Regional Care Coordinator
4 weeks ago
Job Overview
At Exceptional Healthcare, we are committed to delivering exceptional patient care and outcomes. We are seeking a skilled Regional Care Coordinator to join our team and contribute to our mission.
Responsibilities
- Coordinate and facilitate patient care through assessment, evaluation, planning, and implementation.
- Communicate patient needs to various care team members and follow up accordingly.
- Manage safe and effective discharge plans upon completion of treatment.
- Work collaboratively with patients, families, physicians, and nurses to ensure high-quality care.
- Act as the patient's advocate regarding insurance coverage and financial assistance.
- Maintain comprehensive clinical records through detailed documentation.
- Coordinate with third-party payors on a regular basis.
- Serve as a utilization manager to determine appropriateness of admission, level of care, and continued stay.
- Maintain a working knowledge of Medicare and private insurance companies to ensure quality of care.
- Coordinate insurance appeals as needed.
- Collect and report quality indicators and variance data to the Utilization Committee and/or relevant departments.
- Facilitate Quarterly Utilization Review Committee meetings.
- Perform other duties as assigned and accept new tasks as opportunities for growth.
Qualifications
- Registered Nurse in the state of practice.
- Certified Case Manager, preferred.
- 3-5 years of clinical experience, preferably in case management or related fields.
- Ability to walk and stand 50-80% of the time.
- Proficient computer skills, including experience with Microsoft Excel.
- Strong written and verbal communication skills.
- Excellent clinical assessment and analytical skills.
Schedule
- 8-hour shifts, Monday through Friday (9AM - 5PM), with flexibility to accommodate organizational needs.
- Weekend availability may be required.
- Occasional travel between Arizona facilities may be necessary.
Benefits
- Health insurance.
- 401(k) plan.
- Dental insurance.
- Vision insurance.
- Life insurance.
- PTO.
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