As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
This is an AFTERHOURS - WORK FROM HOME position. Weekends Only
The SNF Placement Team (SPT) Coordinator performs triage functions by providing support and guidance, to SNF Placement Team Case Manager by assisting with transferring patients from Acute setting to SNF, Sub-acute, Congregate Livings and/or Recuperative Care Centers. Demonstrates self-direction in establishing priorities and working with routine supervision. Working collaboratively with After Hours SPT Case Manager and After Hours Team after business hours and weekends. Maintains high level of precision in judgment, accuracy of assessment, and skill in problem solving under stress. Relates and communicates well over the telephone to all callers.
Essential Duties and Responsibilities include the following:
Facilitates transition of members from Acute setting to Skilled Nursing Facilities, Sub-Acute Facilities, Congregate Livings and Recuperative Care Centers.
Communicate with After Hours Inpatient team and SNF Placement Team Case Manager
Clerical duties include faxing placement referral requests to Skilled Nursing Facilities
Receives, triages, and responds to telephone calls from facilities requiring medical and nursing inquiries
Assesses patient problems utilizing approved MCG guidelines, directing access to care to include Skilled Nursing Facilities, Sub-acute Facilities, Congregate Livings and Recuperative Care Centers
Follows established clinical protocols/guidelines
Directs patient to appropriate levels of care based on assessment within the established guidelines.
Communicates to After Hours Management and escalate issues as necessary
Facilitates authorizations for vendors and/or outside services as appropriate.
Obtain LOA for non-contracted facilities as needed
Documents all calls according to established standards in REA/LEA
Documents all SNF inquiries and member disposition in the SNF Placement Team log daily
Participates in quality monitoring process by daily verbal endorsement between SNF Placement Team business hours and After Hours Team
Translates oral information into concise and accurate written documentation using standard medical guidelines and abbreviations.
Shift summary to be sent to the Director, Manager and Lead of SNF Department
Recognizes financial, medical and legal risks based on data collected during customer interactions and follows appropriate procedures.
Demonstrates customer service-oriented behavior at all times.
Acts as a mentor as requested by supervisor.
Expedites emergency calls as needed.
Participates in regular staff meetings as scheduled.
Uses, protects, and discloses patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
Performs additional duties as assigned.
Adheres to Code of Conduct
- Must be available to work Weekends and Holidays and flexible with all shifts.
- Must be available to complete a minimum of 6 weeks training in our Corporate Office in Northridge, CA.
This is a remote position (Work from home). Weekends only. Must have the ability to set up a home office. Equipment will be provided.
Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.