Wellstar Health System

Manager

• Provide clinical home hospice care and travel daily to multiple hospice patients in the Wellstar territory
• Assume primary responsibility for terminally ill patients and caregivers using the nursing process
• Coordinate care with physicians, the Hospice Medical Director, and the interdisciplinary team
• Evaluate and coordinate services from clinical care partners, social workers, chaplains, bereavement coordinators, volunteers, pharmacies, DME providers, and contracted personnel
• Provide ongoing patient and family contact through phone calls and visits
• Educate patients and caregivers on disease processes, symptom management, medications, nutrition, and signs of impending death
• Manage medications and assess symptoms, medication effectiveness, disease progression, safety, caregiving adequacy, abuse or neglect, and suicide risk
• Update individualized plans of care and facilitate changes in level of care or transfers to hospice facilities
• Conduct physical assessments, consult physicians, and pronounce patients at death
• Participate in interdisciplinary meetings, family conferences, case studies, performance improvement activities, committees, hiring, orientation, education, peer review, and case study analysis
• Develop and supervise hospice aide personal care plans
• Maintain electronic medical records and medical components of care plans
• Monitor nursing care quality, safety, infection control, customer satisfaction, and complaint resolution
• Serve as a clinical resource for PRN RNs, on-call RNs, LPNs, and CCPs
• Comply with Wellstar policies, standards of work, code of conduct, state and federal licensure guidelines, and JCAHO standards
• Perform other duties as assigned

RN Case Manager, Home Hospice – Fulltime, Day

Auditor

• Conduct independent audits of professional fee coding
• Review medical record documentation to verify that clinician-selected codes are supported
• Ensure coding assignments comply with federal regulations, guidelines, organizational policies, and professional standards
• Prepare and communicate clear, accurate audit findings to physicians and charge review staff
• Reference authoritative coding and compliance guidance in audit findings
• Lead meetings with providers to review audit findings and recommend improvements
• Research coding and compliance issues
• Respond to coding inquiries from providers and coding staff
• Schedule meetings with providers
• Assist in creating and updating coding reference materials and presentations
• Provide ICD-10-CM and EMR documentation training to physicians
• Pursue professional education and maintain relevant certifications
• Communicate trends, issues, and assistance needs to management
• Maintain accurate records of time spent on assignments

Coding Compliance Auditor, Educator

Physician

• Report to and be accountable to the Chief Medical Officer
• Impact quality, utilization, patient satisfaction and efficiency metrics through Performance Improvement and education initiatives
• Conduct clinical reviews for commercial payers and Medicare Advantage plans
• Assess appropriateness of care and proper level of care
• Ensure quality patient care, effective and efficient utilization of healthcare services, and regulatory compliance
• Intervene on practice patterns, behaviors and documentation issues affecting standards, resource stewardship and patient rights
• Help lead efforts to reduce avoidable readmissions
• Collaborate with physicians, advanced practice professionals, nursing, ancillary personnel and administrative leaders
• Support Performance Improvement, Resource Utilization and healthcare management education
• Work with the CMO and Quality Director or Manager on quality improvement initiatives and annual hospital goals

Physician Advisor

• Provide clinical services to patients consistent with training and expertise
• Provide care in outpatient or inpatient settings, or both
• Document clinical care
• Complete documentation and tasks necessary for billing and other administrative functions
• Perform other duties as assigned

Physician – Hospital Medicine

Claims Specialist

• Prepare and submit clean electronic and paper claims to third-party payers
• Analyze, research, and independently resolve claim submission edits and payer rejections
• Obtain information from medical records and apply CMS rules, CPT coding guidelines, and departmental procedures
• Follow up with clearinghouse Change Healthcare and address support issues
• Coordinate patient eligibility processes through third-party sources
• Document and explain billing activity in the patient accounting system
• Identify and resolve patient billing issues and manage denial and insurance follow-up
• Attach payer-required documentation and mail paper claims
• Issue adjusted, corrected, and rebilled claims
• Resolve payer rejections, ICN claim errors, Master File errors, retro-review issues, transfer work queues, and miscellaneous work queue errors
• Review and override external clearinghouse edits
• Complete Railroad Medicare claim submissions
• Identify opportunities for system and process improvement
• Maintain patient confidentiality and privacy in accordance with HIPAA
• Communicate professionally with patients, families, peers, healthcare teams, HIM, Revenue Integrity, Patient Access, Patient Financial Services, and referral agencies
• Attend staff meetings, in-services, and continuing education
• Assist with special projects and performance improvement initiatives
• Maintain required competencies and comply with Wellstar policies, standards of work, and code of conduct

