Rochester Regional Health

Manager

• Provide management and administrative support to the practice
• Work closely with the Lead Physician and other providers
• Develop business strategies and formulate budgets
• Oversee daily financial, operational, and personnel activities
• Plan, coordinate, direct, and supervise practice operations
• Manage physician practice site(s) using tools and reports to facilitate improvement and ensure compliance
• Review monthly financial performance and develop plans to meet budget
• Participate in annual budget development and maintain adherence to budget
• Recruit, hire, coach, mentor, and terminate non-physician staff in conjunction with Human Resources
• Guide and train staff in daily practice operations
• Perform subordinate staff duties when necessary
• Organize department activities and manage staffing and practice plans
• Maintain standardized workflows and established best practices
• Ensure facility maintenance, safety compliance, and customer satisfaction
• Support the health system's vision and strategic plan and foster staff engagement
• Ensure compliance with patient and employee safety, regulatory, accreditation, and system processes
• Facilitate workflows supporting patient-centered care and quality assurance measures
• Ensure accurate and timely data entry, including demographics, coding charges, statistics, and month-end data
• Supervise charge entry, edit corrections, patient registration, and over-the-counter transactions
• Analyze problems and provide alternatives or resolutions
• Perform other duties as assigned

Practice Manager

Compliance

• Mentor and train less experienced staff
• Support resolution of complex issues and technical questions
• Conduct Corporate Compliance audits, investigations, and training across affiliates
• Guide system administration and RGHS management on compliance with laws, regulations, and contract obligations
• Serve as subject matter expert for building and optimizing the EMR
• Manage projects independently and prepare governmental disclosures
• Facilitate external audits by regulatory agencies
• Coordinate audits covering revenue cycle, financial statements, payments, attestations, grants, employees, contractors, exclusions, and payment agreements
• Interview staff to identify root causes of issues
• Collaborate with healthcare professionals to discuss findings and provide compliance education
• Develop audit reports and present findings to Compliance Director, RGHS Administration, and management
• Develop and assist with implementation of corrective action plans
• Perform follow-up audits to verify monitoring effectiveness
• Analyze government and professional association studies for risk and opportunity
• Identify compliance benchmarks and perform risk assessments
• Monitor regulatory changes affecting departments
• Support new business growth initiatives
• Approve and collaborate on margin improvement initiatives while ensuring compliance
• Provide EMR documentation and workflow training to clinicians
• Design and implement revenue-cycle compliance training for physicians, healthcare providers, HIM coders, and employees
• Manage internal investigations involving fraud, waste, and abuse
• Facilitate corrective action and monitoring in affected departments
• Manage external investigations by OIG, DOJ, OMIG, FBI, Medicare, and third-party payer fraud units

Senior Compliance Coordinator

Social Worker

• Determine patient needs through rounds, chart review, patient/family interviews and team conferences
• Coordinate multidisciplinary and agency case conferences
• Work with care managers to advocate for patient/family to obtain approval for insurance coverage
• Manage referrals related to patients at risk and determine appropriate intervention strategies
• Document social work interventions and psychosocial assessments
• Coordinate assessments and develop care plans in accordance with accepted social work policy
• Implement intervention plans preparatory to discharge or initiate continued care plans
• Evaluate patients for the appropriate level of care when indicated
• Involve patients and families in treatment planning
• Execute mutually agreeable discharge or continued care plans
• Notify involved parties concerning discharge within 24 hours of receipt of discharge authorization
• Request needed paperwork from nursing, doctors, and other disciplines
• Arrange patient transportation where needed
• Act as liaison with the community and as a referral source
• Perform other duties as assigned

Social Worker, QM

Physician Assistant

• Evaluate and manage acute, sub-acute, and chronic clinical needs of older adults
• Collaborate with physicians and interdisciplinary team members to develop individualized treatment plans
• Complete comprehensive clinical reviews of chronic conditions and document in the medical record
• Assess and reassess participant-specific goals of care
• Review specialty recommendations and coordinate appropriate follow-up care
• Attend daily interdisciplinary team meetings and care planning conferences
• Review laboratory results, specialty notes, and diagnostic testing, initiating orders when appropriate
• Complete pre-enrollment visits and support care transitions and discharge planning
• Support approximately 800+ ElderONE participants across community-based sites and home settings
• Partner with Primary Care, Home Care, Extended Care, and other system services to provide coordinated care
• Contribute to PACE program growth through collaboration, quality improvement, process enhancements, and innovative care delivery
• Follow infection control equipment and safety guidelines

