- Refrains from discussing personal business in front of the customer or speak a foreign language different from the customer's language.
- Greets patients, family members, and physicians in a positive manner by introducing self, speaking clearly and with confidence.
- Returns phone calls to customers and follows up with requests.
- Demonstrates the ability to follow through with requests, sharing of critical information, and getting back to individuals in a timely manner.
- Demonstrates honesty and integrity in everyday activities.
- Protects privacy for both patients and employees; ensures all personal health information is kept confidential i.e., (sensitive papers, charts, and reports are not in view of the public).
- Recognizes when an error has been made and immediately reports to appropriate manager.
- Functions as liaison between care managers, patients, physicians, and other healthcare providers.
- Communicates appropriately and clearly to management, co-workers, and physicians.
- Communicates using age appropriate language.
- Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs.
- Maintains quality monitors as assigned by Supervisor.
- Performs other duties as assigned
- Participates in orientation, instruction/training of new personnel.
- Participates in the efficient, effective, and responsible use of resources such as supplies and equipment.
- Census will be verified every morning with regards to in house status and a review will be requested.
- Census reports should be printed daily before every rounds meeting.
- Authorizations for Home Health/DME/Hospice/Follow up appointments will be done coordinating with Care Managers.
- Request for authorizations will be given via fax/return phone calls.
- Monitor campus fax server and process accordingly.
- Communicate to Medical Director or designee, immediately any admissions to non-contracted hospitals.
- Provide face sheet to Medical Director or designee, immediately upon receipt and eligibility check.
- All new admissions are to be checked for Out of Area status.
- Confirmation of inpatient status of all inpatients will be obtained by 10 am for reporting at morning case rounds.
- Assist Inpatient Care Managers with planning for discharge by generating authorizations and scheduling appointments for services needed within 7 days of discharge.
- Communicate with High Risk/outpatient department(s) any services identified upon discharge that is necessary beyond 7 days after discharge.
- Support the safe, continuous delivery of medically necessary care and supportive ancillary services in the inpatient and transition to home care setting.
- Execute all post discharge needs (ie: PCP, Specialist appts, diagnostic studies, etc).
- Identify network needs and report to management for potential contracting opportunities.
- Review case statuses to ensure proper documentation and case closure. Work with assigned Care Managers to complete all documentation.
- Education and/or Experience:
- High school graduate required; Associate in Arts degree preferred.
- Knowledge of Healthcare and Managed Care preferred.
- Typing 60 words per minutes with accuracy.
- Knowledge of computers, faxes, printers and all other equipment.
- Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point).
- Ability to deal with responsibility with confidential matters.
- Ability to work in a multi-task, high stress environment.
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inpatient care coordinator - Northridge, CA , USA, United States - Lakeside Medical
Description
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment.
Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.We currently have an opening for an Inpatient Care Coordinator.
* Essential Duties and Responsibilities include the following: Anticipate our customer needs:
Understand the wants and needs of customers, listen for cues and identify how to respond and what level of intervention they need.
CRITICAL ELEMENTS
We offer a generous PTO package, 401k Retirement Savings, Life Insurance, Flexible Spending Account (FSA), Tuition Reimbursement & Licensed Renewal Fees for our clinical staff.
Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.