ProMedica Toledo Hospital is one of the largest acute-care facilities in the region. Our 794-bed hospital is staffed by more than 4,800 professional healthcare employees who serve a 27-county area throughout northwest Ohio and southeast Michigan. We also have the area’s largest board-certified medical staff, which is made up of more than 1,000 primary care and specialty physicians. Excellent customer service skills and the ability to work in a fast paced environment are a must. In addition, for 15 consecutive years, residents of Greater Toledo have named us the Consumer Choice Award winner in our market. In fact, we’re the only hospital in northwest Ohio to receive this honor.

POSITION SUMMARY

The Care Navigation Resource Coordinator works directly with unit RN Acute Care Navigator(s) and Social Worker(s) and reports to the Manager of Care Navigation. The Care Navigation Resource Coordinator provides assistance and support to the care navigation team to assist with the completion of required forms/documentation, coordination of care, and post-acute follow-up arrangements. The Care Navigation Resource Coordinator collaborates with the care navigation team and other members of the interdisciplinary team to ensure that patients receive exceptional care and avoid unnecessary delays in discharge.

ACCOUNTABILITIES

*All duties listed below are essential unless noted otherwise*

1. Initiates referrals with post-acute providers including SNF, LTAC, inpatient rehab, assisted living, group homes, home health, infusion, hospice, DME and oxygen, mental health, and substance abuse treatment. Assists in locating out of area resources, when requested.

2. Complies with all documentation requirements. Thoroughly and appropriately documents all work completed within the medical records at time of task initiation and completion.

3. Provides continued discharge planning updates, clinical updates, and ongoing communication to post-acute providers via established referral programs, maximizing current technology.

4. Assists with identification of Primary Care Provider/Specialist for follow-up appointment(s), as appropriate.

5. Schedules primary care/specialty appointments for high risk patients as identified by the care navigation team. Track the appointments throughout the stay and reschedule if discharge is delayed.

6. Assists in providing choice lists to patient/caregiver for post-acute services utilizing department established programs that adhere to current regulatory requirements.

7. Assists in providing patient/caregiver with information regarding community resources, indigent programs, and refers to temporary housing (i.e., shelter or Ronald McDonald house), as appropriate.

8. Communicates with vendors, physician offices, clinics, etc. for discharge planning purposes, as appropriate.

9. Gathers all necessary information and submits referrals for post-acute services.

10. Confirms and documents payor authorizations for post-acute services (i.e., placements, Home Health/Home Care, DME, etc.). Escalates denials/appeals, as appropriate.

11. Follows-up with post-acute agencies to identify patient acceptance for post-acute services.

12. Finalizes communication of post-acute services with patient/caregiver.

13. Schedules transportation as needed for a timely discharge and communicates transportation plans to receiving facility.

14. Coordinates medication delivery from onsite pharmacy at the time of discharge, as appropriate.

15. Assists in presenting and explaining regulatory notices (i.e. Medicare Letter (IMM), etc. (as appropriate); assists in obtaining patient/caregiver acknowledgement. Escalates any clinical questions/concerns to appropriate team member.

16. Collaborates with CN/SW on post-acute delays/avoidable days tied to placement and transition of care.

17. Provides misc. information to payors as it relates to discharge planning activities, as appropriate.

18. Faxes, copies, scans EMR information for discharge planning purposes, as appropriate.

19. Supports the vision, mission, and values of the organization in all respects.

20. Develops and maintains collaborative working relationships with the Care Navigation team.

21. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

22. Performs additional duties of similar complexity within the organization, as required or assigned.