Post-Acute Clinical Coordinator

3 weeks ago

Tulsa, United States Saint Francis Hospital, Inc. Full time

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This position is ECB status – requires a minimum number of worked hours per month as needed by the department; limited benefit offerings.Job Summary: The Post-Acute Clinical Coordinator coordinates the point of entry to the post-acute programs which includes evaluating all patients for medical appropriateness and medical necessity. This position interacts with and educates patients, families, case managers, payers, and physicians. Responsible for receiving and processing referrals for post-acute services, verification of benefits for services either directly or by forwarding to intake office and completing thorough admission assessments. This position works closely with medical directors/ physicians on both marketing and census development which includes onsite and community evaluations at other institutions. This position assures that comprehensive preadmission screenings are documented, required documents are obtained, as required by Medicare as well as other regulatory bodies.Minimum Education: Graduate of an accredited Respiratory Care, Occupational Therapy, or Physical Therapy Assistant program; or has completed the basic professional curricula of a school of nursing as approved and verified by a state board of nursing or holds or is entitled to hold a diploma or degree therefrom; or master’s degree in social work. Licensure, Registration and/or Certification: Valid Oklahoma Provisional / Respiratory Care Practitioner License (RCP) or temporary letter to practice issued by the Oklahoma Medical Board. Certified / Registered Respiratory Therapist (CRT/RRT) credential through the National Board of Respiratory Care (NBRC), or valid State of Oklahoma Licensure in Occupational or Physical Therapy Assistant; or Valid multi-state or State of Oklahoma Registered Nurse license; or State of Oklahoma Social Work license. Work Experience: Minimum 3 years of related experience. Knowledge, Skills and Abilities: Knowledge of post-acute services required. Knowledge of PC and Software skills, to include MS Word and Excel. Must be detail oriented. Good interpersonal skills. Knowledge of third party payer reimbursement. Must have good judgement and professionalism and be capable of representing post-acute services as a professional. Ability to handle complex situations with public as well as physicians and insurance companies. Essential Functions and Responsibilities: Utilizes knowledge of post-acute diagnosis as well as admission criteria to perform clinical assessments and determine appropriateness of admission. Obtains financial verification of patient insurance benefits/coverage directly or through the intake office as part of the preadmission screening process. Collaborates effectively with funding sources to maximize patient benefits. Utilizes all available resources of information including patient, family, medical record, other health care professionals to properly evaluate appropriate post-acute level of care need. Acts as a resource to case management for patients requiring post-acute services. Processes all referrals in a timely manner and provides timely communication to referral sources on determination of level of care qualification. Attends case management staff and daily meetings, unit bed huddles, discharge meetings, long stay meetings and other related meetings as required. Communicates and documents assessment findings with the appropriate team members to facilitate continuity of care, Participates in external marketing of program to community and other health care institutions to maintain budgeted census, targeted growth and measures of success for fiscal year. Assists with tracking admissions and denials including reports to determine trends in referrals and opportunities for business development. Maintains current on changes in post-acute services including but not limited to criteria, reimbursement, legislation and Medicare initiatives. Educates patients, families, physicians and other health care professionals regarding benefits of post-acute programs and criteria used to determine admission and coordinates smooth transition for those patients admitted. Decision Making: Independent judgment in making minor decisions where alternatives are limited and standard policies/protocols have been established. Working Relationship: Coordinates activities of others (does not supervise). Leads others in same work performed (does not supervise). Works directly with patients and/or customers. Works with internal/external customers. Works with other healthcare professionals and staff. Works frequently with individuals at Director level or above. Special Job Dimensions: None. Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.Rehabilitation Administration - Yale Campus

Location:

Tulsa, Oklahoma 74136

EOE Protected Veterans/Disability

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