Clinical Coordinator / Case Manager

Palm Medical Centers•Tampa, FL

14d•Onsite

About The Position

Palm Medical Centers is seeking an experienced Clinical Coordinator with leadership experience. The role coordinates plans of care for hospital and nursing home patients from admission through discharge, ensuring continuity of care is delivered effectively and efficiently. The position reports directly to the Director of Utilization Management and is based in the office. The Clinical Coordinator manages admissions, assessments, treatment planning, care coordination, monitoring, documentation, and discharge arrangements. The role communicates with internal care teams and families, supports staff education and process improvement, and reviews financial results and trends to recommend actions to management.

Requirements

At least 3 years of Clinical Coordinator experience.
At least 3 years of case management experience (required).
Proven work experience in case management, mental health care management, or a related role.
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 emerging professional and technical knowledge.
Problem-solving skills and ability to multitask.
Compassion and teamwork skills.
Knowledge of CPT codes and ICD-10 terminology.

Nice To Haves

Bilingual ability preferred.
Knowledge of InterQual or Milliman Care Guidelines preferred.

Responsibilities

Admit new clients by reviewing records and applications and conducting orientations.
Track hospital and nursing home admissions and discharges for statistical and cost-management purposes.
Conduct intake interviews to determine client requirements and the need for therapeutic medical, psychosocial, or psychiatric evaluations; review therapist evaluations, treatment objectives, and plans.
Establish treatment programs by setting schedules and routines, coordinating services, and arranging resources such as transportation and escorts.
Monitor cases by verifying attendance, observing and evaluating treatments and responses, advocating for services and entitlements, obtaining resources, and providing personal support during crises.
Maintain client records by reviewing case notes and logging events and progress.
Communicate with Palm Medical Centers managers about members discharged from inpatient facilities to ensure appropriate medical-care follow-up.
Obtain weekly updates on nursing home patients.
Communicate information about potential catastrophic and stop-loss patients.
Identify patients potentially related to subrogation or cost allocations.
Coordinate patient transfers as instructed by the Medical Director or PCP.
Arrange direct hospital admissions and nursing home placements.
Assist PCPs with placing patients at skilled nursing facilities (SNFs).
Monitor length of stay for hospital and nursing home patients and make necessary discharge arrangements.
Conduct weekly interdisciplinary meetings and evaluations; communicate client progress, results, obstacles, and treatment influences to the therapeutic team and families.
Improve staff competence by providing educational resources, balancing work requirements with learning opportunities, and evaluating how learning affects treatment results.
Improve treatment results by studying and evaluating processes, redesigning them, implementing changes, and revising policies and procedures.
Support financial improvement by analyzing results, monitoring variances, identifying trends, and recommending actions to management.