*Clinical Navigator - FT (Raleigh Market)
Company: PAM Health
Location: Rocky Mount
Posted on: September 15, 2023
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Job Description:
Clinical Navigator
This person will sit in the Duke University hospital as a
navigator!
Ever heard of a clinical liaison? If you have healthcare sales
experience, this could be the position for you! The Navigator
cultivates referral relationships, manages assigned territory, and
completes patient assessments. Makes sales contacts as well as
analysis of referral and admission data from assigned territory.
Works collaboratively with business development team members
including the Admissions Manager and admission staff, as well as
nursing and other internal and external staff to facilitate the
referral conversion. Provides feedback and recommendations for
program development and quality improvement initiatives related to
customer service, the referral and admission process and patient
and referral source satisfaction. Develops and maintains excellent
relationships to all stakeholders including prospective patient,
family members, physicians, ICU and floor nurses, discharge
planners, case managers and payer representatives. Performs other
related duties as assigned or requested.
RESPONSIBILITIES
Pre-Admission Assessment
--- Maintains responsibility for patient referral until patient
admits to Post Acute Medical.
--- Displays knowledge of both inpatient rehabilitation and
long-term acute care (LTACH) admissions criteria for pre-assessment
analysis.
--- Coordinates and completes on-site pre-admission assessments on
potential patients unless geographically prohibitive or competitive
time of admission will not allow. In the assigned market uses the
fast track process to facilitate referral conversions. Completes
phone/FAX assessments if geographically prohibitive. Documents
pre-admission assessments legibly, accurately, and completely in
the approved format.
--- Reviews medical record of referred patient and identifies all
aspects related to pre-certification financial coverage and
admission criteria. Serves as a navigator to the Admissions office
for insurance companies and provides clinical information to obtain
pre-certification from payers.
--- After reviewing medical record and interviewing patient/family,
obtains facility admission information to support the admission
process; makes a recommendation regarding acceptance and level of
care, and communicates status of admission to referral source as
directed by the admissions department.
--- Orients patient and/or family to facility services, including
length of stay. Educates supports and serves as a resource to
family members of current, past and potential patients.
--- Communicates with facility Admissions department and facility
CEO on a daily basis to optimize census management and case finding
strategies.
--- Follows up on all pending as well as medical denials in person
to re-evaluate potential for admission.
--- Conducts follow up with referral facilities to ensure
satisfaction and service levels were met.
Business Development
--- Designs and manages the marketing strategies for their assigned
territory.
--- Uses sales and marketing techniques to show growth in admission
and revenue volume.
--- Creates Quarterly Business Development Plan for their assigned
territory.
--- Utilizes educational opportunities to present the hospital to
referral sources.
--- Identifies contacts and manages potential referral sources
using account management system.
--- Uses prospecting methods to generate leads.
--- Meet the referral and admission goals for their assigned
territories.
--- Participates in community events/activities.
--- Attends weekly Business Development meetings.
Education
--- Identifies and educates new referral sources to Post Acute
Medical programs and services.
--- Assesses and conveys stakeholder needs. Establishes and
maintains strong relationships with providers through ongoing
assessment and servicing of their client's rehabilitation/LTACH
needs.
--- Schedules educational inservices to educate referral services
about Post Acute Medical programs and services; works closely with
the Admissions department and Director of Business Development to
achieve targeted census goals and meet assigned objectives on a
weekly, monthly and quarterly basis. Communicates clearly,
concisely and accurately.
--- Provides or arranges educational presentations to referral
sources (physicians, discharge planners), families and to community
members as requested.
--- Coordinates and schedules professional, family and/or potential
patient tours of all facilities.
--- Gathers information on health care providers in the facility
service area and forwards to management, including opportunities
for contracting with managed care companies and providers.
--- Assists in the development of new programs and services through
ongoing assessment of the needs of professionals, families, and
patients.
--- Remains current on new programs and services in the Post Acute
Medical System through frequent communication and facility
visits.
Documentation Reporting
--- Effectively maintains log of all pending cases.
--- Provides periodic verbal/telephone/email update on activities
and market trends as requested.
--- Maintains a resource library of articles and information for
distribution to professionals, community members, families and
potential patients to assist them in understanding facility
services and the various disability groups served.
--- Completes a quarterly plan for assigned territory.
--- Maintains territory Account Management System.
QUALIFICATIONS
Education and Training: Degree from an accredited college or
university in a health field, preferably nursing. Current licensure
in nursing or respiratory therapy is preferred. Prior marketing
and/or rehabilitation/LTACH experience preferred.
Experience: Must have a minimum of two years' experience in the
designated field of license, preferably with rehabilitation/LTACH
and marketing experience.
Knowledge, Skills, and Abilities:
--- Excellent clinical and assessment skills.
--- Effective presentation and training skills.
--- Excellent written and oral communication skills.
--- Effective crisis management skills, with demonstrated
facilitation and problem solving experience.
--- Effective team leadership skills.
--- Knowledge of PPS payment/reimbursement systems and DRG's/case
weights.
--- Knowledge of patient rights and commitment to patient
advocacy.
--- Ability to collect, document, and analyze data.
--- Word processing and data entry skills.
--- Network access to community, state, and national resources and
health services organizations.
--- Excellent relationship management skills with referral sources
and physicians.
ABOUT US
PAM Healthis committed to being the most trusted source for
post-acute services in every community it serves by utilizing
experienced and dedicated staff to provide high quality patient
care and customer service. With over 44 Long Term Acute Care and
Rehabilitation hospitals and 16 Outpatient Clinics currently in
operation across the country, we are proud to offer services
including comprehensive wound care, aquatic therapy, ventilator
weaning, amputation treatment, pain management and much more.
Joining our PAMily allows you to work in a collaborative
environment with colleagues and leadership with exposure to a
variety of patient care levels. Aside from our competitive pay,
generous paid benefit time, and excellent insurance options, you
will also have opportunities for professional growth through our
Education Advancement Program.
We are excited to learn more about you and hope that you consider
joining us on a shared mission to improve the lives of others by
being an integral part of our We Care Program. Please take a moment
to visit us online atwww.postacutemedical.com for a comprehensive
look at how we're able to positively impact our local
communities.
PAM Health does not discriminate and does not permit
discrimination, including, without limitation, bullying, abuse or
harassment, on the basis of actual or perceived race, color,
religion, national origin, ancestry, age, gender, physical or
mental disability, sexual orientation, gender identity or
expression or HIV status, or based on association with another
person on account of that person's actual or perceived race, color,
religion, national origin, ancestry, age, gender, physical or
mental disability, sexual orientation, gender identity or
expression or HIV status.
Keywords: PAM Health, Rocky Mount , *Clinical Navigator - FT (Raleigh Market), Healthcare , Rocky Mount, North Carolina
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