Intake Coordinator - Remote - Rehabilitation - Full Time - Days

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The Transition Coordinator is responsible for managing referrals and coordinating admissions for the transition of patients to and from the Flower Rehab Center. This role involves medical record review and interaction with internal and external physicians, nursing, therapists, leadership, coding and clinical documentation specialists, patients, caregivers, and the community. This role actively collaborates with the FRC PPS Coordinator, Case Managers, Transition Care Managers, and Nursing and Therapy Leadership to coordinate the timely management of insurance precertification, recertification, authorizations and appeals, length of stay, and resource utilization.

Accountabilities

All duties listed below are essential unless noted otherwise

• Conducts insurance verifications, precertification, and recertification as indicated.
• Monitors and manages patient referrals. Requires extensive operational knowledge of IT referral systems including ECIN and Ensocare. Reviews referrals for clinical and payor information. Investigates and requests additional information as needed.
• Serves as a liaison between the sending and receiving facilities to coordinate patient transitions. Collaborates with the FRC team to coordinate bed management. Manages processes to promote operational efficiency and effectiveness.
• Effectively communicates and collaborates with all members of the care transition planning team. This team includes, but is not limited to (all roles implied internal and external) care navigators, discharge planners, social workers, physicians, therapists, nursing staff, etc.
• Monitors and manages referral/admission/discharge data as appropriate.
• Provides coverage to Transitional Care Manager, Case Manager, and PPS Coordinator roles with shared accountabilities as appropriate.
• Performs other duties as assigned or requested. Education: Post High School clinical training equivalent to a certification or licensure.
  
  

Skills: Strong verbal and non-verbal communication skills both at patient and healthcare professional levels. Ability to work in a team environment. Ability to input, retrieve and analyze relevant EMR data. Mid-level Microsoft Word and Excel skills. Must be able to commute between facilities with reliable transportation. Must be able to understand directions, communicate and respond to inquiries with effective interpersonal skills. Must have good organizational, analytical, writing, and interpersonal skills. Must be able to input and retrieve information from electronic devices and must be able to operate copier, electronic device(s), printer, and scanner.

Years of Experience: Minimum of 2 years clinical experience in a patient care setting. Previous experience with utilization review, marketing, care transitions, customer service, and/or inpatient rehab.

License: As indicated per education obtained.

Certification: CPR and as indicated per education obtained.

Preferred Qualifications

Education: Associate Degree in a clinical field.

Skills: Ability to work with a variety of internal/external customers and healthcare providers effectively and diplomatically.

Years of Experience: 3-5 years clinical experience in a patient care setting.

License: As indicated per education obtained.

Certification: As indicated per education obtained.

WORKING CONDITIONS

Personal Protective Equipment: N/A

Physical Demands: Must be able to move about hospital, FRC, between workstations and facilities.

ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being, ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health. For more information about ProMedica, please visit promedica.org/aboutus.

Requisition ID: 95892

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