Coordinator, Care Operations II

Job Title:Coord, Care Operations II

Location:Laguna Hills

Department:Care Coordination

Status:Full Time

Shift: Days (8 hrs)

Pay Range*:$25.95/hr - $37.64/hr

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability.Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Position Summary

The employee shall support Saddleback Medical Center's strategic plan and participate in and advocate performance improvement/patient safety activities. The Care Operations Coordinator I reports directly to the Executive Director, Clinical Resources. This position supports every service line of the hospital in conjunction with the Utilization Review department to support the efficiency of the use of health care services. In addition, this position also directly supports the Social Work Services department and the Palliative Care program. The incumbent of this position will be greatly responsible for the administrative aspects of each department's operations. Working directly with discharge planners, nursing personnel, licensed clinical social workers, and nurse practitioners to assist in organizational operations to support compliance with regulatory requirements. Finally, this position is also focused on improving the quality of care we provide through audits, analysis, and continuous improvement.

Essential Functions and Responsibilities of the Job

1. Provides overall administrative support for the assigned services areas including Utilization Review, Social Work Services, and Palliative Care to ensure all patient care needs are met.

2. Conducts departmental auditing, accounts payable, daily / monthly schedules, and coordination of meeting and office activities for three cost centers / departments, to meet the needs of the hospital and staffing requirements.
3. Generates daily patient assignments for Utilization Review department, assigning RN Care Managers patient caseloads, to ensure the needs for patient care are addressed in a timely manner, Executive Director and / or Lead provides input in finalizing the patient assignment.
4. Develops and maintains systems and databases to support department needs, such as: National Palliative Care Registry, Charity Contributions, Intranet Departmental Website, Compliance Audits
5. Develops and maintains systems and databases to support required department analytics.
6. Assists with project plans under leadership guidance, to identify key issues, address gaps in process, and improve on performance metrics.
7. Effectively communicates with all levels of hospital staff in all service areas to assist in facilitating positive and efficient patient outcomes.
8. Demonstrates the ability to actively participate in departmental activities, attend relevant meetings, and function as a key contact for Utilization Review, Social Services, and Palliative Care.
9. Understands the importance of HIPAA Privacy and Security Regulations associated with electronic protected health information (ePHI) and remains in compliance during daily operational activities.

10. Assists in assessing service area challenges and daily issues to identify root causes, gather relevant information, collaborate on possible solutions, and make recommendations in an effort to solve problems and meet goals.
11. Actively assists with maintaining regulatory accreditation and administrative operation documentation to fulfill any request and or compliance standard.
12. Triages phone calls / messages for RN, Case Managers for clinical reviews to the appropriate staff to ensure timely and accurate information is received.
13. Ability to be at work and be on time.
14. Ability to follow company policies, procedures and directives.
15. Ability to interact in a positive and constructive manner.
16. Ability to prioritize and multitask.

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities.Health and wellness is our passion at MemorialCare-that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there's more...Check out ourMemorialCare Benefitsfor more information about our Benefits and Rewards.