Overview:
The Client Care Coordinator assesses the medical components of injured workers situation including, but not limited to, prior authorization, chart preparation, determination of appropriate level of care, utilization of services, concurrent review, retrospective review, development of discharge plans, assurance of quality and cost effectiveness. Act as a liaison among patient/family, client/employer, and healthcare personnel to ensure necessary care is provided promptly and effectively to restore injured workers function, capacity and self-esteem. Perform medical and testing procedures under supervision of the treating clinician.
Responsibilities:
THE DETAILS
Coordinate all aspects of a patient's injury, including case review and visit prep for clinicians. This includes gathering all necessary documents for these appointments, prepping the charts, coordinating referrals, and providing patients with necessary documents.
Provide communication of non-compliance and missed appointments. In conjunction with the on-site clinicians, identify cases that may possibly require partnership with area medical leadership
Partner with Center Operations Director (COD) in preparing for large groups of Physicals
Communicate both in-person and telephonically with client, medical provider, attorney, employer, as required
Assist clinicians with injury and physical visits
Provide guidance, training, and education for all clinic staff as needed
Examine clinic processes critically and note areas of improvement or deficiencies to report back to COD. At the direction of the COD the Client Care Coordinator will address these areas and implement changes.
Attend medical case review meetings with client and speak to details of certain cases. Act as liaison between client and on-site clinicians.
Perform onsite services for various department events and special client requests. This includes participation in client health and safety activities such as health fairs or education opportunities.
Provide medical support services for patients or department employees that been scheduled in clinic. This includes assisting in the proper completion of ancillary services such as lab draws for physicals.
Obtain drug screen results for the client, scan for needed Medical Review Officer (MRO) review, gather all needed information for clinician to perform MRO duty, facilitate clinician time needed for MRO process
Apply all laws and regulations related to the provision of rehabilitation services
Support clinic operations, specialty services, physical reporting
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Qualifications:
EDUCATION/CREDENTIALS
High school graduate or GED equivalent
Some college courses in Allied Health or related field from an accredited college/university
Obtaining and maintaining Commission for Case Management, Clinical Data Management Systems, Certified Rehabilitation or Medical Assistant credentials in accordance with state requirements and applicable regulations
Registered Nurse designations are encouraged; these designations are required where dictated by state regulations
JOB-RELATED EXPERIENCE
Customarily has at least one of year demonstrated experience in a similar position, preferably related to healthcare sales and/or Workers' Compensation
Customarily has at least one or more years of demonstrated customer experience
Computer, word processing experience, knowledgeable about Microsoft Office programs (Word, Excel, PowerPoint)
JOB-RELATED SKILLS/COMPETENCIES
Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
Demonstrated willingness to participate in initial and ongoing training
Demonstrated effective communication and interaction with employers, patients, providers and other employees
Demonstrated ability to maintain working relationship with all levels of employees
Demonstrated computer skills. Knowledgeable in Microsoft Office programs (Word, Excel, PowerPoint), intermediate level or above
Additional Data:
BENEFITS SUMMARY:
- 401(k) with Employer Match
- Medical/Vision/Prescription/Dental Plans
- Life Insurance/Disability
- Paid Time Off
- Colleague Referral Bonus Program
This job requires access to confidential and sensitive information requiring on going discretion and secure information management.
This position is eligible to earn a base compensation rate in the state range of $20.42 to $26.96 hourly depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority.
Concentra is an Equal Opportunity Employer, including disability/veterans