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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 vital role in orchestrating care for a specific patient demographic. This position involves reviewing inpatient admission documentation to guarantee the effective use of hospital resources. Additionally, it focuses on nurturing and enhancing relationships with payors while executing other designated responsibilities.

Key Responsibilities

Data Collection and Patient Assessment

  • Evaluates, strategizes, 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 coverage options.

Planning, Execution & Coordination

  • Facilitates optimal outcomes within the confines of the diagnosis.
  • Coordinates and leads interdisciplinary team discussions and treatment plans.
  • Tracks expenses against revenue on a daily basis.

Patient Advocacy

  • Collaborates with the healthcare team, payors, community organizations, providers, and legal representatives.
  • Encourages effective communication and advocates for the patient’s best interests.
  • Utilizes early referrals and assists in securing necessary funding.

Monitoring & Assessment

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

Professional Development

  • Fosters 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 respective state is required. Current BLS certification is mandatory.

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

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