Referral Communications Specialist
Job Description
ESSENTIAL FUNCTIONS:
- Assure residents meet criteria for admission and review initial clinical information through discharge.
- Monitor and manage client/patient/resident's cases through development and implementation of individual care plans, collecting clinical data and remain informed by continuous review of documentation.
- Coordinate care by tracking, monitoring, and reporting on inpatient or outpatient care.
- Manage client/patient/resident's cases with knowledge and expertise with the patient population of the facility.
- Convey medical criteria and clinical information between the client/patient/residents' insurance provider and treatment team as warranted and may also provide this information to the business office, as needed.
- Conduct precertification with third party payers and negotiate approved days with the provider for the patient/resident admission.
- Assigned tasks for admission review, concurrent review and participate in discharge planning.
Cove Forge Williamsburg is an EOE
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
Date Posted
08/25/2023
Views
3
Similar Jobs
Entry-Level Logistics Specialist - Expeditors
Views in the last 30 days - 0
Expeditors is a global supply chain management company with a strong focus on professionalism leadership and a friendly environment They hire for atti...
View DetailsInside Business Development Executive (Cox Business) - Cox Enterprises
Views in the last 30 days - 0
Cox Business is seeking an Inside Business Development Executive with 7 years of experience in a related field The role involves identifying and creat...
View DetailsSystem Programmer III CICS/MQ - Northwestern Mutual
Views in the last 30 days - 0
Northwestern Mutual a leading Life Insurance Financial Planning and Investment company is seeking a subject matter expert in Mainframe CICS and MQ The...
View DetailsOracle EBS Developer with OAS and APEX (M) - SimIS Inc.
Views in the last 30 days - 0
SimIS Inc a veteranowned small business founded in 2007 is currently recruiting for an experienced Oracle EBusiness Suite Developer The role involves ...
View DetailsProject Manager II (A) - SimIS Inc.
Views in the last 30 days - 0
SimIS Inc founded in 2007 is a Veteran Owned Small Business specializing in information technology solutions They are currently recruiting for a leade...
View Details