Coordinator, Care Operations

Saddleback Medical Center Pharmacy • Laguna Beach, CA

268d • $24 - $35

About The Position

This position requires the full understanding and active participation in fulfilling the mission of Saddleback Medical Center. It is expected that the employee demonstrate behavior consistent with our core values: Integrity, Accountability, Best Practices, Compassion and Synergy. The employee shall support Saddleback Medical Center's strategic plan and participate in and advocate performance improvement/patient safety activities. The Care Operations Coordinator I reports directly to the Executive Director, Clinical Resources. This position supports every service line of the hospital in conjunction with the Utilization Review department to support the efficiency of the use of health care services. In addition, this position also directly supports the Social Work Services department and the Palliative Care program. The incumbent of this position will be greatly responsible for the administrative aspects of each department's operations. Working directly with discharge planners, nursing personnel, licensed clinical social workers, and nurse practitioners to assist in organizational operations to support compliance with regulatory requirements. Finally, this position is also focused on improving the quality of care we provide through audits, analysis, and continuous improvement.

Requirements

• 2 Years experience in a Hospital, Medical Group, Utilization Review Department or other healthcare related service.
• Highly proficient in administrative / clerical skills including strong in Microsoft Office Word, Excel, and PowerPoint.
• Highly proficient in verbal and written communication.

Nice To Haves

• High School Diploma / GED preferred
• Bachelor's Degree in Healthcare Administration or another related field preferred

Responsibilities

• Provides overall administrative support for the assigned services areas including Utilization Review, Social Work Services, and Palliative Care to ensure all patient care needs are met.
• Conducts departmental auditing, accounts payable, daily / monthly schedules, and coordination of meeting and office activities for three cost centers / departments, to meet the needs of the hospital and staffing requirements.
• Generates daily patient assignments for Utilization Review department, assigning RN Care Managers patient caseloads, to ensure the needs for patient care are addressed in a timely manner.
• Develops and maintains systems and databases to support department needs, such as: National Palliative Care Registry, Charity Contributions, Intranet Departmental Website, Compliance Audits.
• Develops and maintains systems and databases to support required department analytics.
• Assists with project plans under leadership guidance, to identify key issues, address gaps in process, and improve on performance metrics.
• Effectively communicates with all levels of hospital staff in all service areas to assist in facilitating positive and efficient patient outcomes.
• Demonstrates the ability to actively participate in departmental activities, attend relevant meetings, and function as a key contact for Utilization Review, Social Services, and Palliative Care.
• Understands the importance of HIPAA Privacy and Security Regulations associated with electronic protected health information (ePHI) and remains in compliance during daily operational activities.
• Assists in assessing service area challenges and daily issues to identify root causes, gather relevant information, collaborate on possible solutions, and make recommendations in an effort to solve problems and meet goals.
• Actively assists with maintaining regulatory accreditation and administrative operation documentation to fulfill any request and or compliance standard.
• Triages phone calls / messages for RN, Case Managers for clinical reviews to the appropriate staff to ensure timely and accurate information is received.
• Ability to be at work and be on time.
• Ability to follow company policies, procedures and directives.
• Ability to interact in a positive and constructive manner.
• Ability to prioritize and multitask.

Benefits

• High quality health insurance plan options
• Shift differentials
• Extra shift incentives
• Bonus opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED