Clinical Liaison Referral Coordinator FT Days
Tenet Healthcare
- Tucson, AZ
- Permanent
- Full-time
Navigates Microsoft Office, Meditech & Cerner software efficiently.
Understands rehabilitation admission criteria and applies it appropriately during assessments of patients referred for inpatient rehabilitation services, including making recommendations for alternate levels of care within the continuum to referral sources if the patient is not a candidate for admission.
Initiates meetings with patients and /or families, physicians, and all other referral sources to inform and educate regarding the rehabilitation process.
Ensures accurate completion of pre-admission screening forms.
Ensures accurate documentation of clinical findings in the medical record.
Participates in clinical rounding where appropriate.
Provides support for the rehabilitation Medical Director by gathering data for internal and external inpatient rehabilitation referrals from various sources including the medical record, onsite and telephonic interviews, and through other electronic media.
Coordinates information with the Medical Director, patient admissions coordinator, nursing unit manager(s), and other team members in a timely and effective manner to advocate for patients by providing the fastest decision regarding admission.
Collaborates with team members in the admission decision making process quickly and effectively to discern time of admission, patient bed placement, and any special needs of the patient to provide a tmey turnaround for referral sources.
Facilitates the admission process with the payer sources and the admissions coordinator for inpatient rehabilitation.
Manages all referrals, admissions, and denials from a proactive approach and exhibits behavioral skills that promote a positive customer relations environment.Level 2 - Proficient (in addition to above duties)
Demonstrates knowledge of current clinical care requirements and directives including regulatory standards.
Knows ICD-10 coding and how the codes affect the tier assignment for each case.
Understands and contributes to targets/benchmarks for success of the rehabilitation program.
Coordinates and conducts educational presentation(s), internally and externally.
Develops and maintains physician relationships both internally and externally.Level 3 - Subject Matter Expert (in addition to above duties)
Applies proper application of the rules and regulations for IRF's to the facility / program.
Participates in identifying trends and issues within the facility to promote improved clinical outcomes.
Participates in community health organizations related to rehabilitation services.THE CLINICAL LIAISON REFERRAL COORDINATOR FT DAYS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE.LICENSURE/CERTIFICATION/REGISTRATION
License Required: Valid and current Arizona nursing license, or compact state license and ability to become Arizona Licensed in 30 days; or related rehabilitation field license.
Certification Required: CPR-BLS
Certification Preferred: Functional Independence Measures (FIMS).EDUCATION
Required: Associate's Degree in Nursing or Healthcare related filed.
Preferred: Bachelor's degree (BS, BA) in healthcare related field.WORK EXPERIENCE
Required: Two (2) years recent acute care, community, or long term care rehabilitation clinical experience.#LI-SW2Responsibilities:Process patient referrals for the practices in the market, Facilitates orders outside to outside facilities. Coordinate scheduling of office visits for the referred patient Assist patient with finding resources that accept the various insurances Obtains pre-authorization from payers. Calls insurance companies to get medications approved that may have been denied due to formulary changes.Qualifications: Education:Required: High school diploma/GED.
Preferred: Completion of a medical assisting or medical office assistant program. Experience:Required: Must have a minimum of 4 years of experience working in a medical office setting. Certifications:Preferred: Healthcare management/administration or Medical Assistant certification Physical Demands:About Us: Who We AreWe are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.Our StoryWe started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.Our Impact TodayToday, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.About the Team: Careers at TenetAt Tenet Healthcare, the heart of what we do centers on caring with compassion, which ultimately creates a bond between our caregivers and patients. Everyone contributes to these moments, whether providing care directly or supporting those who do.As an organization, we provide employees with resources, tools and support to serve our patients and customers in the best way possible. We also take care of one another, helping team members further develop their career pathways and maximize their potential.