Clinical Coordinator

7 days ago


Tampa, Florida, United States Palm Medical Centers Full time
Job Title: Clinical Coordinator

Palm Medical Centers is seeking an experienced Clinical Coordinator to join our team.

Job Summary

The Clinical Coordinator will perform a variety of tasks and coordinate the plans of care for hospital and nursing home patients, from admission to discharge, to ensure the continuation of care is provided effectively and efficiently.

Key Responsibilities
  • Admit new clients by reviewing records and applications, and conduct orientations.
  • Communicate the daily tracking of all hospital/nursing home admissions and discharge for both statistical and cost management purposes.
  • Determine clients' requirements by completing intake interviews, and determine the need for therapeutic medical, psycho-social, and psychiatric evaluations, review therapist evaluations, treatment objectives, and plans.
  • Establish treatment programs by setting schedules and routines, coordinate services being provided, arrange resources, including transportation and escort.
  • Monitor cases by verifying clients' attendance, observe and evaluate treatments and responses, advocate for needed services and entitlements, obtain additional resources, and intervene in moments of crises by providing personal support.
  • Maintain clients' records by reviewing case notes, logging events and progress.
  • Communicate with PMC managers on members discharged from inpatient facilities to assure appropriate medical care follow up.
  • Obtain weekly update on all nursing home patients.
  • Communicate potential catastrophic and stop loss patients.
  • Identify patients related to possible subrogation and/or cost allocations.
  • Coordinate the transfers of patients as instructed by the Medical Director or PCP.
  • Arrange direct admissions to hospitals and placement in nursing homes.
  • Assist PCP in placing patients at SNF.
  • Monitor length of stay (LOS) for both hospital and nursing home patients and make necessary discharge arrangements.
  • Communicate clients' progress by conducting weekly interdisciplinary meetings and evaluations, disseminating results and obstacles to therapeutic team and family, identify treatment influences.
  • Improve staff competence by providing educational resources, balancing work requirements with learning opportunities, evaluating the application of learning to changes in treatment results.
  • Improve treatment results by studying, evaluating, and re-designing processes, implementing changes, rewriting policies and procedures.
  • Improve financial status by analyzing results, monitoring variances, identifying trends, and recommending actions to management.
Requirements
  • Proven working experience in case management, including as an RN, medical, mental health care manager, or a related job experience.
  • Excellent knowledge of case management principles, management, and reimbursement.
  • Previous experience with psychological aspects of care.
  • Effective communication skills.
  • Excellent organizational and time management skills.
  • Familiarity with professional and technical emerging knowledge.
  • Problem-solving skills and ability to multi-task.
  • Compassionate with teamwork skills.
  • Knowledge of terminology CPT codes and ICD 10.
  • Bilingual preferred.
  • Knowledge of InterQual or Milliman Care Guidelines preferred.
Minimum Qualifications
  • Active FL RN license.
  • Minimum 3 years of Clinical Coordinator experience.
Benefits
  • 401(k).
  • Dental insurance.
  • Employee assistance program.
  • Flexible spending account.
  • Health insurance.
  • Life insurance.
  • Paid time off.
  • Vision insurance.
Schedule
  • Day shift.
  • Monday to Friday.
Experience
  • Case management: 3 years (Required).
Work Location

In-office.



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