Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

Kettering Health Dayton

• Kettering Health Dayton, formerly Grandview Medical Center, has been providing care to Dayton and surrounding communities for over 90 years.
• Over 20 specialties, including orthopedics, heart and vascular, surgery, and trauma services.
• KH Dayton expanded their Emergency Department as well as their heart & vascular services to include an additional catheterization lab and electrophysiology lab.
• Partners with Gem City Market to provide fresh fruits and vegetables every Tuesday within the hospital. 
• One of the largest osteopathic teaching hospitals in the United States.
• 371 bed facility
• Over the past several years, KH Dayton has received many awards, including:
  • Top 100 Hospital
  • Patient Safety Excellence Award from Health grades in 2019.
  • Received an “A” from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States.

Minimum Work Experience 

• Strong knowledge or prior experience in payor communication/requirements and troubleshooting processing
  
• Medical Terminology
  
• 3-4 years experience Clerical office or hospital clerical or care delivery
  
• Up to 1 year experience in Healthcare either in a hospital or community agency

Required Skills 

• Advanced Computer skills including Data entry; Microsoft Office(Word, Excel)
  
• Oral and written communication skills
  
• Data entry and results reporting
  
• Office organizational skills
  
• Medical Terminology

Essential Functions 

• Works under direction of Care Management (CM) RN and Social Worker (SW) who delegates tasks and continues to monitor progression and completion.
  
• Assists with making referrals as directed by the RN CM and SW for post- acute care including but not limited to Home Health, Durable Medical Equipment, Skilled Nursing, Assisted Living, etc.
  
• Alerts the appropriate staff members when patients have been accepted to post-acute level of care or services
  
• Assists the RN CM or SW in communicating with insurance companies regarding barriers to authorization of post- acute needs.
  
• Assists the RN CM or SW to determine financial/payer status working with Registration and Financial Counselor/Assistants.
  
• Utilize effective communication skills and engagement with interpersonal skills in interactions with patient’s family and healthcare team.
  
• Performs clerical functions related to discharge planning process such as faxing, copying, discharge packets, etc.
  
• Schedule follow up care or appointments as directed by the RN CM.
  
• Delivers the Important Message from Medicare (IMMs) as directed by RN CM and SW
  
• Supports RN CM and SW by assisting with completion of forms as needed

Functional Demands 

• Support Quality Initiatives under the direction of department leadership
• Demonstrate customer focused interpersonal skills, utilizing problem solving process.
• Communicate, resolves or when appropriate escalates to social worker barriers with work flow and processes.
  
• Performs other duties as assigned; for example, participation in planning sessions for departmental activities.
  
• Assists manager and SW supervisor as needed with clerical and office management including organizing data collection and record keeping.
  
• Navigates several software programs to assist team.
  
• Communicates using email; teams chat; text being available timely.

Organizational Expections

• Coordinates or arranges transportation for the patient’s discharge to include medical transport, Circulation Lyft, RTA bus passes, taxi, etc.
  
• Obtains necessary insurance authorization for transportation
  
• Maintain licensure by obtaining CEUS if appropriate.
  
• Attend appropriate workshops, inservices and departmental meetings

• Associate degree. Equivalent experience accepted in lieu of degree.