Clinical Care Coordinator

Rehabilitation Hospital•Honolulu, HI

1d•$83,208 - $124,812•Onsite

About The Position

The Clinical Care Coordinator is responsible for coordinating and facilitating the continuum of care for patients admitted to the Rehabilitation Hospital of the Pacific. The role integrates utilization management, discharge planning, interdisciplinary collaboration, payer communication, patient advocacy, regulatory compliance, and transition-of-care coordination to promote safe, timely, and appropriate patient progression throughout the rehabilitation stay. The Clinical Care Coordinator functions as a central member of the interdisciplinary rehabilitation team and serves as a liaison between patients, families, physicians, nursing, therapy disciplines, payers, community resources, and post-acute providers. The position supports patient-centered care while ensuring compliance with CMS regulations, IRF standards, payer requirements, and organizational policies.

Requirements

Registered Nurse (RN) OR Licensed Clinical Social Worker (LCSW) OR Licensed Social Worker (LSW)
Current BLS certification
Bachelor’s degree in Nursing, Social Work, Case Management, Healthcare Administration, or related healthcare field required.
Ability to safely and effectively manage patients’ mobility.

Nice To Haves

Certified Case Manager (CCM)
Accredited Case Manager (ACM)
Bachelor’s degree in Nursing or Master’s degree in Nursing or Social Work
Minimum of 1 year of acute care, rehabilitation, case management, or care coordination experience.
Experience with utilization review, discharge planning, and payer communication.
Knowledge of rehabilitation diagnoses and functional outcomes and post-acute levels of care.

Responsibilities

Comprehensive care coordination by assessing the potential barriers to discharge, facilitating interdisciplinary communication, coordinating transitions across the continuum of care, advocacy, and assistance with complex discharge planning to ensure safe and timely patient transition.
Utilization review and medical necessity by monitoring progress and therapy participation while collaborating with providers and payers for authorizations, appropriate continued stays, and ensuring compliance with CMS regulations, payer requirements, and IRF standards.
Discharge planning and transition of care
Interdisciplinary team collaboration
Patient advocacy and education
Regulatory compliance and documentation by ensuring compliance with CMS regulations, IRF criteria, payer requirements, hospital policies, HIPAA, accreditation stands, and patient rights. Support quality improvement initiatives, regulatory readiness, and organization goals related to length of stay, readmission prevention, and care transition.
Quality improvement and operation responsibilities
High-risk and complex case management
Uses sound judgment and ensures patient safety.
Follows and adheres to all organizational and departmental policies and guidelines, code of conduct, and REHAB employee handbook.
Performs other duties as assigned.