The ST performs the delegated duties that ensure that the OR environment is safe, that equipment is cleaned and functions appropriately, and that the operative procedure is conducted under conditions that maximize patient safety. The ST possesses expertise in the application of sterile and aseptic technique; he/she combines the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to safely facilitate invasive and/or diagnostic procedures. The ST has the ability to manage stressful/unusual situations in a positive manner, and embraces the OHSU Core Competencies (Accountability, Collaboration, Communication, Diversity, Integrity, Respect, Service Orientation, Teamwork) into his/her practice.
Surgical Technologists (ST) are an integral part of the team providing surgical care to patients. Surgical Technologists function in the role of scrub person. Surgical Technologists work under the supervision of the surgeon and the R.N. to ensure that the O.R. environment is safe, equipment functions properly and that the operative procedure is conducted under conditions that maximize patient safety. Must possess expertise in the theory and application of surgical technique, human anatomy, and surgical procedures, implementation of tools and technologies to facilitate safe care of the patient during invasive therapeutic and diagnostic procedures. The surgical technologist role requires extended periods of standing, lifting heavy instrumentation, and potential exposure to Blood Borne Pathogens.
The ST also maintains the unit by stocking delivery rooms, maintaining surgical equipment, managing inventory and additional duties as delegated.
ST's on the L&D unit may also be required to do the following: take and record vital signs; newborn weight measurement; phlebotomy; help with transportation and other duties delegated by a registered nurse.
Centralized Managed Care Denials
- Facilitate monthly meetings with Hospital Billing, Centralized Managed Care leadership, Pharmacy and Clinic Staff
- Create and maintain an organized way for staff/leadership to follow up on outstanding denials
- Run denials and write-off reports
- Analyze root cause and present findings to HB, CM leadership and Clinic Leadership
- Triage accounts in the Follow-Up WQs
- Update charges with missing information
- Partner with the department Supervisor, Manager, Director and Billing Representatives to pursue all possible efforts to mitigate denial and achieve payment for services rendered or scheduled.
- Track activity and provide regular reports to leadership by department, payor and resolution reason
- Identify resources and work plans required to operationally initiate corrective action plans for any trends identified leading to denials.
- Deliver training to staff to ensure risk of denials is reduced to minimal level
- Coordinate activity with Client Service Analyst and Centralized Managed Care Team for synergistic possibilities between of each group and the Incumbent
- Work as part of the interdisciplinary team in planning and implementing new processes or systems at OHSU that may impact the possibility of receiving for pre-service authorizations and/or post service payments.
- Anticipate if payor challenges will occur by reviewing released newsletters, bulletins and websites. Develop proposals for mitigating or eliminating problems, including creating backup plans.
- Incumbent will attend and participate in Centralized Managed Care and Revenue Cycle meetings.
Attend provider workshops to ensure we have up to date info on payer guidelines.
Non-Centralized Denials
- Run denials and write-off report for all departments
- Receive and review denial reports from HB and PB for all departments
- Run reports to show denied referrals to identify trends by payor, department or other metrics
- Evaluate workflows leading to denials
- Determine best practice workflow and work with leadership to make changes as required to lower denial rate.
- Point of contact for HB billing when denials arise and action needs to be taken.
- Lead process improvement projects that will identify system or workflow changes required to optimize authorization and payment rates by reducing denial potentials. Maximize system efficiencies, reduce operational costs, improve accuracy and improve reimbursement outcomes.
Provide training to responsible staff which will reduce the risk of denials
Centralized Managed Care and Insurance Verification
- Review incoming referral orders to assess patient’s needs based on diagnosis, insurance coverage or lack thereof, and previous treatments. Referrals may be received internally via Epic or externally via fax or other methods.
- Verify patient information including demographics, insurance coverage and financial status. Confirm patient eligibility for health care coverage and clarify any managed care arrangements. Document any details related to liability insurance (i.e. motor vehicle accident, personal injury, or worker’s compensation) to determine third party liability.
- Obtains benefit information including current eligibility, deductible or co-pays, co-insurance, stoploss or out of pocket status, authorization requirements, PCP referral requirements, days approved (for routine admissions), and correct billing address.
- Document information based on department protocols in the Epic Referral shell.
- Work closely with referring providers to obtain necessary insurance referrals and authorizations.
- For urgent/emergent admissions, provides admit information and sets up authorizations and/or PCP referrals. Contacts care-management to provide clinical review and obtain length of stay.
