Clinical Navigator - FT Days - Centennial Hills Rehab
Company: Post Acute Medical
Location: Las Vegas
Posted on: June 24, 2022
|
|
Job Description:
Clinical NavigatorThis position works under the direction of the
Director of Business Development. Cultivates referral
relationships, manages assigned territory, and completes patient
assessments. Makes sales contacts as well as analysis of referral
and admission data from assigned territory. Works collaboratively
with business development team members including the Admissions
Manager and admission staff, as well as nursing and other internal
and external staff to facilitate the referral conversion. Provides
feedback and recommendations for program development and quality
improvement initiatives related to customer service, the referral
and admission process and patient and referral source satisfaction.
Develops and maintains excellent relationships to all stakeholders
including prospective patient, family members, physicians, ICU and
floor nurses, discharge planners, case managers and payer
representatives. Performs other related duties as assigned or
requested.RESPONSIBILITIESPre-Admission Assessment--- Maintains
responsibility for patient referral until patient admits to Post
Acute Medical.--- Displays knowledge of both inpatient
rehabilitation and long-term acute care (LTACH) admissions criteria
for pre-assessment analysis.--- Coordinates and completes on-site
pre-admission assessments on potential patients unless
geographically prohibitive or competitive time of admission will
not allow. In the assigned market uses the fast track process to
facilitate referral conversions. Completes phone/FAX assessments if
geographically prohibitive. Documents pre-admission assessments
legibly, accurately, and completely in the approved format.---
Reviews medical record of referred patient and identifies all
aspects related to pre-certification financial coverage and
admission criteria. Serves as a navigator to the Admissions office
for insurance companies and provides clinical information to obtain
pre-certification from payers.--- After reviewing medical record
and interviewing patient/family, obtains facility admission
information to support the admission process; makes a
recommendation regarding acceptance and level of care, and
communicates status of admission to referral source as directed by
the admissions department.--- Orients patient and/or family to
facility services, including length of stay. Educates supports and
serves as a resource to family members of current, past and
potential patients.--- Communicates with facility Admissions
department and facility CEO on a daily basis to optimize census
management and case finding strategies.--- Follows up on all
pending as well as medical denials in person to re-evaluate
potential for admission.--- Conducts follow up with referral
facilities to ensure satisfaction and service levels were
met.Business Development--- Designs and manages the marketing
strategies for their assigned territory.--- Uses sales and
marketing techniques to show growth in admission and revenue
volume.--- Creates Quarterly Business Development Plan for their
assigned territory.--- Utilizes educational opportunities to
present the hospital to referral sources.--- Identifies contacts
and manages potential referral sources using account management
system.--- Uses prospecting methods to generate leads.--- Meet the
referral and admission goals for their assigned territories.---
Participates in community events/activities.--- Attends weekly
Business Development meetings.Education--- Identifies and educates
new referral sources to Post Acute Medical programs and
services.--- Assesses and conveys stakeholder needs. Establishes
and maintains strong relationships with providers through ongoing
assessment and servicing of their client's rehabilitation/LTACH
needs.--- Schedules educational inservices to educate referral
services about Post Acute Medical programs and services; works
closely with the Admissions department and Director of Business
Development to achieve targeted census goals and meet assigned
objectives on a weekly, monthly and quarterly basis. Communicates
clearly, concisely and accurately.--- Provides or arranges
educational presentations to referral sources (physicians,
discharge planners), families and to community members as
requested.--- Coordinates and schedules professional, family and/or
potential patient tours of all facilities. --- Gathers information
on health care providers in the facility service area and forwards
to management, including opportunities for contracting with managed
care companies and providers.--- Assists in the development of new
programs and services through ongoing assessment of the needs of
professionals, families, and patients.--- Remains current on new
programs and services in the Post Acute Medical System through
frequent communication and facility visits.Documentation
Reporting--- Effectively maintains log of all pending cases.---
Provides periodic verbal/telephone/email update on activities and
market trends as requested.--- Maintains a resource library of
articles and information for distribution to professionals,
community members, families and potential patients to assist them
in understanding facility services and the various disability
groups served.--- Completes a quarterly plan for assigned
territory.--- Maintains territory Account Management
System.QUALIFICATIONSEducation and Training: Degree from an
accredited college or university in a health field, preferably
nursing. Current licensure in nursing or respiratory therapy is
preferred. Prior marketing and/or rehabilitation/LTACH experience
preferred.Experience: Must have a minimum of two years' experience
in the designated field of license, preferably with
rehabilitation/LTACH and marketing experience.Knowledge, Skills,
and Abilities:--- Excellent clinical and assessment skills.---
Effective presentation and training skills.--- Excellent written
and oral communication skills.--- Effective crisis management
skills, with demonstrated facilitation and problem solving
experience.--- Effective team leadership skills.--- Knowledge of
PPS payment/reimbursement systems and DRG's/case weights.---
Knowledge of patient rights and commitment to patient advocacy.---
Ability to collect, document, and analyze data.--- Word processing
and data entry skills.--- Network access to community, state, and
national resources and health services organizations.--- Excellent
relationship management skills with referral sources and
physicians.ABOUT USPAM Health -is committed to being the most
trusted source for post-acute services in every community it serves
by utilizing experienced and dedicated staff to provide high
quality patient care and customer service. With over 44 Long Term
Acute Care and Rehabilitation hospitals and 16 Outpatient Clinics
currently in operation across the country, we are proud to offer
services including comprehensive wound care, aquatic therapy,
ventilator weaning, amputation treatment, pain management and much
more.Joining our PAMily allows you to work in a collaborative
environment with colleagues and leadership with exposure to a
variety of patient care levels. Aside from our competitive pay,
generous paid benefit time, and excellent insurance options, you
will also have opportunities for professional growth through our
Education Advancement Program.We are excited to learn more about
you and hope that you consider joining us on a shared mission to
improve the lives of others by being an integral part of our We
Care Program. Please take a moment to visit us online at - for a
comprehensive look at how we're able to positively impact our local
communities.PAM Health does not discriminate and does not permit
discrimination, including, without limitation, bullying, abuse or
harassment, on the basis of actual or perceived race, color,
religion, national origin, ancestry, age, gender, physical or
mental disability, sexual orientation, gender identity or
expression or HIV status, or based on association with another
person on account of that person's actual or perceived race, color,
religion, national origin, ancestry, age, gender, physical or
mental disability, sexual orientation, gender identity or
expression or HIV status.
Keywords: Post Acute Medical, Las Vegas , Clinical Navigator - FT Days - Centennial Hills Rehab, Healthcare , Las Vegas, Nevada
Click
here to apply!
|