HCA, Hospital Corporation of America Central Authorization Coordinator in Aurora, Colorado
Spalding Rehabilitation has been in the business of Rebuilding Lives and Renewing Hope for more than 65 years. A 100 bed-lThis position acts as a coordinator between internal and external referral sources, and acute inpatient rehab operations.
Under general supervision of the AVP/Program Director of Inpatient Rehabilitation, The Central Authorization Coordinator is responsible for managing/coordinating all day to day inpatient rehabilitation admissions with the Clinical Rehabilitation Specialists and/or admissions staff with all managed care payers. This includes utilizing a holistic interdisciplinary approach to coordinate the insurance approval of care of all rehabilitation patients to assure smooth, efficient functioning rehabilitation units and delivery of quality health care services. Acts as the clinical resource for the department. Utilizes other clinical specialists/coordinators as a resource for clinical growth, operations improvement, and for the coordination/participation in quality improvement activities and audits as necessary, development of new programs and clinical procedures, and collaboration with Continental Division Rehab Units to promote efficiency and customer service and assists Program Directors as necessary to promote effective daily operations. Assist AVP with coordination and management of central authorization program. Supports Continental Division Excellence Always standards and mission/vision of hospitals that are supported. Assumes additional supervisory/administrative responsibilities as assigned by AVP/Program Director.
Majority of the responsibilities involves central insurance authorization for the IP Rehab Service Line for the Continental Division for the effective and efficient admissions process in the delivery of these services: Continuously evaluates, develops a plan and conducts business with insurance payers for the appropriate approval/authorization for inpatient rehabilitation pateints to meet the individual needs of medically referred patients in an efficient, productive manner and within the established guidelines for HCA and Nursing Professional Standards for Practice and Code of Ethics. To maintain accurate, current records on all patients according to policy and procedures. To assist with educational programs for departmental and hospital ASSOCIATES and to uphold the standards of the department and hospital by dealing with patients, visitors, ASSOCIATES and other medical professionals in a respectful, courteous manner.
Minimum Position Requirements: 1. *Licensure/Certification/Registration: * 1. Current Colorado RN 2. BLS (AHA) Certification.
- Graduate of an accredited school of Nursing.
- If RN, ADN required. BSN preferred. If hired into RN required position and no BSN, then BSN required within three years of facility hire date.
- Minimum 1 years experience working with Managed Care insurance plans with working first hand knowledge/experience in approval/authorization process in post acute care services. 1. Must have minimum of 2 years clinical experience with care and management of the inpatient rehabilitation patient and admission process preferred. 2. Must possess good interpersonal and program development skills. 3. Special Qualifications: 1. Effective verbal and written communication skills. 2. Computer and keyboarding skills. 3. Ability to work with others to ensure quality services. 4. Strong problem solving skills. 5. Continuous focus on excellence in work environment.
Job: *Case Management
Title: Central Authorization Coordinator
Location: Colorado-Aurora-Spalding Rehabilitation Hospital
Requisition ID: 03170-70223