- For routine admissions, confirms that the authorizations and/or PCP referrals cover the designated admission. If authorizations and/or PCP referrals are not noted in the system, contacts the Managed Care Coordinator from specialist’s office requesting the admission for follow up with the designated insurance company.
- Send notification of admission for urgent admissions.
- When appropriate, obtain authorizations for all clinical care, procedures, diagnostic studies, medications, outpatient infusion treatment, and inpatient admissions including notifying insurance upon admission.
- Follow up on all pending authorizations and/or PCP referrals until accounts are secured.
- Maintains current information on managed care insurance plans and serves as a liaison and information resource for patients, referring physician offices, and other OHSU staff. Applies problem solving and negotiating skills in resolving patient concerns and managed care related issues.
- Collects detailed information of trauma admissions (motor vehicle accident, personal injury, and/or worker’s compensation) to determine accident-related liability.
- Appropriately codes insurance plans in EPIC system for billing purposes.
- Work directly with insurance companies, the denial coordinator and the clinical staff and/or provider to supply necessary information to appeal denied claims and/or authorization requests as applicable
- Appropriately code insurance plans within EPIC system for billing purposes.
- Provide backup support for other Managed Care coordinators within the Centralized Managed Care & Price Estimates department.
- For self-pay patients, complete duties associated with financial assistance determinations such as above/below the line. Including connecting patients with necessary social work or financial counseling to assist in the coverage process.
- Complete necessary forms prior to upcoming procedures, admissions, and/or appointments (i.e. Non-Covered Charges Form (NCCF), Advanced Beneficiary Notification (ABN) or Patient Financial Estimate (FE)) as required
Patient Liability Estimates:
- Review work queue for patients that need an estimate created
- Document information based on department protocols in the Epic referral shell
- Create a Patient Liability Estimate
- Complete accurate pre-registration via phone as applicable
Customer Service:
- At all times must exemplify high quality customer service to both external customers as well as internal customers that meets or exceeds the service standards as set by OHSU. This duty includes prompt and professional communication efforts, high level conflict resolution, flexible coverage of internal service needs, continuous application of process improvement methods and skills, crisis management, & developing a standard complaint process for process improvement.
Contact the patient prior to service to inform them of their estimate and collect any pre-payments at that time
Work directly with the patients and clinical team to ensure patient is knowledgeable and understands their insurance benefits and/or financial obligations.
- Provide high quality customer service to all internal and external customers This includes communicating accurately, openly, supportively, in a timely manner, and extending special attention and sensitivity to all patients, visitors, and fellow employees. Assist in maintaining an atmosphere of cooperation within the department, as well as with other departments and allied professionals. Demonstrate respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter-personal conflicts. Must demonstrate superior face to face customer contact skills, remain calm and resourceful during crisis management or other difficult situations, and manage standard complaint processing. Required to learn and maintain skill with available information technology, and remain current with changes to departmental procedures and new information.
- Reviews financial application and attached documentation submitted by patients to determine that all required information is provided and is completed properly. For any incomplete applications, returns with letter of explanation outlining incomplete information or lacking verification documents.Requests and reviews additional documentation of financial information regarding ability to pay, eligibility, or financial allowances. Provides information, clarification, and interpretation of financial policy and procedure to assist patients in completing the financial application and understanding the basis for decisions made. Analyzes applications with regard to supportive documentation, Oregon residency rules, account history, and determines action based on departmental guidelines in conjunction with income inclusion and exclusion criteria.
- Assigns liability percent based on assessment and documents on the registration computer system for hospital and physician practice billing services. Mails a letter of approval with financial allowance information to the applicant, or mails a letter of denial of allowance if patient did not qualify for a discount
- Refers those patients who show potential elgibility for Oregon Health plan or Washington Medicaid to contact internal Financial & Medicaid Specialist group to assist with the application process.
- Notifies billing office of the retroactive assignments of any approved financial allowance.
- Assures that the financial application, verification documents and Liability Determination Worksheet have been scanned into the document imaging system.
- Maintains a database on the information and disposes of originals using the confidential recycling bin.
- Gather and/or verify patient information including demographics, guarantor, emergency contacts, insurance coverage, and financial status when applicable. Verify patient eligibility for health care coverage and enter appropriate insurance plan information accurately. Provide financial screening for low income or non-sponsered patients and refer patients to Medicaid programs or send a charity care application when appropriate.
