We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Discharge Coordinator, under the direction of the Case Manager, coordinates post-acute patient level of care needs (SNF's, Sub Acute, LTACH, Home Health Agencies, DME, etc) to facilitate a safe discharge of hospital patients, including barrier patients, to the appropriate setting, assuring continuity of care. Notifies receiving facility of insurance information as needed. Responds effectively to questions and concerns expressed by patients and other staff and resolves identified problems. Refers complex psychosocial issues to social workers. Performs basic reception functions to ensure smooth department operations.

Job Responsibilities/Duties

• Coordinates discharge plans as directed by the case manager, i.e. placements, SNF's, Sub Acute, Home Healthcare, DME, LTACH. Coordinates the progress of the discharge services requested with case managers, patients, families, physicians, other care providers and vendors to facilitate discharge plan and find necessary resources. Notifies receiving facility of insurance information as needed, and processes referrals post-discharge. Effectively communicates on the progress of the discharge services requested. Appropriately schedules, reschedules, cancels or confirms patient appointments in a timely manner to maximize scheduling for patient volume and in accordance with established authorizations.
• Performs basic reception functions to ensure smooth office operations, including answering incoming calls, maintaining an accurate filing system, copying forms and documents, etc. Effectively uses computer programs to obtain demographic information and accurately verifies insurance coverage, including Medical Group eligibility. Accurately collects and documents all necessary and required information and activities.
• Effectively coordinates discharge plan under CM guidance, communicates status of discharge plan to CM, physicians and patients. Consults with CM if/when there are changes in the discharge plan communicates with patients and physicians to assure continuity of care.
• Appropriately determines patient eligibility in relation to established program, insurance or contract standards. Responds effectively to questions and concerns expressed by patients and other staff and resolves identified problems (registration, eligibility, billing or financial) in a timely manner.
• Acts as Data Steward by following appropriate procedures regarding requests, access and disclosure of PHI in accordance with HIPAA regulations, and takes necessary precautions to prevent unauthorized access. Accurately prepares reports (volume and tracking) as needed or requested.

Minimum Education: High School Graduate/GED or Equivalent Work Experience (minimum 2 years) as a Patient Access Rep or Financial Counselor in a healthcare setting required.

Minimum Experience: Must demonstrate customer service skills appropriate to the job. Computer literacy and proficiency. Excellent written and verbal communication skills. Ability to establish and maintain effective working relationships within the organization. Ability to multitask and maintain a work pace appropriate to workload. Previous experience in an acute care setting preferred.

Req. Certification/Licensure: None.

Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals, benefit eligible positions will receive:

• Company 401K
• Medical, dental, vision insurance
• Paid time-off
• Life insurance

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www.eeoc.gov/

Keywords: Utilization Review, Case Management, Discharge Coord, Administrative, Clerical