update the patient’s medical record at each visit including allergies, hospitalizations, and surgeries in the electronic medical record system with timeliness and accuracy.
Documents Flu and Pneumonia immunizations.
Performs 12 lead EKG
Obtains weight and basic patient information.
Performs phlebotomy and blood glucose monitoring.
Travels to outreach satellite clinics.
Performs clerical duties as needed.

Qualifications/Specifications

Education: Graduate of an accredited Nursing program required.
Licensure/ Certification: Current state licensure as a Practical or Registered Nurse or licensure from a state within the Nursing Compact required. . Current BLS at time of employment.
Experience: None required. Minimum of 6 months’ continuous LPN or RN experience preferred.