ED Care Coordinator
Job Description
ED Care Coordinator/MSW - Full Time
Day Shift 7:00 AM - 7:30 PM
Under the direction of the Care Integration Manager (LCSW) and clinical oversight by the Vice President of Quality and Regulatory Affairs (LCSW), the ED Care Coordinator uses pre-established guidelines and criteria to perform review activities assuring proper utilization of hospital resources for Medicare, Medi-Cal, HMO’s and other third party payers.
Day Shift 7:00 AM - 7:30 PM
Under the direction of the Care Integration Manager (LCSW) and clinical oversight by the Vice President of Quality and Regulatory Affairs (LCSW), the ED Care Coordinator uses pre-established guidelines and criteria to perform review activities assuring proper utilization of hospital resources for Medicare, Medi-Cal, HMO’s and other third party payers.
- Takes appropriate follow up action when established criteria for utilization of services are not met, in order to assure that denials are avoided.
- Identifies medically indigent patients and monitors closely to ensure that appropriate placement is secured; works with patient and family to determine if other sources of funding may be applicable.
- Maintains appropriate documentation of review performed, according to pre-established criteria, indicating severity of illness and intensity of services rendered with acute/ post-acute hospitalization.
- Serves as Liaison with physician(s) to: ( ) ensure all covered aspects of treatment are fully documented, and (2) assists in identifying other options for care when patient no longer requires acute hospitalization.
- Secures appropriate discharge planning and home health services, and long-term care placement.
- To perform this job successfully, an individual must have a Master's in Social Work, or in a Health Related Field. Certification in Case Management desirable. Must have and maintain current BLS certification or obtain within orientation process, prior to hands-on patient care. One (1) year or more experience in an Acute Care setting desirable and one year experience with discharge planning highly desired.
- Individual must possess excellent computer skills and have knowledge of Windows.
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Application Instructions
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Apply OnlinePosted: 4/24/2024
Job Status: Full Time
Job Reference #: a0KNx000008M1djMAC