Billing and Claims Specialist

Analyst

• Provide advanced system-level support for multi-user clinical or financial applications, operating systems, hardware, software, and reporting tools
• Install, configure, maintain, and support complex systems
• Train end users and outside departments on current applications
• Apply advanced systems analysis knowledge
• Lead and participate in project planning sessions
• Establish project goals, milestones, procedures, roles, and responsibilities
• Acquire project resources and coordinate projects throughout Wellstar
• Monitor project progress and identify, mitigate, and communicate issues and risks
• Manage multiple projects with varying levels of complexity
• Work closely with project leaders to meet project deadlines
• Promote excellent customer service and strong communication to ensure software application success
• Collaborate with Information Systems staff, clinical and operational departments, and other Wellstar personnel
• Follow on-call, incident management, change management testing, and timekeeping processes
• Provide project updates on progress and outstanding issues
• Support Wellstar's vision, mission, and credo
• Pursue continuous learning, mentor team members, and share professional knowledge
• Perform additional duties as assigned
• Comply with Wellstar policies, standards of work, and code of conduct

Senior Application Analyst – Epic Willow Certified

• Provide critical care services as a full-time Critical Care Intensivist MD/DO
• Work in a 100% Critical Care position
• Follow a 7 on/7 off schedule
• Work 3–4 weeks of night shift per year due to rotation with team
• Use Epic EMR
• Rotate between Kennestone Hospital and Cobb Hospital
• Cover Douglas and Paulding Hospitals as needed

Physician – Critical Care

Insurance

• Verify patient information and confirm insurance payer plans are current
• Research EPIC history for recent payer information when insurance is absent
• Contact physician practices or patients to obtain coverage information
• Escalate issues for approval to prevent patient service delays
• Respond professionally to patients, clerical staff, and insurance companies
• Update accounts while maintaining accuracy and confidentiality
• Collect estimated self-pay balances and arrange payment with guarantors
• Complete financial evaluations and identify patients lacking adequate insurance
• Determine potential eligibility for financial assistance programs, including Medicaid
• Refer patients and guarantors to outside funding assistance
• Contact scheduled patients before admission to obtain information and explain financial policies
• Interview inpatients and selected self-pay outpatients to verify insurance and financial information
• Document collection activity, patient interactions, referrals, and account balances
• Coordinate financial counseling with registration, utilization review, nursing, social services, and patient financial services
• Verify insurance coverage, benefits, copayments, deductibles, and out-of-pocket maximums
• Assist with prior authorizations and verify demographic and payer information
• Track and follow up on outpatient authorizations
• Process explanations of benefits and authorizations
• Resolve insurance verification, coverage edits, and payer denials in work queues
• Meet productivity quotas and report self-pay collection results
• Answer incoming calls and follow through on requests
• Maintain courteous working relationships and provide professional customer service
• Perform mandatory training, attend selected departmental meetings, and complete other assigned duties

Insurance Verification II – Part Time – Virtual

Nurse

• Provide compassionate patient care
• Support patient needs in a collaborative environment
• Deliver patient care under physician direction
• Assist with treatments
• Coordinate follow-up care

Licensed Practical Nurse, LPN

• Function under the direction of the Physician, Nurse Supervisor, and Practice Manager
• Recognize patients' needs and symptoms in advance
• Provide patient care under the physician's direction
• Prepare patients for examinations
• Assist during treatments
• Coordinate tests and follow-up care
• Record treatment in the medical record
• Assist with patient and family education
• Demonstrate competency and skills to serve patients of all ages

Licensed Practical Nurse – LPN

Physician Assistant

• Provide patient-centered clinical and administrative support to physicians and healthcare professionals
• Gather and record vital signs and other pertinent patient information
• Prepare patients, rooms, and equipment for physician/APP visits and treatments
• Assist physicians/APPs with patient treatment
• Carry out orders generated from office visits and respond to patient requests
• Coordinate tests and follow-up care
• Record treatment in the medical record
• Maintain patient safety and support a positive patient experience
• Assist with front-office operations, including check-in, check-out, scheduling, and other non-clinical functions
• Collaborate with providers, nurses, and clinical staff to ensure continuity of care
• Participate in huddles, staff meetings, workgroups, committees, and quality-improvement initiatives
• May precept and assist with onboarding or training new team members, trainees, or students
• Support efficient use of medical supplies and medications and alert supervisors when supplies are low
• Provide staffing coverage for absences, vacation, and leave
• Perform other duties as assigned

