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As the region's only Level I Trauma center, Harborview Medical Center is well known for innovations and excellence in trauma care and its centers of emphasis: Trauma, Burn, Neurosciences, AIDS/STD, Center for Advanced Reconstruction and Rehabilitation (CARER), and mentally-and medically- vulnerable populations. Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region.
The HMC Rehabilitation Medicine Clinic has an outstanding opportunity available for a full time day shift PROGRAM COORDINATOR. Under Business Operations Manager Supervision, the Rehabilitation Medicine Program Coordinator (PC) works within the AACS clinical practice area to facilitate necessary care for complex Rehabilitation Medicine patients including but not limited to:
Patients with work related injuries resulting in limb loss that will be managed in the outpatient Amputee L&I Center of Excellence at Harborview; patients with spinal cord injuries (SCI) and pressure ulcers requiring multidisciplinary care including surgical evaluation and intervention (FLAP Program). Particular goals are to coordinate the delivery of and access to the spectrum of medical, nursing, and clinical care services - as formulated by the medical staff –for patients with work related limb loss injuries referred to the Rehabilitation Amputee L&I Center of Excellence (COE) and for patients with SCI injuries referred to SCI Rehabilitation Medicine clinic and the FLAP program. Part of the program coordinator role will be to function as an HSC (Health Services Coordinator) to improve clinical outcomes of injured workers by expediting necessary correspondence and communication among workers’ compensation stakeholders including: injured worker, care provider, claim manager, and employer, to prevent administrative delays that contribute to short and long-term disability.
Position requires a high degree of autonomy, personal initiative, discretion, forethought, flexibility, strong communication skills, and independent judgment needed to organize and prioritize tasks to ensure deliverables and deadlines are met. Attention to detail is critical, as is the ability to think critically and independently problem-solve challenges. A strong commitment to excellence in work product and an active interest in providing customer service is expected.
MAJOR RESPONSIBILITIES: •Identify, Track and Coordinate Services for L&I Workers Compensation Claims •Screen workers’ compensation claims and identify claims that will benefit from health services coordination. •Help providers, injured workers, and employers navigate the workers’ compensation system. •Facilitate access to workers’ compensation claim benefits and programs such as Stay at Work, Early Return to Work, vocational counseling, and other processes through communication with employer, patient, and other stakeholders. •HSCs must write accurate case notes which document and bill for services provided. HSC case notes must include specific fields and a designated formatting within our electronic medical record and billing system. •Access the L&I claim file through L&I’s Claim and Account Center (CAC). Utilize and post EHR case notes into L&I’s Occupational Health Management System. •Facilitate the flow of documents between patients, providers, employers and claim managers and billing. •Contact L&I staff as needed for follow-up or assistance on specific claims. o Staff includes: claim managers, occupational nurse consultants, vocational or therapy staff in the field offices, risk management, DOSH staff, and/or any others that can provide needed support to providers, workers, or employers.
Communication, Care Coordination and HSC Services •Act as a liaison, on behalf of attending providers in the Rehabilitation Amputee L&I COE between the injured worker, employer, and claim manager. •Coordinate care needs for patient, including access to primary and specialty care and provide support to the patient/family by locating appropriate staff to address concerns. •Maintain contact list of key clinical partners, including roster of participating providers •Interface with Health Information Management and Release of Information to ensure records are accessed and released in accordance with HMC privacy policies. •Develop optimal procedures for tracking and proactively addressing communication and care coordination needs for injured workers. •Track specific claims in order to ensure early return-to-work services, care coordination, and improved clinical outcomes of injured workers, as appropriate. •Contact L&I staff as needed for follow-up or assistance on specific claims. Staff includes L&I’s claim managers, occupational nurse consultants, vocational or therapy staff in the field offices, risk management, DOSH staff, and/or any others that can provide needed support to providers, workers, or employers. •Facilitate the flow of documents between patients, providers, employers and claim managers and billing. •Manage high volume of correspondence pertaining to preauthorization and ongoing authorization processes, patient scheduling, and patient/provider follow up requests. •Work independently to determine priority for patient requests and clinical follow-up needs. Follow through and resolve patient requests on a timely basis. •Coordinates patient care for a comprehensive, intensive outpatient rehabilitation program which is unique to the local and broader community. Patient population is very complex both medically and socially, with neurological diagnoses of multi-trauma including limb loss and spinal cord injury. •Complex referral management, authorization management, and scheduling of appointments for services such as social work, nutrition, rehab psychology, occupational therapy/ physical therapy, prosthetics and orthotics, complex wheelchair seating evaluations and other durable medical equipment needs. •Coordinates pre-surgery care for the flap protocol patients by obtaining the appropriate authorizations for disciplines of a multi-disciplinary team. •Coordinates discharge from acute care units including 4WH (Rehab) with discharge team and assists in the inpatient to outpatient transition. Communicates with discharge planner (4WH) or nurse coordinator (CCN) on the acute care units regarding referrals and benefit information for a smooth transition. •Tracks referrals to other services to ensure that referral recommendations are followed and is responsible for gathering medical paperwork, such as disability and compensation paperwork. •Coordinates patient and team rounds and conferences for physicians and comprehensive clinic team. •Direct transfer of patient related information to and from health providers including in-house and outside referring entities. •Maintain continuity of care by assessing follow up needs, e.g., appointments, transportation, transfer of records, locating providers, facilitating filing of claims etc. •Maintain knowledge of pertinent medical diagnostic procedures and related procedural instructions and guidelines and medical record documentation requirements, documenting in medical record when appropriate. E.g., Schedules complex procedures that require coordination with Radiology, such as CT, MRI, Ultrasound. Responsible for pre-authorization for study and scheduling with patient and Radiology.
