Patient Care Coordinator / RN

Job Description

Job Description

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!

Kids Unlimited Learning Academy (KULA) is an early intervention day treatment clinic for children with special needs. Once children are referred to KULA by their primary care physicians, they must receive a developmental screening. Then, they may be scheduled for therapy evaluations at KULA or bring recent therapy evaluation reports done elsewhere. To receive Early Intervention Day Treatment habilitation services, a child must have a documented developmental disability or delay, as shown on the results of an annual comprehensive developmental evaluation and qualify for at least one therapy service. Those services include (but are not limited to) fine motor delays, sensory disorders, gross motor delays, speech-language delays, hearing disorders, feeding disorders, developmental delays, cognitive delays and medical needs.

Children are placed in treatment rooms based on their developmental needs and ages. Our treatment rooms are adequately staffed with teachers and teachers' assistants and are designed to celebrate the cultural differences of the children and families we serve. KULA has many licensed occupational therapists, physical therapists, and speech-language pathologists on staff to provide needed care to the children who qualify for therapy services. And, KULA has nurses on staff to serve children with medical needs.

KULA's services also include developmental / psychological testing by a licensed psychologist, nutritional evaluations and consultations, and audiological evaluations. Our whole treatment team works together and with our patients' families to make sure each child's needs are met.

KULA typically treats children from birth to Kindergarten. However, we try to expand our services during the summer months to include elementary school-aged children with special needs. If you have a child who may benefit from our services, we would love 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 EIDT patient.
• Accepts all initial and re-evaluation reports.
• Maintains current EIDT 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 EIDT 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, EIDT 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.