Clinical Care Coordinator

Position Title: Clinical Care Coordinator
FLSA Status: Exempt

Department: Care Coordination
Reports To: Care Coordination Manager

POSITION SUMMARY:

The Clinical Care Coordinator is responsible for coordinating and facilitating the continuum of care for patients admitted to the Rehabilitation Hospital of the Pacific. The role integrates utilization management, discharge planning, interdisciplinary collaboration, payer communication, patient advocacy, regulatory compliance, and transition-of-care coordination to promote safe, timely, and appropriate patient progression throughout the rehabilitation stay.

The Clinical Care Coordinator functions as a central member of the interdisciplinary rehabilitation team and serves as a liaison between patients, families, physicians, nursing, therapy disciplines, payers, community resources, and post-acute providers. The position supports patient-centered care while ensuring compliance with CMS regulations, IRF standards, payer requirements, and organizational policies.

Wage Range: $83,208.31 to $124,812.48/year. The actual wage is dependent on the applicant's relevant experience and qualifications for this position. The wage range for this position may be subject to change in the future depending on a variety of factors such as market conditions, business needs, legal developments, and other appropriate factors.

REQUIRED QUALIFICATIONS:
 

PREFERRED QUALIFICATIONS:

ESSENTIAL FUNCTIONS:

• Comprehensive care coordination by assessing the potential barriers to discharge, facilitating interdisciplinary communication, coordinating transitions across the continuum of care, advocacy, and assistance with complex discharge planning to ensure safe and timely patient transition. 

• Utilization review and medical necessity by monitoring progress and therapy participation while collaborating with providers and payers for authorizations, appropriate continued stays, and ensuring compliance with CMS regulations, payer requirements, and IRF standards.

• Discharge planning and transition of care

• Interdisciplinary team collaboration 

• Patient advocacy and education

• Regulatory compliance and documentation by ensuring compliance with CMS regulations, IRF criteria, payer requirements, hospital policies, HIPAA, accreditation stands, and patient rights. Support quality improvement initiatives, regulatory readiness, and organization goals related to length of stay, readmission prevention, and care transition. 

• Quality improvement and operation responsibilities

• High-risk and complex case management

• Uses sound judgment and ensures patient safety.  

• Follows and adheres to all organizational and departmental policies and guidelines, code of conduct, and REHAB employee handbook. 

• Performs other duties as assigned.

PROFESSIONALISM AND COMPLIANCE COMPETENCIES 

Maintain a high level of proficiency in the following REHAB competencies. 

​Job Knowledge

Accountability

Communication and interpersonal/relationship building skills 

Adaptability and problem solving, decision making 

Organization and project management

 

EQUIPMENT, TOOLS, WORK AIDS USED 
Office equipment, including telephone, computer and multifunction devices (MFDs).  Google’s G Suite, report writer and database software.