Job Description
WE ARE LOOKING FOR A SNF PLACEMENT TEAM COORDINATOR TO JOIN OUR TEAM.
THE HOURS FOR THIS ROLE WILL VARY
The SNF Placement Team (SPT) Coordinator performs triage functions by providing support and guidance, to SNF Placement Team Case Manager by assisting with transferring patients from Acute setting to SNF, Sub-acute, Congregate Livings and/or Recuperative Care Centers. Afterhours SPT Case Manager responds to and coordinate service request for transfers, request for SNF/Sub-acute/Recuperative Care admissions and facilitate discharges to lower levels of care to prevent additional bed days in Acute and delay of transfers. Demonstrates self-direction in establishing priorities and working with routine supervision. Working collaboratively with After Hours SPT Case Manager and After Hours Team after business hours and weekends. Maintains high level of precision in judgment, accuracy of assessment, and skill in problem solving under stress. Relates and communicates well over the telephone to all callers.
ESSENTIAL DUTIES AND RESPONSIBILITIES INCLUDE THE FOLLOWING:
- Facilitates transition of members from Acute setting to Skilled Nursing Facilities, Sub-Acute Facilities, Congregate Livings and Recuperative Care Centers.
- Communicate with After Hours Inpatient team and SNF Placement Team Case Manager
- Clerical duties include faxing placement referral requests to Skilled Nursing Facilities
- Receives, triages, and responds to telephone calls from facilities requiring medical and nursing inquiries
- Assesses patient problems utilizing approved MCG guidelines, directing access to care to include Skilled Nursing Facilities, Sub-acute Facilities, Congregate Livings and Recuperative Care Centers
- Follows established clinical protocols/guidelines
- Directs patient to appropriate levels of care based on assessment within the established guidelines.
- Communicates to After Hours Management and escalate issues as necessary
- Facilitates authorizations for vendors and/or outside services as appropriate.
- Obtain LOA for non-contracted facilities as needed
- Documents all calls according to established standards in REA/LEA
- Documents all SNF inquiries and member disposition in the SNF Placement Team log daily
- Participates in quality monitoring process by daily verbal endorsement between SNF Placement Team business hours and After Hours Team
- Translates oral information into concise and accurate written documentation using standard medical guidelines and abbreviations.
- Shift summary to be sent to the Director, Manager and Lead of SNF Department
- Recognizes financial, medical and legal risks based on data collected during customer interactions and follows appropriate procedures.
- Demonstrates customer service-oriented behavior at all times.
- Acts as a mentor as requested by supervisor.
- Expedites emergency calls as needed.
- Participates in regular staff meetings as scheduled.
- Uses, protects, and discloses patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
- Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
- Adheres to Code of Conduct
- All other duties as directed by management.
MUST BE AVAILABLE TO WORK WEEKENDS AND HOLIDAYS AND FLEXIBLE WITH ALL SHIFTS.
MUST BE AVAILABLE TO COMPLETE A MINIMUM OF 6 WEEKS TRAINING IN OUR CORPORATE OFFICE IN NORTHRIDGE, CA.
EXPERIENCE
- Preferred: Minimum 1 year of clinical experience in a Skilled Nursing Facility setting
- Knowledge of computers, faxes, printers and all other equipment
- Knowledge of Healthcare and Managed Care strongly preferred
- High levels of experience or expertise in:
- Problem solving
- Teaching/coaching
SKILLS
- Good judgment and critical-thinking skill
- Compassionate and caring manner with patients
- Telephone “charisma”
- Forms instant rapport
- Customer service–oriented
- Helpful, warm, open, and inviting
- Excellent communication skills (written, verbal, and technical)
- Articulate
- Able to communicate well at fifth- to eighth-grade level
- Bilingual language skills a plus
- Concise, clear documentation skills
- Excellent listening skills
- Excellent negotiation skills
- Proven typing skills at 35 words per minute 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)
ATTRIBUTES
- Functions well in a high-stress environment and under time pressure
- Tolerates ambiguity well
- Works well independently
- Works effectively with:
- Culturally diverse populations
- Educationally diverse and illiterate populations
- Non-English-speaking populations
- High-risk populations
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.
FULL TIME POSITION BENEFITS:
The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
HEALTH AND WELLNESS:
Employer-paid comprehensive medical, pharmacy, and dental for employees
Vision insurance
Zero co-payments for employed physician office visits
Flexible Spending Account (FSA)
Employer-Paid Life Insurance
Employee Assistance Program (EAP)
SAVINGS AND RETIREMENT:
- 401k Retirement Savings Plan
- Income Protection Insurance
OTHER BENEFITS:
- Paid Time Off (PTO)
- Company celebrations
- Employee Assistance Program
- Business-casual working environment
- Sick days
- Paid holidays
- Mileage
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.
Company 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.