GENERAL SUMMARY

Communicates with internal clinical team and third party payor to coordinate, advocate, and monitor a care plan that utilizes the patient's available resources in the most appropriate and cost effective manner.  Responsible for the overall knowledge of the patient's plan of care, goals, objectives and third party payor information to ensure a smooth transition throughout the continuum.

Consistently demonstrates support of the Shirley Ryan AbilityLab statement of Mission and Philosophy by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute.

Required Skills

PRINCIPAL RESPONSIBILITIES

1. Liaison for the team for financial information.  Educates team regarding patient financial benefits.
2. Serves as primary information and assures that special needs are met.
3. Has knowledge of patient/family and team goals and oversees ordering of patient equipment DME and supplies.
4. Monitors resource utilization.
5. Initiates and maintains communication with external case managers, referring primary care physician and acts as a resource regarding available services at the Rehabilitation Institute of Chicago System.
6. Initiates and maintains communication with external case managers and primary care physicians to obtain pre-authorization for ongoing rehabilitation needs and advocate for the patient to receive appropriate rehabilitation services.  Communicates in the format defined by the third party payor.
7. Negotiates any conflict arising with a third party payor representative on behalf of the patient and Institute during their rehabilitation program.

OTHER RESPONSIBILITIES

1. Assists clinical manager in the oversight of worklists, chart audits, program development activities and other duties as assigned.
2. Perform all other duties that may be assigned in the best interest of Shirley Ryan AbilityLab.

REPORTING RELATIONSHIPS

1. Reports to the Clinical Manager.

Required Experience

KNOWLEDGE, SKILLS & ABILITIES REQUIRED

1. Work requires a professional level of knowledge in a specialized field of rehabilitation with a minimum of 2 years experience working directly in rehabilitation services.
2. Illinois license or certification in one's own profession.
3. Analytical and interpersonal skills necessary to effectively instruct patients and family members on treatment programs.
4. Knowledgeable of community resources, health care system and interdisciplinary functioning.
5. Interpersonal communication and advocacy skills to work with patients and families, and various medical professionals within and outside of the Institute.
6. Ability to learn and utilize PC software to collect and analyze data and prepare and aggregate reports.

WORKING CONDITIONS

1. Normal office environment with little or no exposure to dust or extreme temperature.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification.  They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.  For the purposes of the ADA, “Principle Responsibilities” are essential job functions.

Shirley Ryan AbilityLab is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

PRINCIPAL RESPONSIBILITIES

1. Liaison for the team for financial information.  Educates team regarding patient financial benefits.
2. Serves as primary information and assures that special needs are met.
3. Has knowledge of patient/family and team goals and oversees ordering of patient equipment DME and supplies.
4. Monitors resource utilization.
5. Initiates and maintains communication with external case managers, referring primary care physician and acts as a resource regarding available services at the Rehabilitation Institute of Chicago System.
6. Initiates and maintains communication with external case managers and primary care physicians to obtain pre-authorization for ongoing rehabilitation needs and advocate for the patient to receive appropriate rehabilitation services.  Communicates in the format defined by the third party payor.
7. Negotiates any conflict arising with a third party payor representative on behalf of the patient and Institute during their rehabilitation program.

OTHER RESPONSIBILITIES

1. Assists clinical manager in the oversight of worklists, chart audits, program development activities and other duties as assigned.
2. Perform all other duties that may be assigned in the best interest of Shirley Ryan AbilityLab.

REPORTING RELATIONSHIPS

1. Reports to the Clinical Manager.