Quality Improvement •Provides oversight for basic claims and problem-solving for complex claims management issues •Contribute to selected committees to foster overall growth and improvement in divisional policy.
Communication/Teambuilding •Promote and contribute to the development of teamwork in the service and working relationships between the services and other departments and disciplines. •Forms productive relationships with co-workers. Communicates clearly, directly and timely and maintains a professional demeanor. •Responsible for cross-coverage for Rehab Clinic patient care coordinator. •Represents the clinic in divisional and hospital committees and meetings.
Customer Service and Team Behaviors •Demonstrate an atmosphere/attitude of respect for human dignity and the uniqueness of each person encountered in the clinic setting. •Promote and protect general safety for patients/families/friends and co-workers through adherence to correct procedures, timely communication of messages and test results, and appropriate consultation. •Act promptly and effectively during an emergency situation. •Maintain/improve own professional competence, knowledge and skills to meet identified self-learning needs and annual review requirements. •Apply appropriate policies, procedures, protocols and standards of practice in performing duties. •Support development of clinic and divisional efficiency and effectiveness through participation in quality assessment and improvement activities. •Demonstrate support for clinic and divisional policies and procedures. •Promote and contribute to the development of HSC practices and effective working relationships within clinic team and with other departments/disciplines. •Other duties as assigned.
Core Values: •Quality of work •Mission Centered Professional Practice •Interpersonal Skills •Integrity and Compassion •Patient Care Advocacy •Team Work/Collaborative Practice •Patient/Family Satisfaction/Customer Service •Respect for Patient Confidentiality •Life-long learner •Solutions oriented •Understands and embraces concepts of Stay at Work/Return to Work •Seeks consensus through creative approach to conflict resolution •Able to work effectively with people from diverse backgrounds
Other Competencies: •Uses age specific knowledge that reflects the special needs of a specific patient population. •Computer keyboard proficiency. •Ability to operate office equipment. •Ability to operate telephone system and other communication systems. •Ability to spell and alphabetize. •Ability to interview patients and obtain necessary information. •Basic knowledge of health care coverage. •Basic knowledge of hospital’s geography and resources. •Verbal and written communication skills. •Ability to communicate effectively in English. •Knowledge of medical terminology. •Solid understanding of electronic and IT systems relevant to COHE work at HMC (Word, Excel, Powerpoint, EPIC, Reg/ADT, ORCA, L&I Claim & Account Center) •Knowledgeable and experienced with L&I workers’ compensation processes •Able to predict injured worker needs based on characteristics of the claim (e.g. time loss status)
This position provides opportunities to work in a fast-paced, challenging, diverse and rewarding environment. As an employee you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, please view this page.
Minimum Qualifications: •High school graduation or equivalent, AND •Two years of experience in the program specialty, OR equivalent education/experience.
Desired Skills: •A bachelor’s Degree in a medically related or public relations field and two years of experience in a tertiary patient care setting involving interaction with a variety of medical services, contact with patients and families, interaction with physicians and proficiency in medical terminology OR equivalent education/experience.
•Applicants currently enrolled with Washington State Department of Labor & Industries as COHE HSCs are qualified candidates.
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.