MUSCP - Patient Care Coordinator II - Department of Medicine: Division of Pulmonary

Job Description Summary

Serves as the Patient Care Coordinator responsible for supporting the administrative activities of the CTEPH and Pulmonary Hypertension clinics. Duties to include complex ambulatory appointment scheduling including but not limited to multimodality testing for both cardiac and pulmonary diseases, right heart catheterization, left heart catheterization, cardiac MRI, stress testing, invasive exercise testing, ventilation/perfusion scanning, CT angiography, pulmonary angiography in the catheterization laboratory, pulmonary function testing, 6 minute walk testing, echocardiography and ambulatory provider clinic evaluation; maintaining medical records, triage patient communications to the appropriate provider, follow up to ensure continuity of care across provider care teams and timeliness of appointment scheduling. The employee will coordinate and manage a variety of duties associated with daily clinic operations and patient access. This position also involves excellent customer service skills, coordination with multiple internal and external ancillary testing locations and strong communication skills both written and verbal.

This position will report to the Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine’s Pulmonary Hypertension Nurse coordinator and the CTEPH Medical Director. The employee must have a familiarity of medical terms and a minimum degree of Medical Associate.

Entity

University Medical Associates (UMA) Only Employees and Financials

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC000974 COM DOM PULM General CC

Pay Rate Type

Hourly

Pay Grade

Health-26

Scheduled Weekly Hours

40

Work Shift

Job Description

Job Duties:

35% - Complex ambulatory appointment scheduling including but not limited to multimodality testing for both cardiac and pulmonary diseases, right heart catheterization, left heart catheterization, cardiac MRI, stress testing, invasive exercise testing, ventilation/perfusion scanning, CT angiography, pulmonary angiography in the catheterization laboratory, pulmonary function testing, 6  minute walk testing, echocardiography and ambulatory provider clinic evaluation; maintaining medical records, triage patient communications to the appropriate provider, follow up to ensure continuity of care across provider care teams and timeliness of appointment scheduling. The administrative coordinator will be in direct contact with referring provider offices to acknowledge receipt of referral, request any additional medical records needed and provide appointment details when scheduled. The administrative coordinator will be the first point of contact with self-referring patients to obtain current care team information, obtain any needed consent forms for release of medical records from outside providers, establish a primary care point of contact for coordination of care and provide appointment information. This complexity requires a minimum of a Medical Associate’s degree. Strong verbal and written communication skills are essential.

25% - Will serve as coordinator for clinical care management both inpatient and outpatient, hospital discharge planning, home care including home health, hospice and medical equipment referrals. Complete complex pharmaceutical therapy referrals, pharmaceutical assistance program referrals, pulmonary rehabilitation referrals and MUSC Anticoagulation Clinic referrals. Triage patient phone calls.

10% - Ensure timely turnaround of authorizations and communications from outside resources to provide seamless continuity of care. Obtain medical authorizations, confirm procedure and testing prior authorization prior to patient travel for appointments and notify program coordinator/manager of any delays. This includes 3rd party payor negotiations for pre-certification, prior authorizations, appeals for diagnostic procedures and complex therapies. Administrative coordinator will also be responsible for medication prior approvals and medication appeals.

10% - The administrative coordinator will attend weekly clinic appointment planning meetings with the multidisciplinary teams and will be responsible for ensuring that all needed resources are available for each individual appointment. The Administrative Coordinator will attend weekly clinical wrap up meetings and will be responsible for ensuring that all follow up clinical appointments are scheduled in the accordance with CTEPH/PH team recommendations. The administrative coordinator will facilitate the CTEPH MDD weekly conference schedule including calendar invites, cases for review, follow up on any action items from the conference and ensuring all materials needed for case r