Rush University Medical Center · 15 hours ago
Clinical Resource Coordinator Per Diem-24240
Rush University Medical Center is seeking a Clinical Resource Coordinator who will work collaboratively with various stakeholders to provide case management support services. The role involves managing caseloads, facilitating communication, and ensuring effective transitions in care for patients of all ages.
Clinical TrialsEducationHealth CareMedicalTraining
Responsibilities
Manages caseload, serves as resource, sets priorities and completes assigned tasks
Facilitates collaboration with CM team/department to prioritize tasks, ensuring department support needs are met
Models ICARE values and actively supports teamwork, customer service and employee engagement. Flexes schedule to meet department needs
Facilitates effective, efficient communication and problem solving with internal and external customers
Uses information technology to document activities, track performance outcomes and produce performance reports
Provides training and orientation, creates reference materials and shares expertise with others
Seeks continuing education opportunities, completes required in-services and maintains professional growth by attending various department, institutional and external meetings, seminars and workshops
Applies performance improvement strategies to promote continuous process improvement
Identifies opportunities and collaborates with CM team/department to implement solutions
May serve on department or hospital-wide committees as needed
Collaborates with team, department, unit staff, and/or physician practice to ensure expectations are met
Performs activities in support of patient flow that may include patient placement activities
Provides services that may include but limited to: patient centered interviews, transitions in care screenings, identification of potential post discharge needs and the presentation of patient resource folder and documentation of findings
Facilitates communication with Case Manager and team: Supports processes related to care transitions including discharge central and/or unit/team centered provider referral communications. Meets customers' varied needs by readily providing support including, but not limited to, efaxing, faxing and copying forms
Ensures compliance with HIPPA and ROI regulations and protocols
Manages Medicare Important Message processes and related tasks
Works with CM and Patient Access to ensure hospital compliance with federal mandates
Coordinates post discharge care transition referral communication
In collaboration with the case manager, provides referral and follow-up contacts to agencies, facilities and patients/families to support safe, effective care transitions
Identifies issues, resolves when able, triages to the appropriate level and collaborates with case managers, senior case managers, nurses, physicians and general staff throughout the medical center to resolve care transition issues
Provides designated support for functions including payer approval / certification communication, denial appeals, and / or level of care management processes
In accordance with the case management external faxing policy and HIPPA guidelines, communicates clinical information/PHI to payers to ensure certification of inpatient hospital stays via secure e-fax
Contacts payers to obtain or confirm fax and contact information for certification nurses
Follows protocols and HIPPA compliance regulations and proposes process improvements to managers when issues are identified
Follows protocol and reports known or suspected misdirected fax incidents to certification supervisor/manager. Provides level of care support services for certification, denial and/or preadmission LOC management teams, including monitoring reports, paging/texting physicians, checking EPIC documentation and other assigned tasks
Conducts preadmission and post admission screening and interviews, provides patient/family education at scheduled classes and handles follow-up calls and communication with physician practice(s) care team as warranted
Qualification
Required
High School Diploma and two years' experience
Demonstrated knowledge and/or experience with hospital - related service functions such as: patient interviews, discharge planning/social service basic assessment and referral processes, community resources, finance and payer communication processes and information systems
Excellent written and verbal communication and interviewing skills
Expertise with information systems and Microsoft Office Suite and ability to create reports/communication documents related to role and outcome performance monitoring
Ability to communicate effectively with health care team, patients/families and community, internal and external providers to promote effective transitions in care
Commitment to teamwork, collaborative approach and customer service focus desired
Ability to perform tasks independently, seek direction as needed and prioritize workload
Flexibility to adjust schedule and assignment as workload warrants; including weekends
Preferred
Bachelor's Degree (health related or equivalent area of focus such as social work, psychology or medical terminology)
Company
Rush University Medical Center
Rush University Medical Center offers healthcare services for children and adults, clinical trials, medical education and training services.
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Parkinson's Foundation
2023-07-25Grant
Leadership Team
Recent News
GlobeNewswire
2026-01-02
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