RN Clinical Coordinator

RN Clinical CoordinatorPalm Primary Care is a rapidly growing company currently seeking an experienced RN Clinical Coordinator with leadership experience to join our team.The RN Clinical Coordinator performs a variety of tasks and coordinates the plans of care for hospital and nursing home patients, from admission to discharge to ensure the continuation of care is provided effectively and efficiently.Reports directly to the Senior Director of Utilization Management in the Utilization Management Department.Responsibilities include:Admit new clients by reviewing records and applications; conduct orientations.Communicate the daily tracking of all hospital/nursing home admissions and discharge for both statistical and cost management purposes.Determine clients' requirements by completing intake interviews; determine need for therapeutic medical, psycho-social, and psychiatric evaluations, review therapist evaluations, treatment objectives, and plans.Establish treatment programs by setting schedules and routines; coordinate services being provided; arrange resources- including transportation and escort.Monitor cases by verifying clients' attendance; observe and evaluate treatments and responses; advocate for needed services and entitlements; obtain additional resources; ability to intervene in moments of crises by providing personal support.Maintain clients' records by reviewing case notes, logging events and progress.Communicates with PMC managers on members discharged from inpatient facilities to assure appropriate medical care follow upObtain weekly update on all nursing home patientsCommunicate potential catastrophic and stop loss patientsIdentify patients related to possible subrogation and/or cost allocationsCoordinate the transfers of patients as instructed by the Medical Director or PCP.Arrange direct admissions to hospitals and placement in nursing homesAssist PCP in placing patients at SNFMonitor length of stay (LOS) for both hospital and nursing home patients and make necessary discharge arrangementsCommunicate clients' progress by conducting weekly interdisciplinary meetings and evaluations, disseminating results and obstacles to therapeutic team and family, identify treatment influences.Improve staff competence by providing educational resources; balancing work requirements with learning opportunities; evaluating the application of learning to changes in treatment results.Improve treatment results by studying, evaluating, and re-designing processes, implementing changes, rewriting policies and procedures.Improve financial status by analyzing results, monitoring variances, identifying trends, and recommending actions to management.Requirements:Proven working experience in case management- including as an RN, medical, mental health care manager or a related job experienceExcellent knowledge of case management principles, management and reimbursementPrevious experience with psychological aspects of careEffective communication skillsExcellent organizational and time management skillsFamiliarity with professional and technical emerging knowledgeProblem solving skills and ability to multi-taskCompassionate with teamwork skillsKnowledge of terminology CPT codes and ICD 10Bilingual preferredKnowledge of InterQual or Milliman Care Guidelines preferredMinimum Qualifications: Active TX RN license, minimum 3 years of RN Clinical Coordinator experience.Job Type: Full-timeSalary: From $75,000.00 per year (negotiable based on experience)Benefits:401(k)Dental insuranceEmployee assistance programFlexible spending accountHealth insuranceLife insurancePaid time offVision insuranceSchedule:Day shiftMonday to FridayAbility to commute/relocate:Dallas Area: Reliably commute or planning to relocate before starting work (Required)Experience:Case management: 3 years (Required)Work Location: Hybrid (In-office, On-site 3 locations)Palm is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm makes hiring decisions based solely on qualifications, merit, and business needs at the time.