The purpose of this clinical research position is to support the ongoing projects investigating placental function. This position requires a hardworking, dedicated individual who can work independently. This person will spend a big portion of their time collecting and processing human placentas. This individual will also be responsible for clinical, administrative, and educational research activities related to the management of patients on clinical trials; data entry/reporting, analysis and problem solving. Good communication skills and the ability to interact effectively with investigators/staff and collaborators as well as excellent organizational skills are a must. Computer experience in Microsoft Word and Excel required. The appointee shall provide services as assigned by the supervisor in furtherance of the university’s missions and goals of teaching, research, patient care, outreach and public service. Appointee will participate in the on call schedule including intermittent, weekend, and holiday coverage. Position may require travel to off-site partnership locations around the state of Oregon. This is a night shift position.
Placenta Processing
Follow oral and written protocols to process placental tissue, blood, CSF and urine samples
Data Manaement and Abstraction
Maintenance and submission of patient data and preparation for quality assurance audits and monitoring. Data abstraction for MFM databases and all assigned studies. Data management on assigned studies including REDCap.
Clinical Trials Management
Supervision of women’s health clinical research trials at OHSU and other affiliated hospitals including maintenance and submission of patient data, analysis and evaluation of protocol activities, maintenance and preparation for quality assurance audits . Also includes all data management on assigned studies.
- Psychological outpatient diagnostic assessment and treatment
- Individual counseling
- Counseling Psychology
- Collaboration with a clinical team on treatment plans
PROVIDES SKILLED REHABILITATION TREATMENT
- Prioritizes care needs given medical necessity, discharge plan, medical stability and appropriateness to participate in rehabilitation
- Performs and documents skilled patient care activities, including direct treatment and caregiver/patient/family education
- Monitors and adjusts treatment plan specific to patient progress
- Facilitates routine patient activity plans with nursing and other caregivers
- Updates recommendations to team regarding continuing rehabilitation needs and plan as patient’s condition and situation warrant
- Directs, supports and provides supervision as required for PTA’s, Aides and volunteers
- Develops and enhances patient care program and patient outcomes in specialty area
- Documents treatment and other patient contacts in patient's medical record in compliance with JCAHO, OHSU, OAR’s and third party payer criteria
CARE COORDINATION
- Collaborates with the patient, family and medical team in multi-disciplinary patient rounds, ensuring a common level of understanding of the patient’s rehabilitation needs, and providing recommendations for rehabilitation after discharge
- Requests patient /family conferences as appropriate, and participates in conferences representing department, heightens awareness of and advocates for rehab needs of patient
- Enhances patient safety both during and after hospitalization by assisting the team in problem-solving, including but not limited to fall risk reduction, prevention of contracture, implementation of structured activity for patients with cognitive impairments
- Provides feedback and educates physicians, fellows, residents, and other health care providers about rehabilitation (including but not limited to medical necessity for skilled rehabilitation services and appropriate referrals, and expectations for rehabilitation outcome and rehabilitation service intensity at various levels of care)
CLINICAL EDUCATION
- Provides evidenced-based clinical instruction experiences and supervision for physical therapy students and physical therapist assistant students, typically in a backup role to full time CI’s
- Ensure student completion of weekly goals; identifies and facilitates achievement of affiliation objectives
- Provides regular feedback, completes CPI on schedule
- Participates in the supervision and training for students from other disciplines
This position is responsible for performing a wide variety of administrative tasks in support of the Division of Neuroscience at the Oregon National Primate Research Center (ONPRC). This person will provide administrative support to multiple staff including scheduling meetings, arranging travel, assisting with purchasing and expense reconciliation, and aiding with grant applications and annual reports. Position distinguished by the variety of duties and ability to make decisions based on knowledge of OHSU policies and procedures. The successful candidate will have problem-solving skills; flexibility and ability to establish priorities; ability to track multiple tasks and projects through various stages of development and implementation; and the variety/volume of confidential and business-sensitive documents
Direct patient care 40% of FTE.
Personnel Management
- Directs supervision of all physical therapists for sports / spine team.
- Interviews, hires, orients, and trains employees under own supervision
- Coordinates with Human Resources for recruitment and required processing of position changes
- Communicates performance expectations, develops work plans and takes disciplinary actions for performance issues
- Monitors successful completion of competencies, proposes salary increases, assigns and approves work
- Analizes scheduling efficiency, productivity and coordinates with manager and teams in problem solving, provides follow up to improve variances.
- Assists employees with problem identification and resolution.
