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Patient Care Coordinator

Department

Administration

Reports to

Regional Director of Business Development

Reporting to this position

N/A

Job Classification

Administrative

Position Purpose

Completes day-to-day tasks regarding admission, discharge, and/or transfer of residents in accordance with local, state and federal standards and regulations, as well as established policies and procedures.

Required Qualifications

1. Must be 18 years of age
2. Associates degree in business or marketing is preferred but not required
3. Must have, as a minimum, one (1) year of experience with demonstrated success in a business development or marketing position in a skilled nursing facility, assisted living facility or in another related health care facility.
4. Understanding of customer service principles and exceptional interpersonal skills
5. Knowledgeable of insurance coverage and authorization process pertaining to long-term care is helpful.

Major Duties and Responsibilities

Participates in an open and collaborative relationship between continuum partners (i.e. home health, hospice, SNF, ALF, etc.) working toward shared goals for occupancy census and collections.  

Performs duties daily as delegated by the Regional Development Director to facilitate the conversion of referrals to admission status.

Knows at all times, the status of each referral.  

Communicates with external team members regarding referral status and any additional information needed to assist with the admission decision.

Communicates daily with central intake, business office, administrator/directors to complete financial evaluations for potential referrals and payment options.

Knows, at all times, which payment entities require prior authorization for payment and works with the appropriate department and individuals to ensue authorization is obtained.

Maintains working knowledge of payors such as other insurances, Medicare A, Medicaid, Private, Veteran’s Administration contracts, and hospital contracts, etc. 

Assists with processing referrals timely on a daily basis as assigned.

Ensures residents or patients are admitted, transferred and discharged from the facility software accurately on a daily basis.

Records resident pay status changes on the facility’s internal daily census communication tool. 

Records resident pay status accurately in the resident’s record at time of admission. 

Behaves in a manner aligned with facility goals for occupancy and customer service. 

Meets with potential residents/representatives daily and provides information about the facility.

Provides tours of the facility daily, and as requested by potential residents/representatives. 

Works in a helpful and pleasant manner, daily using the telephone to communicate with families, residents, hospitals, insurance companies, etc. related to processing referrals. 

Works numerous times a day using a computer, electronic medical record, spreadsheets, and other tools related to processing referrals. 

Completes admission paperwork and files according to facility policy.

Informs the Admissions Director of obstacles or barriers to admitting residents. 

Maintains daily referral tracking information as assigned by the Admissions Director. 

Communicates with interdisciplinary team members timely regarding room assignments for pending admissions.

Demonstrates interpersonal relationship skills by developing and maintaining trust with coworkers. 

Completes the daily census. 

Participates in facility assessment activities as needed, such as carrying out duties assigned as part of a performance improvement committee. 

Collaborates with members of the interdisciplinary team, family members, hospitals and community, etc. in a manner that resolves issues and improves the admissions process.  

Promotes teamwork, mutual respect, and effective communication.

Participates in the facility’s plan of correction response to an inspection survey and implements any follow-up as designated by the Admissions Director.  

Promotes safe work practices, safety rules, and accident prevention procedures to prevent employee injury and illness.

Additional Tasks

1. Treats all residents or patients with dignity and respect. Promotes and protects all resident or patient’s rights.
2. Establishes a culture of compliance by adhering to all facility policies and procedures.  Complies with standards of business conduct, and state/federal regulations and guidelines.
3. Follows appropriate safety and hygiene measures at all times to protect residents, patients and themselves.
4. Maintains confidentiality of protected health information, including verbal, written, and electronic communications.
5. Reports noncompliance with policies, procedures, regulations, or breaches in confidentiality to appropriate personnel. Reports any retaliation or discrimination to HR or compliance officer.
6. Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents or patients to supervisor and/or administrator.  Protects residents or patients from abuse, and cooperates with all investigations.  
7. Reports any occupational exposures to blood, body fluids, infectious materials, and/or hazardous chemicals in accordance with facility policy.  
8. Participates in all life safety and emergency drills and trainings where applicable.  Fulfills responsibilities as assigned during implementation or activation of the emergency plan.
9. Reports work-related injuries and illnesses immediately to supervisor.
10. As a condition of employment, completes all assigned training and skills competency.
11. Follows established infection control policies and procedures.

Personal Skills and Traits Desired/ Physical Requirements/Working Conditions

1. Ability to read, write, speak and understand the English language.
2. Must be a supportive team member, contribute to and be an example of team work.
3. Ability to make independent decisions when circumstances warrant such action.
4. Ability to deal tactfully with personnel, residents, patients, family members, visitors, government agencies/personnel and the general public.
5. Must have patience, tact, and willingness to deal with difficult residents, patients, family and staff. 
6. Must be able to relay information concerning a resident or patient’s condition.
7. Must not pose a threat to the health and safety of other individuals in the workplace.
8. Must be able to move intermittently throughout the workday.
9. Meets general health requirements according to company policy, including medical and physical exams and checking immunity status to various infectious diseases.
10. Ability to work beyond normal working hours and on weekends and holidays when necessary.
11. Ability to assist in evacuation of residents or patients during emergency situations.
12. Ability to bend, stoop, kneel, crouch, perform overhead lifting and perform other common physical movements as needed for the position.
13. May be subject to falls, burns from equipment, and/or odors throughout the day; encounter reactions from dust, tobacco smoke, disinfectants, and other air contaminants.
14. Subject to exposure to infectious waste, diseases and/or conditions which include AIDS, Coronavirus, Hepatitis B, and Tuberculosis.
15. May be subject to hostile or emotional residents, patients, family members, visitors or personnel.
16. Works in office and throughout the facility.
17. Willing to work to task completion in spite of frequent interruptions.
18. Subject to hostile and emotionally upset residents, patients, family member, personnel and visitors.
19. Works beyond normal working hours and on weekends, holidays when necessary.  On call 24 hours per day, 7 days per week.

Compliance as a Condition of Employment and Performance Appraisal

Agreement to abide by all standards, policies, and procedures of the company, including the company’s compliance and ethics program, is a condition of employment.  Compliance will be a factor in evaluating job performance.  Violations, including failure to report violations, will result in disciplinary action, up to and including termination.

This job description is intended to convey the general scope of the major duties and responsibilities inherent in this position.  Other tasks not listed here may be assigned by the Regional Director of Business Development.  Periodic revision may be necessary to reflect changes in expectations placed on long term care by various governmental agencies.  This job description will be reviewed and/or revised annually and as needed.

Individual performance will be evaluated using the following scale: 

1. Unsatisfactory: Achieves results which are far less than the standards identified for the performance factors rated.
2. Needs Improvement: Achieves results which are less than the standards identified for the performance factors rated. Exhibits the potential to become a competent performer.  May be new to job or need skill development.
3. Meets Standards: Achieves results which meet the standards identified for the performance factors rated.  This rating is the expected level of performance.
4. Exceeds Standards: Achieves results which usually exceed the standards identified for the performance factors rated.

Reasonable Accommodation Statement

Consistent with the Americans with Disabilities Act (ADA), it is the policy of Rocky Mountain Care to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship.  The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process.  If reasonable accommodation is needed, please contact the HR Department at (801) 397-4130 or by email HR@rmcare.com .

Required Qualifications

1. Must be 18 years of age
2. Associates degree in business or marketing is preferred but not required
3. Must have, as a minimum, one (1) year of experience with demonstrated success in a business development or marketing position in a skilled nursing facility, assisted living facility or in another related health care facility.
4. Understanding of customer service principles and exceptional interpersonal skills
5. Knowledgeable of insurance coverage and authorization process pertaining to long-term care is helpful.