Carle Health

Program Manager

• Support development and execution of growth strategies for assigned clinical service lines
• Coordinate strategic initiatives to increase patient volume, market share, and service utilization
• Assist leadership in identifying program expansion and geographic growth opportunities
• Support physician outreach and relationship-building activities
• Monitor referral patterns and identify provider engagement opportunities
• Facilitate communication between service line leadership and referring physicians
• Track project milestones and performance metrics
• Gather and analyze market data, demographic trends, and utilization patterns
• Prepare reports and presentations for leadership on growth opportunities and market performance
• Participate in community outreach activities
• Represent the organization at networking events

Business Development, Service Line Program Manager

Representative

• Coordinate and participate in daily clinic preparation
• Identify patients and perform patient check-in/check-out
• Post charges and manage cash
• Schedule patient appointments
• Register patients and set up accounts
• Handle phone calls and distribute messages according to communication standards
• Manage incoming patient care requests, referrals, work queue activity, and telephone calls
• Initiate and secure prior authorizations as needed
• Provide information and a positive image to meet patients' needs

Part-time Patient Services Representative – Urology

Assistant

• Greet and welcome patients, visitors, Carle team members, customers and employees
• Provide directions and wayfinding assistance throughout the Carle complex and community
• Transport patients and visitors by wheelchair or on foot when appropriate
• Screen patients and guests and explain access restrictions empathetically
• Refer patients and guests to physicians, appointments and departments
• Check in and print badges for inpatient visitors and other personnel
• Respond to ambulatory and procedural department transport requests
• Use the EMR to provide appointment or location information
• Provide telephone assistance
• Retrieve wheelchairs from all areas
• Explain infection prevention, visitor and support person guidelines
• Maintain knowledge of physicians, specialty areas and visitor guidelines
• Contribute to customer service excellence and patient-centered care

Part-time Patient & Guest Assistant

• Coordinate and participate in daily clinic preparation
• Identify patients and perform patient check-in/check-out
• Post charges and manage cash
• Schedule patient appointments
• Register patients and set up accounts
• Make and manage phone calls and messages
• Accurately and promptly report medical information from patients and referring physicians
• Distribute messages according to practice communication standards
• Manage incoming patient care requests related to in-basket activities, referrals, work queue activity, and incoming calls
• Conduct oneself in a responsible and professional manner

Patient Services Representative – Oncology Center Services

Accounts Receivable

• Manage accounts receivable according to compliance, regulatory, billing, and payer guidelines
• Collect outstanding receivables through payer portals and phone lines
• Validate coverage and resolve charge review edits, claim edits, clearinghouse rejections, and payer rejections
• Submit accurate electronic and paper insurance claims
• Submit non-complex reconsiderations and appeals
• Monitor, research, and resolve unpaid, rejected, denied, and allowance-discrepancy claims
• Perform account follow-up and collections
• Document collection activities in the billing system
• Resolve denied and rejected invoices and prepare payer corrections and appeals
• Use clinical applications, payer websites, and other systems to retrieve documentation, eligibility information, billing guidelines, referrals, and authorizations
• Apply undistributed payments to open balances
• Review and resolve correspondence
• Request adjustments and respond to patients, insurers, public agencies, internal departments, and third-party payers
• Resolve insurance setup errors and billing edits
• Evaluate credit/balance accounts, issue refunds, and initiate payer recoupments
• Prepare appeals, adjusted and corrected bills, accounts receivable adjustments, and refunds
• Answer department calls through a rotation line and direct callers appropriately
• Collaborate with Billing, Coding, Cash Posting, and other departments
• Perform other duties as assigned

Accounts Receivable Specialist – VA/Tricare HB/PB Billing

• Coordinate and participate in daily clinic preparation
• Identify patients and perform patient check-in/check-out
• Post charges and manage cash
• Schedule patient appointments
• Register patients and set up accounts
• Make and manage phone calls and messages
• Accurately and promptly report medical information from patients and referring physicians
• Distribute messages according to practice communication standards
• Manage incoming patient care requests, in-basket activities, referrals, work queue activity, and incoming telephone calls
• Initiate and secure prior authorizations as needed
• Conduct oneself in a responsible, professional manner

