Post Acute Navigator - FT - CCMC

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Job Summary:

The Post Acute Navigator is responsible for arranging home health, home medical equipment, home infusion, skilled nursing facility placement, long term acute care, hospice, and out-patient rehab services.. The Post Acute Navigator receivest client information from multiple referral services (i.e. Hospitals, Physician offices, Inpatient Rehab, Outpatient Wound Care Centers, Skilled Nursing Facilities, etc). Responsible for the timely completion and tracking of referrals. Document referral information in Electronic Medical Recors and communicate to referral source.

Core Responsibilities and Essential Functions:

Referral Screening
* Review ordered services and Face to Face encounter for appropriateness and priority.
* Gather and review presence of qualifiying criteria for services ordered
* Review payor considerations related to provider selection to include MVP search
* Review geographical location of services to be provided.
* Review for existing or patients preferred provider
Coordination of Referral
* Compile clinical information using PixCert and Electronic Medial Record
* Perform double check of complete referral
* Direct referral to designated referral source within WellStar Post Acute Care or alternate provider as appropriate
* Communicates with providers, facilities via fax/telephone/EMR to determine acceptances and arrangements of services
* Continue communication with difficult placement as appropriate
* Communicate with Care Coordination and Wellstar Homecare to expedite discharge
* Complete electronic documentation in medical record regarding coordination of services, complete other documentation and data entry as appropriate.
Customer Service
* Maintain seamless transition for patients from inpatient acute and MD offices to outpatient post acute services
* Maintain positive professional liaison relationship with members of the inpatient acute, MD office and outpatient post acute teams
* Attend and participate in discharge planning meetings to expedite timely and appropriate discharges
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

• High School Diploma General or GED General

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.

Additional License(s) and Certification(s):

Required Minimum Experience:

Minimum 3 years experience in health care or preferably Post Acute Service Area, i.e., Homecare, Hospice,IRU, Nursing Home, LTAC, or Physicians office. Required

Required Minimum Skills:

Professional, independent and self directed.
Strong organizational and communication skills.
Ability to multitask in a fast paced environment.
Excellent communicate skills, both verbal and written.
Possess knowledge of community resources and managed care contracts for post acute care.
Computer proficiency a must. Exceptional customer service and phone communication skills.

Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.