Provides clinical administrative support, clinical expertise to meet patient and staff needs and functions as the liaison with physician practices and hospital case management and other referral sources. Analyzes the data to prioritize multi-issue situations to support appropriate actions based on the criticality of patient health and welfare, patient/staff safety and impact to effective, timely services. Identifies barriers to situation/complaint resolution and follows-up with the appropriate resources or leadership to address timely and effectively. Reviews and supports the development of patient specific clinical plans of care that is effectively communicated with the parties involved and supports quality patient outcomes and patient satisfaction. Supports clinical staff in the implementation of the identified plan, coordination of care delivery, and strategies to promote health and safe outcomes. Evaluates progress toward attainment of outcomes through documentation review, interdisciplinary team meetings and/or case conference. Supports billing compliance and timeliness by maintaining current knowledge of payer requirement and billing criteria, state and federal regulations, performing timely completion of CSC workflow and identifying opportunity for appropriate reimbursement. Delegates elements of care to appropriate healthcare workers in accordance with any applicable legal or policy parameters or principles. Collaborates with healthcare consumer, family, and others in the conduct of clinical practice. Utilizes appropriate resources to plan and provide clinical services that are safe, effective, and financially responsible. Participates in committees, shared governance, or other facility decision making activities.
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Job Type
Full-time
Career Level
Mid Level