Title

Palliative Care Specialist 

EOE StatementWe are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
 
About the Organization ProMedica is a mission-based, not-for-profit health and well-being organization headquartered in Toledo, Ohio. It serves communities in 28 states. The organization offers acute and ambulatory care, an insurance company with a dental plan, and post-acute and academic business lines. The organization has more than 45,000 employees, 11 hospitals, 2,100+ physicians and advanced practice providers with privileges, 1,000+ healthcare providers employed by ProMedica Physicians, a health plan, and senior care services.

ProMedica`s senior care division operates 330+ assisted living facilities, skilled nursing centers, memory care communities and hospice, palliative and home health care agencies. Services are provided in 26 states and the majority now operate under the ProMedica brand and Arden Courts. Over the next few months, the rest of our entities under the Heartland and ManorCare names will rebrand to ProMedica.

Driven by its Mission to improve your health and well-being, ProMedica has been nationally recognized for its advocacy programs and efforts to address and lead in social determinants of health, champion healthy aging and cultivate innovative solutions. For more information about ProMedica senior care services, please visit www.promedicaseniorcare.org.  
Specific Job Detail None Specified 

Sign-on Bonus None Specified 

Description

ProMedica Senior Care, formerly HCR ManorCare, provides a range of services, including skilled nursing care, assisted living, post-acute medical and rehabilitation care, hospice care, home health care and rehabilitation therapy.

The Palliative Care Specialist will coordinate and manage all day to day business affairs and other operational activities related to the administration of the local palliative care office by performing the following duties including, but not limited to, maintaining telephonic patient contact, obtaining insurance authorizations, maintaining medical records, and marketing.

  • Coordinate and manage all day-to-day business affairs and other operational activities related to the administration of the palliative care department.
  • Assist Central Intake Admission Coordinator with obtaining insurance pre-authorizations and initiating patient contact.
  • Ensures the maintenance of up-to-date account information for existing referral sources (i.e. address, contact, preferences, etc.) and maintains referral source communication preference information.
  • Maintains insurance records on all patients and obtains timely re-authorizations for continued care when necessary. Demonstrates understanding of all payer sources and impact on revenue.
  • Advise Palliative Care Team of patient acceptance and provide all relevant information including accurate insurance and admission information in order to ensure appropriate disclosure of rights and responsibilities, financial liabilities and benefit plan to patients and their family.
  • Maintain communication with pending patients, their families and referral sources and routinely follows the progress of prospective patients in order to assure continuity of care.
  • Manage all daily clinical records functions including implementing clinical records policies. Ensure clinical record systems are maintained in compliance with state and federal regulations and company policies.
  • Assist as requested to provide timely responses and further information related to all billing denials, and postpayments audits of submitted claims.
  • Establish and maintain professional and productive relationships with all referral sources. Acts as a resource for customers and community as a whole regarding palliative care.

In return for your expertise, you'll enjoy excellent training, industry-leading benefits and unlimited opportunities to learn and grow. Be a part of the team leading the nation in healthcare.

 
Educational Requirements High School diploma or equivalent. Current, active licensure as a LPN or RN preferred  
Position Requirements
  • Excellent organizational skills
  • Demonstrate problem solving and decision-making abilities
  • Excellent written and verbal communication skills including telephone technique
  • Knowledge of medical terminology. Prior experience in home health, hospice or palliative care environment preferred
  • Ability to work well with an interdisciplinary team and health care providers
  • Customer service focus evidenced by ability to establish and maintain rapport with patients, families and referral sources
 
Location 4673 - ProMedica Hospice Care - Baltimore, MD Serving Central Maryland - Baltimore Metro  

This position is currently not accepting applications.

To search for an open position, please go to http://hcrNews.appone.com



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