Medical Care Coordinator I (002)

The Medical Care Coordinator I is a key associate at Hope Network whose primary responsibilities include:  Facilitates the care plan for the treatment episode, proactively monitors clinical quality, and facilitates timely discharge from the program. During the treatment episode, they coordinate the efforts of psychiatry, physiatry, psychology, nursing, PT, OT, SLP, Rec, SW, and integrate the family in the plan.   They are responsible to facilitate real time communication from the treatment team to the external Nurse Case Manager, insurance adjustor, and external physicians serving the patient.  They serves as an advocate and liaison for and on behalf of consumers' rights and benefits.   They evaluate, facilitate and monitor services and client progress in relationship to established goals and objectives.

 

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
This is not intended to be an exhaustive listing of job functions.  This job description is in no way states or implies that these are the only duties to be performed by this employee.  The employee is required to follow any other instructions and to perform any other duties as assigned by management as long as the duties are lawful, ethical, and within best business practices.

 

1. Regular and predictable attendance is an essential requirement of this position.

 

2. Responsible for a smooth intake process for each new consumer assigned to their case load including:
• Ensure the consumer is assigned a complete treatment team as determined by their needs and physician orders and that their schedule is complete; 
• Address any admission day medical, personal care, and rehabilitation needs;
• Verify that all priority evaluations are completed and findings are implemented to ensure a safe and comfortable transition for the consumer;
• Complete all required intake documentation;
• Obtain copies of all necessary documents for invoicing of services including identification, insurance plan, insurance cards and legal forms if not yet received 

 

3. Responsible to oversee the medical care of the consumer by:
• Work cooperatively with nursing and direct care staff; and
• Ensure medical follow-up and care is provided including but not limited to scheduling and coordinating medical appointments and transportation, securing medical orders and treatment prescriptions at required intervals, and attending medical appointments when appropriate.
4. Serves as the primary point of contact for outside parties such as physicians, rehabilitation nurses, adjustors, families/guardians, and other service providers.  Keep all external parties informed, at their desired level and frequency, of the progress being made in the program.  Portrays a positive, professional image of the program.

 

5. Coordinate with the treatment team to ensure that consumer programs are coordinated and outcome oriented showing movement through the continuum of care, as appropriate.  Challenge the treatment team if progress slows or goals are not being achieved.  Proactively escalates the case for review by a program manager/director when the case presents some challenge to achieving successful outcomes or meeting the predicted outcomes.
6. Makes internal referrals that allow HNNR new opportunities to serve a consumer who has either made progress and can benefit from additional services, or has developed previously unseen concerns that could be addressed by a referral to the appropriate professional.   

 

7. Leads the treatment team in a manner which is conducive to problem solving and cooperation.  Works with the team to develop a treatment plan that is functional, measurable and goal directed. Ensure differences of opinion among the HN treatment team are resolved before meeting with external stakeholders.

 

8. Ensures that extraneous information needed for decision making, planning and execution of plans is provided and available to all team members.  Able to generally represent the treatment plan and current issues during team meetings that either support the need for ongoing care or indicate discharge to less intensive services. 

 

9. Communicates urgent information in a timely fashion and in ways that ensure all team members, including external, receive the information needed in a timely fashion.  Utilizes multiple avenues of communication to guarantee all team members have received the information.  (Note – email is not considered received until it has been read therefore cannot be used for time sensitive communicat