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Cardinal Health

Skilled Inpatient Care Coordinator (SICC)

Cardinal Health - Raleigh, NC

Why naviHealth?

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

Detail oriented

Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously

Team player

Ability to establish a home office work space

The nice-to-haves……

Bachelor’s degree preferred

Case Management experience with CCM preferred

Patient education background, rehabilitation and/or home health nursing experience a plus

About naviHealth

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

Job Requirements

8 days 22 hours ago

Cardinal Health

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Skilled Inpatient Care Coordinator (SICC) Cardinal Health - Raleigh, NC, United States

   

Location: Raleigh, NC

Company Profile:
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.