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Patient Care Coordinator

2 months ago

Corpus Christi, Texas, United States PAM Health Full time

Healthcare Case Management Specialist at PAM Health

The Healthcare Case Management Specialist plays a crucial role in orchestrating care for a specific patient demographic. This position involves reviewing inpatient admission documentation to ensure the effective use of hospital resources. The specialist is also responsible for nurturing and enhancing relationships with payors while executing additional assigned responsibilities.

Key Responsibilities

Data Collection and Patient Assessment

  • Evaluates, plans, monitors, and coordinates the care plan from pre-admission through to community reintegration.
  • Encourages the appropriate level of care tailored to the patient's needs.
  • Assists in setting achievable goals and exploring funding options.

Care Planning and Implementation

  • Strives for optimal patient outcomes within the constraints of the diagnosis.
  • Facilitates interdisciplinary team meetings and collaborates on treatment plans.
  • Tracks daily expenses against revenue to ensure financial efficiency.

Patient Advocacy

  • Works in collaboration with the healthcare team, payors, community organizations, providers, and legal representatives.
  • Fosters effective communication and advocates for the best interests of the patient.
  • Utilizes early referrals and assists in securing necessary funding.

Monitoring and Evaluation

  • Continuously reviews and assesses the patient's progress.
  • Employs auditing methods to ensure treatment effectiveness.
  • Engages in performance improvement evaluations.

Professional Development

  • Commits to professional growth by participating in educational opportunities and reviewing relevant literature.
  • Stays informed about current community resources and the managed care landscape.

Qualifications

Education and Training: RN licensure in the state is required. Current BLS certification is mandatory.

Experience: A minimum of three to five years of inpatient experience is preferred, ideally in an acute, IRF, or LTACH environment.

PAM Health is committed to diversity and does not tolerate discrimination based on various factors.