Skilled Inpatient Care Coordinator (SICC)Cardinal Health - Raleigh, NC
naviHealth is the result of over a decade of dedicated visionary leaders and innovative organizations challenging the status quo for PAC management solutions. We do healthcare differently and we are changing healthcare one patient at a time. How might you ask? By hiring talented clinicians, engineers, developers, and healthcare leaders to create and utilize cutting edge technology in order to provide the patient with the best level of care for the right amount of time.
Why Is This Role Critical?
The Telephonic SNF/IRF (Skilled Nursing Facility/Inpatient Rehab) Care Coordinator (SICC) plays an integral role in the member’s journey towards better well-being. By serving as the link between members and the appropriate health care personnel, the Telephonic SICC is responsible for ensuring efficient, smooth, and prompt health care services be delivered to the member. They provide emotional support to both the member and their relatives as well also give medical advice.
What you will be accountable for….
Perform SNF assessments on patient using clinical skills and appropriate measurement tools such as LiveSafe, OPT, InterQual and CMS criteria upon admission to SNF and periodically through the patient’s stay
Review targets for LOS, target outcomes and discharge plans with the providers and family
Completes all SNF concurrent reviews, updating Authorizations on a timely basis
Collaborate effectively with the patient’s health care team to establish an optimal discharge plan. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapist, etc.
Assure the patient is progressing toward discharge goals and assist to resolve barriers
Participate in SNF Rounds weekly providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director
Assure appropriate referrals are made to the Health Plan, High Risk Case Manager and/or community-based services
Engages with patient, family or caregiver either telephonically or on-site weekly and as needed
Attends the patient/family care conference
Assess and monitor patient’s continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the OPT
When naviHealth is delegated for utilization management review refer requests that cannot be approved for continued stay and are forwarded to licensed physicians for review and issuance of the NOMNC when appropriate
Coordinate peer to peer reviews with naviHealth Medical Directors
Supports new delegated contract start up to ensure experienced staff work with new contract
Manage assigned caseload in an efficient and effective manner utilizing time management skills
Enter timely and accurate documentation into the CM Tool application
Daily review of census and identification of barriers to manage independent workload and ability to assist others
Review with the assigned Clinical Team Manager monthly dashboards, readmission reports, quarterly and other reports as needed to assist with the identification of opportunities for improvement
Adhere to organizational and departmental policies and procedures.
Maintains confidentiality of all PHI information in compliance with HIPPA, federal and state regulations and laws
What you will need to be successful in this role….
Registered Clinician is a requirement of the role with preference for RN, PT, or OT credentials
Current active unrestricted clinical license required
3-5 years of clinical experience required
Experience working with geriatric population preferred
Exceptional interpersonal and communication skills
Strong problem solving, conflict resolution and negotiating skills
Proficient with Microsoft Office applications including Word, Excel and Power Point
Independent problem identification/resolution and decision making skills
Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously
Ability to establish a home office work space
Bachelor’s degree preferred
Case Management experience with CCM preferred
Patient education background, rehabilitation and/or home health nursing experience a plus
NaviHealth is a pioneer in care transitions with a combined unprecedented 16 years of experience that uniquely positions us to manage and share risk with our partners. As a Cardinal Health company, we provide clinical support alongside scaled technology and advisory solutions that empower health systems, health plans, and post acute providers to navigate care episodes across the continuum, with the goal of reducing waste and improving patient outcomes
naviHealth ™ is proud to be an equal opportunity/affirmative action employer. We are committed to attracting, retaining and maximizing the performance of a diverse and inclusive workforce
8 days 22 hours ago
applySkilled Inpatient Care Coordinator (SICC) Cardinal Health - Raleigh, NC, United States
Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a $103 billion health care services company that improves the cost-effectiveness of health care. As the business behind health care, Cardinal Health helps pharmacies, hospitals, ambulatory surgery centers, clinical laboratories and physician offices focus on patient care while reducing costs, enhancing efficiency and improving quality.
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