Excela Health
Location: all cities,PA, USA
Date: 2024-11-18T11:38:37Z
Job Description:
WORK-FROM-HOME OPPORTUNITY UPON TRAINING MONDAY-FRIDAY WORK SCHEDULE, NO WEEKENDS OR HOLIDAYSThe Clinical Care Center Agent acts as the primary clinical contact for patients to meet their needs for information, support, and assistance by phone. Utilizes critical thinking to provide clinical oversight for appointment scheduling and physician referrals. The Clinical Care Center Agent is responsible for scheduling office appointments utilizing exceptional customer service skills to gain an understanding of the patient's needs. Responsible to obtain accurate demographic information and verify proper insurance information. Additional responsibilities may include data reporting and obtaining referrals and authorizations.QUALIFICATIONS:Education:Minimum: Graduate of an LPN ProgramPreferred: N/ARegistration/Certification/Licensure:Current PA LPN licenseExperience:Minimum: One year of clinical experience within an outpatient or inpatient setting. Proven basic computer skills and ability to type 35 words per minute.Preferred: Clinical experience across specialties.Other Requirements:N/APhysical Requirements:The following frequency definitions apply to all Physical Requirements unless otherwise noted:Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr)Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr)Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr)NOTE: An asterisk (*) indicates that the item is an essential function.Non-Material Handling● Standing - Remaining on one's feet in an upright position remaining stationary - N/A● Walking - Remaining upright on one's feet, and moving about - OCCASIONAL● Sitting* - Body remains in a seated position - CONSTANT● Stooping - To bend the body downward and forward by bending the spine at the waist - N/A● Bending - To flex the upper body forward - N/A● Twisting* - To rotate the upper body forward - OCCASIONAL● Climbing - To move the body in any direction on equipment or structures that do not include stairs or ladders - N/A● Ladders - To ascend and descend ladders - N/A● Stairs - To ascend and descend stairs - N/A● Kneeling - To move the body downwards and come to rest on both hands and both knees - N/A● Squatting - To move the body downwards by bending both knees - N/A● Crouching - To bend the body forward and downward by bending the spine and the legs - N/A● Crawling - To move the body forward or backwards on hands and knees - N/A● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - CONSTANT● Reaching Overhead - To extend the arms and hands up and out over shoulder height - OCCASIONAL● Grasping* - Using functional gripping of the hand to handle an object - CONSTANT● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT● Seeing* - Using visual feedback to accomplish a task or activity - CONSTANT● Hearing* - Using sound feedback to accomplish a task or activity - CONSTANT● Repetitive Upper Extremity Use* - Using the arms and/or hands continuously or more than 2/3 of the total time -CONSTANT● Repetitive Lower Extremity Use - Using the legs and/or feet continuously or more than 2/3 of the total time - N/AMaterial Handling● Pushing - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object awayfrom the person - N/A● Pulling - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towardsthe person - N/A● Lift - Floor to Waist - N/A● Lift - Waist to shoulder - N/A● Lift - Shoulder to overhead - N/A● Carrying - To transport an object or article using the arms or hands (> 10 feet) - N/AEnvironmental Factors● Working alone - OCCASIONAL● Working in cramped quarters - N/A● Constant interruptions - FREQUENT● Working with hands in water - N/A● Use of power tools - N/A● Working on ladders/scaffolding - N/A● Exposure to vibration - N/A● Exposure to dust - N/A● Exposure to noise (constant) - N/A● Exposure to electrical energy (outlets, etc) - N/A● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A● Exposure to slippery walking surfaces - N/A● Exposure to solvents, grease, oils - CONSTANT● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift)* - CONSTANT● Working with bloodborne pathogens - N/ACardiovascular Energy Requirements - Physical DemandPhysical Demand Met Level Examples of similar activity intensitySedentaryto Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work.Medium 3.6 -6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs).Heavy toVeryHeavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood.As relates to this position:● Sedentary to Light* - CONSTANT● Medium - N/A● Heavy to Very Heavy - N/AI. Specific Job Responsibilities (Essential Functions):1. Provides clinical oversight for appointment scheduling and physician referrals. Provide directives for care coordination over thephone if appropriate. Analyzes situation and responds appropriately including when to elevate call to the Triage Nurse.Meets Expectations Does Not Meet2. Schedules appointments for patients by phone when they call in following medical practice scheduling protocols. Utilizes timemanagement and customer service skills to facilitate phone calls with patient, staff, and others. Communicates calmly and clearlywith patients about appointments in all circumstances.Meets Expectations Does Not Meet3.Maintains scheduling system to ensure records are accurate and complete and can be used to analyze patient/staffing patterns.Confirms that updates (i.e., cancellations or additions) are input into the master schedule promptly. Stays up to date with systemservices to facilitate efficient and timely patient access.Meets Expectations Does Not Meet4. Communicates as needed with supervisor about any patient concerns/issues related to scheduling and/or system problems.Meets Expectations Does Not Meet5.Obtains referrals, authorizations, and demographic information for patients. Verifies insurance information to maximizereimbursement with all third party payers. Performs other duties as assigned.Meets Expectations Does Not MeetII. Organizational Responsibilities:1. Completed mandatory education, annual competencies and department specific education within established timeframes.Meets Expectations Does Not Meet2. Completed annual employee health requirements within established timeframes.Meets Expectations Does Not Meet3. Maintained license/certification, registration in good standing throughout fiscal year.Meets Expectations Does Not Meet N/A4. Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient andself. Identifies and works to reduce potentially unsafe patient care or other safety practices.Meets Expectations Does Not Meet5. Adheres to regulatory agency requirements, survey process and compliance.Meets Expectations Does Not Meet* Please use the following to determine the rating for Section I and Section II:● If employee is rated Meets at least 7 of 10 in Sections I and II, their rating is Meets .