Customer Service
- Maintains high quality customer service to both external customers (patient, referring providers, insurance carriers) and internal customers (OHSU health care providers and staff) that meets or exceeds the service standards of the health care industry.
- Ensures prompt and professional communication efforts, crisis management and conflict resolution skills.
- Facilitates positive intra-organizational relationships through joint projects.
- Responds pro-actively in standard complaint processing.
Quality and Performance Improvement
- Participates, leads and coordinates continuous quality improvement which enhances clinical practice, the administrative process, and development of staff so that value added services are provided.
- Works with assigned staff to develop and support related group and individual work to optimize care, work life and communication within the unit and throughout the organization.
- Assures communication to and from administration and other disciplines to service line.
- Partners with physicians and other disciplines in the achievement of patient care goals.
- Adheres to OHSU Code of Conduct and all Hospital, Clinic and Rehabilitation Therapy Services Policy and Procedures.
- Participates as a member of the departmental compliance program.
- Maintains core competencies and demonstrate continuous application of these skills throughout the period of employment.
The Staff Psychiatrist will provide patient care in an inpatient setting. This is a unique opportunity for a creative, energetic psychiatrist to treat, teach and advance their academic interests.
The appointee shall provide services as assigned by the supervisor in furtherance of the university’s missions and goals of teaching, research, patient care, outreach and public service.
Academic rank begins at the level of Assistant Professor and may be higher, depending on credentials. This posting is being used to fill multiple positions.
- As part of the EASA Center for Excellence team, provide training, technical assistance, and consultation in early psychosis intervention service delivery protocols and fidelity review processes at national, state, regional and local levels.
- Work as part of team to evaluate effectiveness of efforts, integrate emerging knowledge and develop ongoing improvements in early psychosis intervention, implementation and training in Oregon and partner states. Work as part of team to implement focused research and curriculum development as needed.
- Work as part of team to design targeted program development efforts, research studies, procedures, and day to day operations in support of training and technical assistance quality improvement, research goals of priority interest to communities, and grant commitments.
- Systematically engage and integrate feedback from EASA participants, staff and community stakeholders through a culturally humble, anti-racist and trauma-informed approach.
- Integrate data to monitor results with a focus on cultural adaptations, work with local teams on process and outcomes, and develop and implement modifications to address any technical or design issues in protocols and training efforts.
- Write for publication as needed.
In this position you need the ability to effectively communicate and collaborate with clinical researchers and data warehousing staff to translate scientific questions into database queries and result sets. The RDW Analyst/Informatician will be key personnel interacting with clinician scientists and translational researchers to determine data requirements needed to fulfill scientific research needs and ensure that data requests are in compliance with all applicable regulatory requirements. Additional responsibilities include implementation of new data sources (e.g., wearables, social determinants of health) and structures into RDW, training clinicians in proper research data handling procedures and collaboratively interacting with researchers and staff. ETL knowledge and experience is a plus. Experience within an Oracle or MS SQL Server environment and candidates who have obtained a certification from Epic for Clarity, Caboodle, or other data oriented Epic certification are preferred. This position will supervise the RDW Analytics team.
Candidates must have three years of experience designing and implementing complex software applications in PHP or Java. Experience with RESTful Application Programming Interfaces (APIs) and working with data generated by electronic medical records is required. Design and development experience with Fast Healthcare Interoperability Resources (FHIR) is strongly preferred. Candidates must be able to demonstrate a history of self-motivated and detail-oriented work. Candidates must be comfortable working both independently and collaboratively and must have strong oral and written communication skills. A strong commitment to exceptional customer service is required. Excellent interpersonal skills, including the ability to communicate clearly, positively and effectively is required.
Clinical Responsibilities include work as a Neurohospitalist at St. Charles Medical Center in Bend, Oregon. Assignment includes 24 weeks of 12-hour daytime shifts per year. Nightime teleneurology and telestroke responsibilities to be agreed up by you and the Department Chair and OHSU Stroke Medical Center.
Possibility of participation in medical student and resident teaching education in collaboration with the Department of Neurology. Scholarly projects in collaboration with OHSU Neurology sub-specialty programs as deemed appropriate.
Participate in Departmental activities consistent with this position may be assigned based on departmental needs and area of expertise, interest or serve on other institutional committees.
- Biochemistry work. Recombinant protein preparation, perform binding assay and other biochemistry assay.
- Crystallization and cryo-EM data collection.
- Molding building and structure interpretation.