Nurse Practitioner

• Evaluate and manage acute, sub-acute, and chronic clinical needs of older adults
• Collaborate with physicians and interdisciplinary team members to develop individualized treatment plans aligned with participant goals, functional status, and quality of life
• Complete comprehensive clinical reviews of chronic conditions and document in the medical record
• Assess and reassess participant-specific goals of care
• Review specialty recommendations and coordinate appropriate follow-up care
• Attend daily interdisciplinary team meetings and care planning conferences
• Review laboratory results, specialty notes, and diagnostic testing, initiating orders when appropriate
• Complete pre-enrollment visits and support care transitions and discharge planning activities
• Support approximately 800+ ElderONE participants across multiple community-based sites and home settings
• Partner with Primary Care, Home Care, Extended Care, and other system services to provide coordinated, person-centered care
• Contribute to PACE program growth through interdisciplinary collaboration, quality improvement, process enhancements, and innovative care delivery
• Utilize infection control equipment and safety guidelines to minimize and prevent exposure to communicable diseases, infectious body fluids, and treatment-related risks

• Evaluate, diagnose, and manage a wide range of sleep disorders
• Develop treatment plans, prescribe medications, and provide patient and family education
• Coordinate care with physicians, behavioral health providers, specialists, and community resources
• Monitor patient progress and optimize treatment outcomes through evidence-based care
• Maintain accurate documentation, coding, and compliance with regulatory standards
• Build long-term relationships with patients
• Collaborate with multidisciplinary teams
• Provide outpatient-focused care

Physician Assistant – Sleep Disorders

Associate

• Greet patients and provide direction as needed
• Perform patient check-in and check-out procedures
• Manage incoming calls and provide necessary information
• Schedule patient appointments
• Complete patient registration according to departmental policy
• Verify insurance eligibility and coverage
• Obtain precertification or authorization when applicable
• Collect and process payments when applicable
• Serve as the first point of contact for patients and their families

Access Associate

Nurse

• Conduct initial patient assessments
• Establish plans of care and provide prescribed treatments and demonstrated nursing abilities
• Coordinate the delivery of 24-hour care
• Counsel and guide individuals and families toward self-help in recognizing and solving physical, emotional, and environmental problems
• Conduct regular patient reassessments
• Maintain complete and accurate clinical documentation
• Supervise and serve as a resource to all home care staff
• Deliver coordinated, compassionate care to ElderONE PACE patients in their homes
• Work collaboratively within a mission-driven team

Registered Nurse, Home Care

Medical Billing and Coding

• Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and ICD-10-PCS codes.
• Apply reimbursement methodologies to assigned charts to optimize reimbursement and/or resolve regulatory edits.
• Resolve billing-process error reports, identify error patterns, and assist with workflow changes to reduce billing errors.
• Review inpatient records to identify and assign diagnosis and procedure codes.
• Utilize Care Connect, UDS, and Clintegrity systems to obtain ICD-10 codes and DRG assignments.
• Formulate compliant Physician Coding Queries when documentation is inadequate, ambiguous, or unclear.
• Correct failed claim errors, billing edits, misclassified accounts, and other audit-identified errors.
• Assist physicians and clinical quality staff with documentation opportunities, coding reimbursement issues, and quality improvement review.

Coder – Outpatient

Representative

• Utilize electronic medical record modules and office equipment to perform clerical tasks efficiently and timely
• Support patient encounters and assist providers including physicians, physician assistants, certified nurse midwives, and nurse practitioners
• Ensure accurate documentation in EMRs
• Maintain communication with the care team, patients, and caregivers
• Schedule appointments and manage referrals
• Handle phone communication and prepare records
• Collect payments
• Support billing and insurance inquiries
• Maintain efficient patient schedules
• Ensure adherence to organizational policies, healthcare regulations, and DNV accreditation standards
• Collaborate with management to resolve clerical issues and improve patient service quality
• Work with St. Lawrence Health System and PPM teams on daily operations, educational programs, and process improvements
• Participate in special projects and promote the organization’s mission and core values

Patient Representative

Technician

• Perform patient-facing respiratory care equipment technician duties in a clinical environment
• Move, push, and pull medical equipment and assist with patient positioning
• Complete fine motor tasks in busy or confined clinical environments
• Monitor patient status and respond to alarms or safety concerns
• Make decisions under pressure and respond to emergencies while maintaining sustained focus