Healthcare Coordinator, ACP

Position Summary:

Under the direction of Director, Clinical Excellence and collaborating closely with Advance Case Manning (ACP) Case Management, the Advance Care Planning (ACP) Coordinator is responsible for assisting in the successful outcomes of the Advance Care Planning (ACP) management of the hospice appropriate members in the South Region. 

The primary goal if the Advance Care Planning (ACP) Coordinator, is supporting the ACP Case Management in all ACP activities that ensure that all hospice appropriate members are transitioned to hospice care successfully, followed, and tracked. 

Responsibilities include the promotion of ACP programs and services while maintaining the standards pf practice consistent with quality health care and maximizing human and financial resources. This coordinator will also support issues relayed to ACP program. The goal of ACP Coordinator is to efficiently assist in managing the hospice appropriate members information and reporting to ensure the accuracy and effectiveness of ACP program. 

Essential Duties and Responsibilities include the following:

• Assists ACP/Case Mgr. with advance care planning activities.
• Interfaces with the inpatient, SNF, Outpatient, prior auth team, & hospice teams to coordinate advance care planning activities.
• Receives and logs new hospice referrals into hospice log in real time.
• Attends inpatient rounds/ICT Meetings, as requested/needed by ACP CM to receive potential hospice care referrals
• Supports ACP CM with referral tracking and updating hospice log on a daily basis.
• Conducts follow-up calls for members who discharged/revoked from hospice when warranted.
• Follows up with Hospice Providers for members who discharged/revoked to re-convert with provider as appropriate.
• Conduct follow-up calls for members referred and assist with scheduling home visit appointments for ACP/Case Mgr.
• Communicate with PCP members referred for Hospice if received from other sources.
• Communicate with PCP office to obtain order for hospice and faxing to hospice provider.
• Requests medical records from medical office or hospital as needed and upload into member’s chart to assist in ACP member review.
• Follows up with Hospice Providers to ensure service issues are addressed.
• Verifies eligibility and benefits as required
• Processes any identified referrals when member is discharged from Hospice for members as needed.
• Documents all care coordination on member’s case/ medical record.
• Keeps patient and/or family members or other customers informed of any changes.
• Assists other staff and supports the team approach.
• Demonstrates the ability to follow through with requests, sharing of critical information, and getting back to individuals in a timely manner.
• Demonstrates honesty and integrity in everyday activities.
• Protects privacy for both patients and employees; ensuring all personal health information is kept confidential i.e., (sensitive papers, charts, and reports are not in view of the public).
• Recognizes when an error has been made and immediately reports to the ACP CM or Director, Social Services as needed.
• Participates in “service recovery” through follow-up with an upset customer, gathering information, and demonstrating empathy.
• Treats all customers (Members, Peers, Vendors, and Hospitals) with respect and dignity.
• Interacts professionally with other healthcare service providers.
• Communicates appropriately and clearly to management, co-workers, and physicians.
• Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs.
• Performs other duties as assigned.
• Participates in the efficient, effective, and responsible use of resources such as supplies and equipment.
• Maintains all reference material that is provided by the ACP CM or director.
• Assist with any special projects
• All other duties as directed by management.

Organizational Responsibilities:

• Proactively support and practice company mission, vision and values.
• Follow Employee Handbook guidelines and company policies and procedures.
• Follow established departmental dress code.
• Appropriately and accurately maintain time keeping records.
• Adhere to attendance policy and time off requests.
• Follow safety policies and procedures.
• Be flexible and adaptable and courteous and promote professionalism.
• Communicate verbally and in writing through appropriate channels.
• Maintain confidentiality at all times in compliance with company policy and HIPAA requirements.
• Employ