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Patient Care Coordinator
2 months ago
Overview:
Critical Illness Recovery Hospital
Patient Care Coordinator (PRN)
Requires a valid license in a clinical field such as Nursing or Respiratory Therapy OR Social Work (SW/MSW) as per state regulations.
Prior experience in a critical care environment is essential.
Experience in discharge planning is highly desirable.
SHIFT:
*Availability to work a minimum of 2 shifts per month on an 'as needed' basis - shifts would typically be scheduled on weekdays, from approximately 8 a.m. to 5 p.m.
At Select Specialty Hospitals and Regency Hospitals, a division of Select Medical, we specialize in the care of chronically and critically ill or post-ICU patients who require extended hospital treatment.
Select Medical employs over 48,000 individuals nationwide and provides quality care to approximately 70,000 patients daily across our four divisions.
Our mission is to deliver an exceptional patient care experience that fosters healing and recovery in a compassionate setting.Every employee plays a crucial role in achieving this by embodying our cultural values - celebrating achievements, taking ownership of the future, prioritizing patient-centered care, fostering innovation, thinking critically, and building trust.
Are you adept at overcoming challenges? Are you a results-driven team player? If so, consider this opportunity with us.Responsibilities:
We seek dedicated employees who will be Champions of the Select Medical Way, which includes prioritizing the patient, enhancing the quality of life in the community, continuously developing and exploring new ideas, delivering high-quality care, and doing what is right.
The Patient Care Coordinator is responsible for conducting utilization reviews and managing resources, discharge planning, treatment plan oversight, and financial management, while also ensuring accurate medical record documentation.
You will report directly to the Director of Case Management and provide social work services as needed, in accordance with state regulations.
Develops and implements a patient-specific, safe, and timely discharge plan.Conducts verification of utilization criteria reviews.
Builds relationships and collaborates with payor sources to ensure appropriate reimbursement for hospital services, promoting cost-effective care through focused resource management within the care plan.
Coordinates UR compliance with Quality Management to ensure all licensure and accreditation requirements are met.
Maintains fiscal responsibilities, ensuring the department identifies and negotiates the maximum possible reimbursement to optimize insurance benefit coverage for patients. Reviews insurance verification forms to mitigate risk.
Facilitates multi-disciplinary team meetings involving physicians, nurses, respiratory therapists, and rehabilitation therapists.
Qualifications:
How you will thrive in this environment:
We are looking for results-oriented team players. Qualified candidates must be passionate about delivering superior quality in all aspects of their work.
Minimum requirements:
Bilingual
Current licensure in a clinical discipline as a Nurse (RN/LPN/LVN) or a Respiratory Therapist OR a current licensed/certified Social Worker per state guidelines
Prior experience as an RN/LPN/RT/SW/CM in an inpatient hospital setting dealing with critical care/acute care patients
(e.g.,
ICU, step-down, med-surg, vents)
Adequate experience in an acute medical case management setting and the confidence to manage and direct a care plan for chronically critically ill populations.
Preferred qualifications that will enhance your success:
Specific experience in Care Management and Discharge Planning is preferred.
Working knowledge of the insurance industry and government reimbursement.
Availability to work a minimum of 2 shifts per month on an 'as needed' basis - shifts would typically be scheduled on weekdays, from approximately 8 a.m. to 5 p.m.
Additional Data:
Select Medical is committed to providing our employees with work-life balance, recognizing that satisfied employees have both rewarding careers and fulfilling lives outside of work.
Select Medical is dedicated to maintaining a workforce that reflects diversity at all levels and is an equal opportunity employer.
Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.