Certified Medical Assistant, CMA

Software Engineer

• Perform project-based work and operational support at the system and facility level
• Progress high-value performance opportunities aligned with Wellstar's strategic goals
• Analyze, develop, and improve healthcare processes and operations
• Facilitate assigned process improvement initiatives, data analyses, and discussions
• Participate in the development, coordination, and administration of evidence-based practice process improvement initiatives and activities
• Partner with internal customers, project sponsors, and project managers to ensure benefit realization
• Establish project goals, expected benefits, timelines, and key milestones with directors and business owners
• Drive projects through completion with guidance from Industrial Engineering staff
• Collaborate with industrial engineering resources, performance improvement staff, and EPMO team members on current-to-future-state design, change management, implementation planning, simulation, and statistical modeling
• Perform other duties as assigned

Industrial Engineering Co-Op

• Provide employee health nursing services at Wellstar MCG Health Columbia County Medical Center Hospital
• Work the day shift
• Serve patients with compassion and pursue excellence in healthcare
• Contribute to Wellstar's mission of enhancing the health and well-being of every person served

Registered Nurse, Employee Health

Financial Planning and Analysis

• Serve as a strategic financial advisor to operational, clinical, and executive leadership
• Partner with service line leaders, practice managers, physician leaders, and department directors
• Lead annual budgeting, forecasting, and long-range financial planning processes
• Develop financial models for strategic initiatives and operational decisions
• Prepare monthly financial reports, performance dashboards, and management reports
• Analyze variances between actual, budget, and forecasted results
• Identify risks and opportunities affecting financial performance
• Serve as the primary finance liaison for assigned departments, clinics, service lines, or business units
• Translate complex financial data into actionable recommendations
• Support operational, productivity, and financial objectives
• Analyze staffing, labor productivity, volumes, reimbursement, and expense trends
• Identify cost reduction and revenue enhancement opportunities
• Support corrective action plans for unfavorable variances
• Monitor performance against key performance indicators
• Prepare business cases for new programs, services, providers, capital investments, and facility expansions
• Conduct ROI, breakeven, profitability, trend, bridge, and scenario analyses
• Evaluate physician recruitment and compensation financial impacts
• Support mergers, acquisitions, and strategic growth initiatives
• Ensure financial data integrity and accuracy
• Present findings and recommendations to senior leadership
• Perform other duties as assigned
• Comply with Wellstar Health System policies, standards of work, and code of conduct

Finance Business Partner

Systems Engineer

• Support operations of financial systems and technologies, including Workday, UKG, and OnBase
• Support system upgrades, ensure data integrity, resolve user issues, and optimize financial system processes through automation and technical solutions
• Provide system consultation, guidance, and support to Finance and stakeholder groups
• Serve as point of contact and subject matter expert for Workday functional areas including Accounting, Accounts Payable, Payroll, Treasury, and Financial Reporting
• Support configuration changes and recommend process improvements and innovative solutions
• Partner with IT resources and third-party consulting firms on cases, testing, business process changes, and production approvals
• Coordinate system updates, enhancements, testing, validation, and overall system performance
• Communicate case and project status and ensure timely issue resolution
• Maintain Workday Finance data integrity and complete data correction, organization move, and position update requests
• Serve as Finance Systems Administrator for Workday Finance workstreams
• Troubleshoot and independently resolve issues caused by process breakdowns
• Support month-end close and maintain the Workday close schedule
• Maintain FDM structures including ledger accounts, spend categories, cost centers, locations, companies, and cost center managers
• Back up the maintenance, running, and troubleshooting of allocations and EIBs
• Create or load EIB files in Workday and perform data validation
• Train Finance users on Workday functionality, system security, user access, and system changes
• Create General Ledger user job aids
• Partner with Finance leaders and stakeholders to develop and enable solutions, implement solutions, and coordinate or lead projects
• Comply with Wellstar policies, standards of work, and code of conduct