Provides clinical administrative support and clinical expertise to meet patient and staff needs. Functions as a liaison with physician practices, hospital case management, and other referral sources. Analyzes data to prioritize multi-issue situations, supporting appropriate actions based on patient health and welfare criticality, patient/staff safety, and impact on effective, timely services. Identifies barriers to situation/complaint resolution and follows up with appropriate resources or leadership. Reviews and supports the development of patient-specific clinical plans of care, ensuring effective communication and quality patient outcomes. Supports clinical staff in plan implementation, care coordination, and strategies for health promotion and safe outcomes. Evaluates progress toward outcomes through documentation review, interdisciplinary team meetings, and case conferences. Supports billing compliance and timeliness by maintaining knowledge of payer requirements, billing criteria, state and federal regulations, and identifying opportunities for appropriate reimbursement. Delegates elements of care to appropriate healthcare workers. Collaborates with healthcare consumers, families, and others in clinical practice. Utilizes appropriate resources to plan and provide safe, effective, and financially responsible clinical services. Participates in committees, shared governance, or other facility decision-making activities.
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Job Type
Full-time
Career Level
Mid Level