Patient Services Representative

Pharmacist

• Provide direct patient care through anticoagulation management under a collaborative practice agreement
• Implement, monitor, and manage anticoagulation therapy regimens
• Review AMS INRs and assign calls according to protocol
• Call and triage patients with abnormal INR results, assess clinical status, and determine next steps
• Manage warfarin therapy according to protocol or collaborative practice agreement
• Provide education on anticoagulation therapy, INR results, dosing instructions, and safety
• Implement and monitor peri-procedural bridging therapies
• Supervise AMS staff and pharmacy technicians
• Develop clinical guidelines and order sets related to drug therapy
• Intervene to improve prescribing, administration, and monitoring practices
• Represent the pharmacy on committees or work groups
• Screen medications for potential interactions
• Provide pre- and post-procedure guidance and assist with transitions of care
• Coordinate hospital discharges with the inpatient pharmacy team
• Train and orient new employees as assigned
• Provide Medication Therapy Management services
• Maintain regulatory compliance

Clinical Pharmacist – AMS

• Perform registration functions to support coding, billing, reimbursement, and case coordination
• Explain and complete registration and admitting forms and obtain required signatures
• Complete Medicare Secondary Payer forms and follow up on necessary information
• Interpret insurance coverage and benefits for patients
• Identify patients experiencing financial hardship or lacking third-party coverage and explain financial assistance or payment arrangements
• Obtain, update, and verify patient demographics, insurance, co-pays, and primary physicians
• Manage charts, create new clinic charts, and create medical record numbers
• Verify insurance eligibility using Experian
• Receive and post co-payments and maintain balanced cash drawers
• Register patients at each visit using established policies
• Review and communicate registration errors to management, targeting a 5% or lower error rate
• Scan required patient information into software systems
• Explain patient rights, privacy notices, and other admitting information
• Answer the hospital switchboard after regular business hours
• Contact on-call providers and page medical, facility, weather, and security codes when appropriate

Business Services Representative – 2nd Shift

Therapist

• Perform safe patient transfers from bed, chair, and floor, with assistance as needed
• Treat patients, colleagues, and other individuals with dignity, respect, empathy, and care
• Design plans of care integrating goals, treatment, outcomes, and discharge planning
• Adjust care based on patient response and available evidence
• Educate patients, families, caregivers, students, and healthcare providers using effective teaching methods
• Evaluate clinical findings to determine physical therapy diagnoses and outcomes of care
• Perform examinations using reliable and valid methods relevant to the patient’s complaint, screening results, and history
• Produce documentation in accordance with the Clinical Process Policy
• Screen patients to determine the effectiveness and need for therapy services
• Use and monitor support personnel according to legal and ethical guidelines, providing regular feedback
• Complete assigned annual education for DNV Hip and Knee Replacement Program requirements, if applicable

Physical Therapist

General

• Provide surgical technology for direct and indirect patient care and service
• Assist surgeons during operative and invasive procedures
• Prepare surgeon-specific operative and invasive procedures with timely, accurate, effective, and efficient instruments, equipment, and sutures
• Set up sterile fields, back tables, mayo stands, and appropriate available items before patients enter the room
• Scrub on simple to complex procedures across a variety of specialties
• Run the mayo independently and adapt to surgeon techniques and preferences
• Perform first scrub, first assist, and second scrub roles
• Perform case closing activities, including dressing application, transfer, and turnover
• Anticipate and provide for expected and unexpected intra-operative events and case changes
• Observe induction and maintain a quiet environment
• Protect patient privacy
• Precept and mentor surgical technologists, RNs, staff, and students
• Teach RNs to scrub on a variety of cases
• Serve as a resource of knowledge and share knowledge with others
• Perform timely counts in collaboration with the circulating RN
• Communicate urgent and routine needs appropriately
• Contribute to unit operations, goals, and objectives
• Assist others and remain flexible regarding assigned areas
• Resolve conflicts constructively
• Ensure instruments, specialty cards, and equipment are available for cases
• Participate in quality improvement efforts
• Participate in assigned on-call hours, including after-hours, weekends, and holidays

Surgical Technologist

Supervisor

• Coordinate daily nursing and staffing activities within the Behavioral Health department
• Monitor daily nursing workflow and perform staff nurse duties as needed
• Oversee quality initiatives, process improvements, policies, procedures, supplies, equipment, and medication ordering
• Manage staff education, competencies, orientation, evaluations, training, hiring, performance appraisals, promotions, and work assignments
• Resolve work-related issues and support employees with complex situations
• Provide and facilitate competent patient and family care while ensuring adherence to standards of care and scope of practice
• Develop, implement, and participate in quality improvement initiatives and audits
• Plan, administer, and evaluate patient care
• Coordinate quality outcome metrics and data
• Participate in organizational, departmental, nursing leadership, and division meetings
• Support Psychiatry Residency program development and oversee involved nursing staff
• Coordinate multidisciplinary patient care conferences for high-risk patients
• Support accreditation surveys and departmental audits and implement recommended changes
• Serve as an educational liaison and behavioral health resource for nursing throughout the health system
• Support the Patient Care Manager/Director with administrative duties and provide leadership through healthcare-team collaboration