Searching for either a Research Associate -OR- Senior Research Associate to join a laboratory that is studying the central nervous system mechanisms of involuntary weight loss and wasting (cachexia) during the development of cancer. The project involves the use of in vitro and murine models to understand the impact of peripheral cancers on autonomic nervous system function in the periphery. This project also has an associated clinical trial that will provide samples and data to confirm the basic hypotheses generated in the preclinical work. This NIH-funded study will define mechanisms of autonomic nervous system plasticity in the setting of chronic stress and inflammation, and will test novel therapeutics to address this debilitating condition.
Generous Hiring Bonus and Relocation Package Available. This unit is hiring Associate's prepared nurses! BSN program must be started within 3 years of hire and completed within 5 years. OHSU has outstanding education reimbursement programs that will drastically cut education expenses.
This position comes with amazing benefits. Highlights include:
- Comprehensive health care plans. Covered 100% for full-time employees and 88% for dependents.
- $25K of term life insurance provided at no cost to the employee
- Two separate above market pension plans to choose from
- Vacation- 192 to 288 hours per year depending on length of service, prorated for part-time
- Sick Leave- 96 hours per year, prorated for part-time
- Holidays - up to 64 holiday hours per calendar year (employees accrue .0308 holiday hours for each hour paid)
- Substantial Tri-met and C-Tran discounts
- Tuition Reimbursement
- Innovative Employee Assistance Program (EAP)
The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.
To access the RN Role Description and Department Specific Requirement Addendums go to the TTP Program webpage: https://www.ohsu.edu/nursing-careers/transition-practice-ttp-program
Additional information on participating departments can be found on this webpage
Hiring Bonus and Relocation Package Available
- Part time: 12 hour shifts, every third weekend; Wk 1: M, Su; Wk 2: F, Sa; Wk 3 W, Su; Repeat. Nights; 7pm - 7:30 am*
*Start times and days may vary if operational needs change
The ED is responsible for assessing patient needs, planning and coordinating interventions and consultations. Procedures and treatments provided in the ED include but are not limited to: placing venous access, drawing bloodwork, medication, fluid and blood administration, radiography, extremity splinting and reduction, laceration repair, moderate and deep sedation, ultrasonography, intubation, cardioversion, D&C’s, sexual assault exams, cardiopulmonary resuscitation and imminent deliveries. Patient population and diagnoses vary from minor to critical care and include: chest and abdominal pain, extremity injuries and trauma, migraine, overdose, seizure, dehydration, heart failure, respiratory distress, acute stroke, acute STEMI, acute psychosis/psychological emergencies, infection, and sepsis. Patients may frequently present with alcohol or drug abuse history, and complex medical histories. The ED Team works determine if the patient requires admission or discharge with resources and referrals. The nurse-to-patient ratio is 1:1 or 1:5 based on the patients dynamic stability and acuity.
The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.
- Provide continuing care and monitoring of ED patients who present with psychiatric emergencies.
- Collaborate with the multidisciplinary team on each patient’s plan of care.
- Create and maintain a safe environment for patients and staff.
This position is under the direct supervision of the chair of the Department of Oral and Craniofacial Sciences , Laura Iwasaki.
Primary responsibilities include didactic, pre-clinical, and clinical teaching at pre- and post-doctoral levels. Other activities may include academic program advising, specific and general scholarly projects, professionally related public service, departmental and institutional administrative activities, student support service activities, course and curriculum planning, and research and development.
Postdoctoral positions are available for a newly NIAAA-funded study in the Division of Neuroscience at the Oregon National Primate Research Center at the Oregon Health & Sciences University. This project is a collaboration between the laboratories of Drs. Chris Kroenke, Elinor Sullivan, and Verginia Cuzon Carlson. Together, our group is studying the effects of prenatal ethanol exposure in a non-human primate model of fetal alcohol spectrum disorder. The experiments proposed include magnetic resonance imaging, ex vivo slice electrophysiology, and primate behavior including the assessment of normative behavior, cognition and emotional regulation. Responsibilities will include assisting at multiple phases of the study, including data collection, data analysis, and results dissemination by publications and presentations at national meetings.
Candidates with expertise or prior experience in one of the following areas (and a strong desire to develop additional skills in at least one additional area) are especially encouraged to apply: behavioral models of learning and motivation, models of alcohol use disorder, developmental neuroscience, ex vivo slice electrophysiology, neuroimaging data and/or computational neuroscience.