Patient Care Coordinator / RN

We are seeking a passionate Nurse to join our growing team of clinicians!

We believe our kiddos and their families deserve the highest quality of care delivered with compassion, excellence, and reliability. This position is open to both experienced nurses and newly minted nurses; a successful mix of talented and motivation is the most important factor in finding the appropriate candidate for this opportunity. If you believe you possess the necessary talents and drive to succeed in this position please don't hesitate to contact us, we're waiting to hear from you!

POSITION PURPOSE

Initiates and maintains direct communications with businesses, professional, social, charitable, public, religious, and private organizations to market services to the community. Serves as liaison between staff and families and outside sources that are enrolling patients. Works closely with professional staff for patient monitoring and coordination of services. Assists in the investigation of absences of patients and remedies problems when appropriate. Facilitates patient access to community resources. Assists families with social service forms and paperwork.

POSITION SUMMARY

• Manages referral process for potential patients and existing patients by coordinating with local physicians.
• Schedules evaluations for potential patients and completes intake process, if indicated.
• Completes PA packet on each prospective CHMS patient.
• Accepts all initial and re-evaluation reports.
• Maintains current CHMS PA on each patient by submitting updated information packets with requests for continuation for AFMC prior to the expiration date.
• Monitors and tracks each patients prior authorization denials and approvals and discharge date.
• Requests extensions and modifications to PAs when necessary.
• Provides quality assurance by performing chart reviews on each patient chart. Requests missing documentation and error corrections from individuals responsible for providing it.
• Develops a MTP for each CHMS patient. Obtains signature and send copy home to parent.
• Maintains Evaluation Tracking form for each CHMS patient.
• Completes appropriate paperwork when patients are discharged from the Academy. Sends parent surveys and discharge summaries.
• Initiates and maintains relations with various businesses, professional, social, charitable, public, religious, and private organizations to market clinic services to the community.
• Works closely with professional staff for patient monitoring and coordination of services.
• Organizes and coordinates audiology services and follows up with the PCP and parent / guardian, as indicated.
• Interacts with patient family unit for scheduling of family psychotherapy appointments and maintains direct contact for changing family dynamics.
• Monitors the daily well-being of patients and identifies need for social intervention if necessary.
• Keeps in contact with DFCS as necessary to monitor on-going services to patients and families at risk.
• Investigates patient absences and follows up, as needed.
• Maintains adequate list of community resources and facilitates patient access to them, including food, clothing, school programs, vocational opportunities, etc.
• Assists families with social service forms / paperwork, such as SSI applications, Medicaid, TEFRA, AR Kids First, etc.
• Leads Multidisciplinary Patient Reviews and ensures they occur two weeks after admission and every six months thereafter to keep abreast of therapy goals and progress. Reports on family dynamics and changing situations in home environment in staffings.
• Makes home visits as needed for various problems such as patient absences, assessment of environmental risk, death in family, etc.
• For every service billed, the Patient Care Coordinator will provide progress notes in the appropriate format which contain all information as required by company policy, CHMS guidelines, and / or other applicable regulations. The Patient Care Coordinator will keep detailed records of all work with all patients and families he / she serves.
• Ensures that all progress notes relating to patient intervention reflect Treatment Plan goals and objectives and current diagnosis (es).
• Ensures that billing sheets are completed on a daily basis for each patient served.
• Responds to ECDSs, ECDTs, and other staff when patient identified at-risk (at risk : hygiene, excessive absences, proper dress attire, physical marks on child, head lice, etc.) and makes efforts to correct or manage the identified problem.
• Maintains tracking system for six Month Information Updates and completes 180-day follow up with discharged patients.

QUALIFICATIONS

Education / Certification

Experience / Knowledge required :

Miracle Kids Success Academy / Kids Unlimited Learning Academy provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.