Referral Communications Specialist

Assess, plan, implement, coordinate, monitor and evaluate services to meet an individual's needs during treatment.

ESSENTIAL FUNCTIONS:

• Assure residents meet criteria for admission, and review initial clinical information through discharge.
• Monitor and manage client/patient/resident's cases through development and implementation of individual care plans, collecting clinical data and remain informed by continuous review of documentation.
• Coordinate care by tracking, monitoring, and reporting on inpatient or outpatient care.
• Manage client/patient/resident's cases with knowledge and expertise with the patient population of the facility.
• Convey medical criteria and clinical information between the client/patient/residents' insurance provider and treatment team as warranted and may also provide this information to the business office, as needed.
• Conduct precertification with third party payers and negotiate approved days with the provider for the patient/resident admission.
• Assigned tasks for admission review, concurrent review and participate in discharge planning.

Cove Forge Williamsburg is an EOE