Health Services Operations Specialist, Post - Acute

Overview / Summary The Health Services Operations Specialist, Post-Acute, plays a vital role in enhancing operation efficiency, workforce management, regulatory compliance, and resident experience. Job Responsibilities Develops and maintains staff schedules ensuring compliance with staffing ratios and organizational policies. Manages team member call‑ins, no‑shows, and shift adjustments. Aligns with leadership on staffing census and acuity levels. Monitors scheduling hours, overtime, and staffing‑to‑Resident ratios to support budget and compliance. Performs administrative compliance tasks, digitizes appointment scheduling, coordinates resident follow‑up appointments, orders, and referrals. Coordinates transportation logistics for resident appointments, including scheduling, documentation, and communication with providers. Manages logistic schedules for residents and monthly SMV schedule. Submits claims for nursing home‑provided non‑emergency medical transportation (NEMT) using HCPCS codes via the 1500 Health Insurance Claim Form of the 837 Health Care Claim: Professional transaction to Forward Health. Prepares and identifies invoices for private‑pay patients or their legal representatives for transportation services. Ensures Center for Medicare and Medicaid Services (CMS) compliance for discharge planning and documentation. Proactively schedules residents’ health‑care appointments such as specialty visits, dental, and wellness to ensure residents’ care needs are met and mitigate compliance concerns/risks. Confirms team member credentials, licensing, and certifications on a regular basis for accurate compliance. Supports team member training initiatives for completion. Oversees inventory and supply ordering across multiple post‑acute departments within an electronic spend‑down system while maintaining budget. Coordinates with vendors to prevent stockouts and reduce waste. Responds to department and resident inquiries regarding product information in the ThedaCare item master. Responsible for new item builds using templates and maintaining data integrity. Facilitates daily morning meetings and coordinates action items within Froedtert ThedaCare departments. Communicates and aligns across departments for reporting purposes and follow‑up as necessary. Meets new residents and/or interdisciplinary teams within 72 hours of admission to screen and collaborate on clinical and social discharge needs, begin the discharge planning process, document findings in the medical record, and enable the CMS‑required interdisciplinary care planning process. Monitors satisfaction surveys for residents and family members. Partners with leadership to provide recommendations and best practices for improving resident satisfaction survey results. Ensures resident concerns are addressed with leadership for accurate follow‑up. Qualifications High School diploma or GED preferred. Must be 18 years of age. Three to five years of experience in a skilled nursing facility or acute care setting. Completion of a state‑approved Social Work Designee course within six months of hire. Work Environment Works in a climate‑controlled office environment. Routine sitting with movement throughout office space. Possible exposure to communicable diseases and hazardous materials. Uses computers throughout the work day. Flexible remote working aligning with business needs. Qualities Ability to support, advance, and live the organization’s mission: To advance the health of our communities through excellence and discovery, inspiring each person to live their unique best life. Schedule & Location Scheduled weekly hours: 36. Scheduled FTE: 0.9. Location: Peabody – Appleton, Wisconsin. Overtime exempt: No. Worker shift details: Days. Equal Opportunity Employer ThedaCare is an Equal Opportunity Employer. ThedaCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, ancestry, color, religion, sex, gender identity, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law. #J-18808-Ljbffr ThedaCare