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Resource Clinical Navigator
PAM HealthClinical Navigator assisting PAM Health hospitals in patient referrals and operational support. Engaging in national travel and marketing strategies for census growth and admissions.
About the role
Key responsibilities & impact- Maintains responsibility for patient referral until patient admits to PAM Health.
- 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 operationally impractical.
- 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.
- Obtains and reviews admission information by evaluating the patient's medical record and interviewing the patient and/or family to support the admission process.
- Assesses the patient's appropriateness for admission, recommends the appropriate level of care, and communicates the admission status to the referral source in coordination with 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.
- Provides temporary market support during hospital openings, staffing transitions, census growth initiatives, and operational needs.
- Supports and assists with marketing strategies for assigned facilities and markets nationwide.
- Uses sales and marketing techniques to support growth in admissions and revenue volume.
- Collaborates with Business Development Educators and local leadership to support market action plans and growth strategies.
- Utilizes educational opportunities to present PAM Health hospitals and services to referral sources.
Requirements
What you’ll need- Degree in a health-related field from an accredited college or university preferred.
- Current licensure in nursing, respiratory therapy, physical therapy, occupational therapy, or speech and language therapy is required.
- Prior marketing and/or rehabilitation/LTACH experience preferred.
- Must have a minimum of two years’ experience in the designated field of license, preferably with rehabilitation/LTACH and marketing experience.
- Strong interpersonal, communication, and organizational skills.
- Ability to work independently and adapt quickly to changing operational needs.
- Knowledge of healthcare admissions processes, payer authorization requirements, and referral management.
- Ability to travel nationally for extended periods of time.
- Ability to collaborate effectively with corporate and local leadership teams.
Benefits
Comp & perks- Health insurance
- Professional development opportunities
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Patient Referral ManagementPre-Assessment AnalysisMedical Record ReviewAdmission Criteria EvaluationClinical Information CommunicationFollow-Up on Medical DenialsMarket SupportSales TechniquesCensus ManagementRehabilitation Experience
Soft Skills
Interpersonal SkillsCommunication SkillsOrganizational SkillsAdaptabilityCollaboration
Certifications
Nursing LicensureLicensure in Respiratory TherapyLicensure in Physical TherapyLicensure in Occupational TherapyLicensure in Speech and Language Therapy