Palm Medical Centers
Palm Medical Centers is a rapidly growing company currently seeking an experienced RN Clinical Coordinator with leadership experience to join our team. The RN Clinical Coordinator performs a variety of tasks and coordinates 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. Reports directly to the Senior Director of Case Management in the Utilization Management Department.
Responsibilities
Admit new clients by reviewing records and applications; conduct orientations
Communicate the daily tracking of all hospital/nursing home admissions and discharges for both statistical and cost management purposes
Determine clients’ requirements by completing intake interviews; determine 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; intervene in moments of crisis 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 updates 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 RN Clinical Coordinator experience.
Job Type Full-time
Salary From $70,000 per year (negotiable based on 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
Ability to commute/relocate
Tampa & surrounding area: reliably commute or planning to relocate before starting work (Required)
Experience
Case management: 3 years (Required)
Work Location In-office
Palm is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm makes hiring decisions based solely on qualifications, merit, and business needs at the time.
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Responsibilities
Admit new clients by reviewing records and applications; conduct orientations
Communicate the daily tracking of all hospital/nursing home admissions and discharges for both statistical and cost management purposes
Determine clients’ requirements by completing intake interviews; determine 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; intervene in moments of crisis 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 updates 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 RN Clinical Coordinator experience.
Job Type Full-time
Salary From $70,000 per year (negotiable based on 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
Ability to commute/relocate
Tampa & surrounding area: reliably commute or planning to relocate before starting work (Required)
Experience
Case management: 3 years (Required)
Work Location In-office
Palm is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm makes hiring decisions based solely on qualifications, merit, and business needs at the time.
#J-18808-Ljbffr