Inpatient Care Coordinator- Pittsburgh

Overview

Job Summary

The Inpatient/ LTAC (Long Term Acute Care) Care Coordinator (ICC) plays an integral role in the “high risk” member’s journey towards better well-being. By serving as the link between members and appropriate health care personnel, the ICC is responsible for identifying the appropriate post-acute care setting ensuring efficient, smooth, and prompt health care services will be delivered to the member following the acute care episode. The position also provides emotional support to both the member and their relatives and provides medical advice during the discharge planning process.

Responsibilities

• Own the member relationship and is the single point of contact for hospitals with on-site engagement. On-site engagement defined as:
  • EMR access
  • Access to patients
  • Engagement with hospital CM, D/C Planers, Social Workers, & Hospitalists
  • Access to hospital census is preferred
• Own prospective skilled nursing facility requests that originate from an in-person request while on-site or from a call direct to the ICC personal line.
• Approve prospective requests within established parameters.
• Forward requests to utilization management partners if outside authorization parameters or if unable to complete the request within one hour.
• Perform other duties and responsibilities as required, assigned, or requested.

Qualifications

• Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, or Occupational Therapist
• 3 - 5 years of clinical experience required
• At least 2 years of Case Management experience preferred
• Patient education background, rehabilitation, and/or home health nursing experience a plus
• Experience working with geriatric population preferred
• Exceptional verbal and written interpersonal and communication skills
• Strong problem solving, conflict resolution, and negotiating skills
• Proficient with Microsoft Office applications including Word, Excel and PowerPoint
• Independent problem identification/resolution and decision-making skills
• Detail-oriented
• Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously
• Team player
• Employment is contingent on satisfactory completion of pre-employment screening; this includes a background check, and additional screenings if applicable such as a drug test or tuberculosis test. Information regarding the screening process will be provided to you. The screening must be satisfactorily completed before employment date. Employment is contingent on you having, or obtaining within the required timeframe, any state and/or national certification that {UnitedHealth Group / Optum360} requires for your position.

Work Conditions and Physical Requirements

• Ability to adhere to all state, facility and company requirements, including vaccinations
• Ability to establish a home office workspace
• Ability to manipulate laptop computer (or similar hardware) between office and site settings
• Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time
• Ability to communicate with clients and team members including use of cellular phone or comparable communication device
• Ability to remain stationary for extended periods (1- 2 hours)
• Travel requirements
  • Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time

About naviHealth

naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.

Our Purpose

Improving the healthcare experience for seniors to live a more fulfilling life

Our Values

Rooted in respectGuided by purpose Devoted to service Energized by impact

The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.

naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.