Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Coordinator Central Authorization PRN today with Las Palmas Del Sol Healthcare.
Job Summary and Qualifications
Under general supervision of the Director of Rehabilitation Services/Regional VP/AVP, 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 CWT 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 CWT Division Excellence Always standards and mission/vision of hospitals that are supported. Assumes additional supervisory/administrative responsibilities as assigned.
Majority of the responsibilities involves central insurance authorization for the IP Rehab Service Line for the CWT 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 patients 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.
What qualifications you will need:
Licensure/Certification/Registration:
- Current Texas RN
Education:- 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.
Experience:- 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.
- Must have minimum of 2 years clinical experience with care and management of the inpatient rehabilitation patient and admission process preferred.
- Must possess good interpersonal and program development skills.
Benefits
Las Palmas Del Sol Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Las Palmas Del Sol Healthcare is the leading healthcare provider for El Paso and the surrounding region. Our physicians, nurses and staff are committed to keeping our community healthy. We deliver the highest quality patient care available. Las Palmas Del Sol Healthcare provides full-service acute care hospitals. Those hospitals offer comprehensive medical services in most every specialty.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Coordinator Central Authorization PRN opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.