RN Supervisor – Behavioral Health

• Perform patient transfers with assistance as needed from bed, chair, and floor
• Design plans of care integrating goals, treatment, outcomes, and discharge plans
• Adjust care based on patient response and available evidence
• Educate patients, family members, caregivers, students, and healthcare providers
• Evaluate clinical findings to determine diagnoses and outcomes of care
• Perform examinations using methods relevant to the chief complaint, screening results, and history
• Screen patients to determine the effectiveness of and need for therapy services
• Use support personnel according to legal and ethical standards
• Monitor care delivered by support personnel and provide regular feedback

Occupational Therapist

• Assume responsibility for a group of patients during a designated timeframe
• Provide patient care using the nursing process, nursing trends, technology, and institutional resources
• Perform unit-specific responsibilities and procedures within the scope of practice
• Maintain accurate documentation of nursing care
• Complete initial patient assessments and develop individualized plans of care
• Implement and continuously evaluate nursing interventions and patient care procedures
• Report or correct safety hazards and incidents
• Communicate with patients, families, colleagues, and providers to resolve issues and support professional development
• Collaborate with Pediatric Intensivists and Pediatric Hospitalists caring for Pediatric ICU, Pediatric Advanced Care, and Pediatric Med/Surg patients
• Monitor intake and output of pediatric patients
• Change dressings, insert catheters, and start IVs
• Administer medications using proper barcode scanning
• Notify providers of high-alert laboratory results
• Serve as a mandated reporter for suspected abuse or neglect
• Communicate with patients and families through hourly rounding, bedside reports, and whiteboard updates
• Collaborate with the multidisciplinary team to ensure quality outcomes
• Fulfill departmental competency requirements

RN – CFH Peds/PAC/PICU

Social Worker

• Provide social work services to patients and families to meet identified psychosocial needs
• Enhance problem-solving and coping capacities
• Facilitate timely discharge by arranging post-discharge services
• Assist with new Senior Nursing Facility (SNF) placement
• Address acute social determinants
• Collaborate with healthcare team members to ensure clear communication and care planning
• Investigate cases admitted with no insurance or self-pay to identify insurance coverage and financial assistance needs
• Evaluate patients for abuse or neglect and make appropriate referrals
• Involve patients and families in case planning decisions
• Keep the director/manager informed of problematic cases, especially legal or risk management issues
• Assist and advocate for patients obtaining financial resources and government entitlements
• Provide social work intervention to patients and families
• Provide support and planning in cases of death, adoption, and fetal demise
• Respond to healthcare team referrals to identify facilities and services during and after hospitalization
• Help identify Health Care Surrogates in accordance with the Health Care Surrogacy Act
• Assess uninsured/underinsured patients for Illinois Medicaid and Carle Financial Assistance Program eligibility
• Complete PASRR assessments for discharge to extended care facilities
• Complete mandated reports of suspected abuse or neglect and collaborate with investigating bodies on safe plans
• Arrange transportation for medical appointments or discharge home when possible
• Educate patients about and connect them with community resources
• Provide empathic listening and emotional support in person or by phone

Case Management Social Worker – Inpatient

• Assume responsibility for a group of pediatric patients during a designated time frame
• Provide patient care using the nursing process, nursing trends, technology, and institutional resources
• Perform unit-specific responsibilities and procedures
• Maintain accurate nursing care documentation
• Complete initial patient assessments and develop individualized plans of care
• Implement nursing interventions and patient care procedures
• Continuously evaluate and modify plans of care
• Report or correct safety hazards and incidents
• Communicate with patients, families, colleagues, and providers to resolve issues and support professional development
• Collaborate with Pediatric Intensivists, Pediatric Hospitalists, and the multidisciplinary team
• Monitor intake and output for pediatric patients
• Change dressings, insert catheters, and start IVs
• Administer medications using proper barcode scanning
• Notify providers of high-alert laboratory results
• Serve as a mandated reporter for suspected abuse or neglect
• Communicate with patients and families through hourly rounding, bedside reports, and whiteboard updates
• Ensure quality patient outcomes