Client Care Coordinator Kearny Mesa, CA
The Client Care Coordinator assesses the medical components of injured worker’s situation including, but not limited to, prior authorization, chart preparation, determination of appropriate level of care, utilization of services, concurrent review, retrospective review, development of discharge plans, assurance of quality and cost effectiveness. Act as a liaison among patient/family, client/employer, and healthcare personnel to ensure necessary care is provided promptly and effectively to restore injured worker’s function, capacity and self-esteem. Perform medical and testing procedures under supervision of the treating clinician.
• Coordinate all aspects of a patient's injury, including case review and visit prep for clinicians. This includes gathering all necessary documents for these appointments, prepping the charts, coordinating referrals, and providing patients with necessary documents.
• Provide communication of non-compliance and missed appointments. In conjunction with the on-site clinicians, identify cases that may possibly require partnership with area medical leadership
• Partner with Center Operations Director (COD) in preparing for large groups of Physicals
• Communicate both in-person and telephonically with client, medical provider, attorney, employer, as required
• Assist clinicians with injury and physical visits
• Provide guidance, training, and education for all clinic staff as needed
• Examine clinic processes critically and note areas of improvement or deficiencies to report back to COD. At the direction of the COD the Client Care Coordinator will address these areas and implement changes.
• Attend medical case review meetings with client and speak to details of certain cases. Act as liaison between client and on-site clinicians.
• Perform onsite services for various department events and special client requests. This includes participation in client health and safety activities such as health fairs or education opportunities.
• Provide medical support services for patients or department employees that been scheduled in clinic. This includes assisting in the proper completion of ancillary services such as lab draws for physicals.
• Obtain drug screen results for the client, scan for needed Medical Review Officer (MRO) review, gather all needed information for clinician to perform MRO duty, facilitate clinician time needed for MRO process
• Apply all laws and regulations related to the provision of rehabilitation services
• Support clinic operations, specialty services, physical reporting
• This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
• High school graduate or GED equivalent
• Some college courses in Allied Health or related field from an accredited college/university
• Obtaining and maintaining Commission for Case Management, Clinical Data Management Systems, Certified Rehabilitation or Medical Assistant credentials in accordance with state requirements and applicable regulations
• Registered Nurse designations are encouraged; these designations are required where dictated by state regulations
• Customarily has at least one of year demonstrated experience in a similar position, preferably related to healthcare sales and/or Workers' Compensation
• Customarily has at least one or more years of demonstrated customer experience
• Computer, word processing experience, knowledgeable about Microsoft Office programs (Word, Excel, PowerPoint)
• Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
• Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
• Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
• The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
• Demonstrated willingness to participate in initial and ongoing training
• Demonstrated effective communication and interaction with employers, patients, providers and other employees
• Demonstrated ability to maintain working relationship with all levels of employees
• Demonstrated computer skills. Knowledgeable in Microsoft Office programs (Word, Excel, PowerPoint), intermediate level or above
- 401(k) with Employer Match
- Medical/Vision/Prescription/Dental Plans
- Life Insurance/Disability
- Paid Time Off
- Colleague Referral Bonus Program
This job requires access to confidential and sensitive information requiring on going discretion and secure information management.
Concentra is an Equal Opportunity Employer, including disability/veterans