● If employee is rated Does Not Meet for 4 or more in Sections I and II, their rating is Does Not Meet .Based on the above, the rating for Section I and Section II is:Meets Expectations Does Not MeetIII. Job Behaviors:1. Sets the Stage by using greetings/introductions when interacting with any customer or entering a patient room. Looks and actslike a professional. Uses consistent phone etiquette. Helps people who look lost or confused. Keeps a clean and professionalenvironment and work space. Clarifies expectations and creates positive handoffs and positive lasting impressions.Exceeds Expectations Meets Expectations Does Not Meet2.Fosters a teamwork approach by respecting other members of the hospital team. Stays involved and informed of happeningswithin the organizations. Creates win-win situations by helping others. Works to resolve conflicts and concerns in a constructiveway and asks for assistance in helpful ways.Exceeds Expectations Meets Expectations Does Not Meet3. Is the Owner: Takes responsibility for problems, issues or opportunities for improvement by initiating constructive review ofconcern rather than negatively attacking an issue. Understands systems and processes and uses appropriate channels to addressconcerns when out of own span of control. Demonstrates compassion and works beyond own assignment by seeing bigpicture .Exceeds Expectations Meets Expectations Does Not Meet4.Creates a Caring Environment by communicating in helpful ways. Always protects the confidentiality and dignity of patients andothers. Listens with empathy and understanding and provides options and choices.Exceeds Expectations Meets Expectations Does Not Meet5.Provides Great Explanations through user-friendly information and explanations (uses language others can understand). Makessure people know what they can and cannot expect and checks for understanding and agreement.Exceeds Expectations Meets Expectations Does Not Meet* Please use the following to determine the rating for Section III:● If employee is rated Exceeds for at least 3 of 5 AND is rated Meets for the remaining, their rating is Exceeds .● If employee is rated Exceeds for less than 3 of 5 and Meets for the remaining, their rating is Meets .● If employee is rated Does Not Meet for 2 or more, their rating is Does Not Meet .Based on the above, the rating for Section III is:Exceeds Expectations Meets Expectations Does Not MeetIV. Overall Performance Summary:Based on the rating for combined Section I and II, and rating for Section III, please select the overall rating for this evaluationperiod using the outline below.Exceeds Expectations: Demonstrates exceptional behaviors and exceeds position requirements. Willingly accepts additionalresponsibilities. Demonstrates expertise in relevant skills and utilizes knowledge to support overall department/organizationalgoalsDefined as:● Employee rates Meets Expectations for 10 out of 10 in Sections I and II● Employee rates Exceeds Expectations in Section IIIMeets Expectations: Achieves and may occasionally exceed performance expectations while demonstrating expected behaviors.Defined as:● Employee rates Meets Expectations in Sections I and II● Employee rates Meets Expectations in Section IIIDoes Not Meet Expectations: Performance improvement is needed in one or more areas of expected behaviors or job results.Defined as:● Employee rates Does Not Meet for their overall rating for Section I and Section II OR for Section III* Please select the appropriate Overall Performance Summary rating for the review:Exceeds Expectations Meets Expectations Does Not MeetValue Equation:As an organization we prioritize the delivery of a valuable offering to those we serve. For Butler Health System, that meansdelivering the highest quality of service at a reasonable cost all the while exceeding expectations related to the level of service.● Please describe how you have contributed to and supported the BHS Value Equation:Click to enter details N/A (Manager only)Development and Training:Employee future development goals/objectives:Click to enter details N/A (Manager only)Reviewer recommendation for further development and training for purposes of preparing for additionalresponsibilities or for the improvement of current job performance:Click to enter details N/AOngoing Counseling for Performance Behaviors:Reviewer: Please indicate whether employee was disciplined during the course of this review period and if so indicateat which level and the reason(s).Select below:Not disciplined during this review periodDisciplined during this review period at a level of:Please select level:Oral Counseling Written Probation Suspension* N/AIf disciplined during this review period, indicate reason: (note: if multiple reasons apply, please select Other )AbsenteeismTardinessPolicy ViolationDress CodeImproper ConductUnsatisfactory PerformanceImproper AttitudeOtherN/ANote: If suspended for any reason during the fiscal year, employee will not be eligible for any increase.Education:Employee to complete the following:● Highest Level of Education Completed:HS Associate Bachelor Masters Doctorate N/A● Course of Study/Major for Highest Level of Education Completed:Click to enter details N/A (Manager only)● License(s)/Certification(s)/Registration(s) currently held:Click to enter details N/A (Manager only)Acknowledgement:Review Acknowledgement: My signature indicates that I have had an opportunity to review and discuss my performance review with my reviewer. I furtheracknowledge that my signature indicates that I have reviewed the content of the performance review, not whether I agree or disagree with it.Acknowledgement of Code of Conduct: My signature below indicates that I acknowledge that I have received and have read a copy of the Butler HealthSystem Code of Conduct Policy. I know that additional copies are available to me through the company intranet or that I may also receive a copy byrequesting one from my manager, the Human Resources Department, or from the Corporate Compliance Officer. I agree to abide by this policy and ifthere is anything I don't understand I will contact my manager or the Corporate Compliance Officer at Ext. 5924 for clarification. I also verify that I amnot aware of any conduct or action on the part of any Butler Health System or Butler Memorial Hospital employee, staff member or supplier of goods orservices that I reasonably believe is or could be a violation of the Butler Health System Code of Conduct. If I wish to report any concern or action, Imay do so by placing a call to the Compliance Hotline by dialing 1-855-###-####.
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