Center NursePatient Care Coordinator

The Patient Care Coordinator will oversee all aspects of coordinating enrollment and acquiring approval for treatment. The PCC will monitor all aspects of new patient care and all required documentation. The PCC will also drive enrollment and attendance through marketing efforts and securing new referral sources.

The Center Nurse is a licensed professional nurse certified with the Arkansas State Board of Nursing. The nurse will collaborate with the Center Director, primary care physicians, therapists and other personnel regarding medical needs of patients.

Summary of essential job function

• Follow Arkids Pediatric Day Centers’ Employee Handbook, Management Policies and Procedures Manual, and Medical Policies & Procedures Manual
• Ensure all policies and procedures are implemented by all staff members, maintaining compliance at all times with all regulations determined by regulatory agencies
• Maintain standards set forth by Arkansas Minimum Licensing, Division of Provider Services and Quality Assurance (DPSQA), Medicaid, Arkansas Department of Health, EQHealth (or other gatekeeper to Medicaid), and all other regulatory agencies
• Update their sections of the Administrative Meeting Agenda and submits it to the Center Director the day before the scheduled meeting (unless otherwise specified)
• Maintain open communication with parents/guardians, families, visitors, all Arkids Pediatric Day Centers’ personnel, and outside contacts
• Attend and actively participate in job-related functions
• Represents the program to parents/guardians, visitors, and the public in a positive way
• May assist with training new employees
• Will assist with covering lunch breaks (e.g. classroom staff) or fill in for the Administrative Assistant
• May assist with CPR training for all staff, if certified as an instructor
• May assist with loading/unloading vans
• Assist with light housekeeping duties
• Other duties as assigned

Patient Care Coordinator

• Promote Center growth with the overall goal being enrolled to the capacity of the Center
• Follow up on inquiries for potential patients and submitting the initial referral to the Primary Care Physician (PCP) within 24 hours of receipt
• Schedule evaluations for potential patients and receive completed evaluations and treatment plans from therapists
• Submit DMS-640 to patient’s PCP within 24 hours after evaluations are completed
• Ensure copies of the evaluations and treatment plans are forwarded to the parents/guardians and referring Primary Care Physician
• Schedule initial developmental screening process with Optum (or other approved vendor)
• Complete the intake process for enrollment into the Center, including reviewing the Parent/Guardian Handbook with the parent/guardian and completing all required enrollment paperwork
• Maintain the Enrollment Tracker on all patients in the enrollment process and submit the tracker to Center Director, and other designated staff, by the end of the day every Friday
• Maintain potential patient charts from inquiry to enrollment
• Search by the patients’ names before creating a new profile, they may already be in the system
• Ensure all profile information is accurate and up-to-date on all new patients
• Update Patient Frequency for therapy immediately when the new prescription to treat is received
• Close out customers when switching from contingency to EIDT
• Check inbox daily (for example: looking for evaluation notification to update DMS-640)
• Promote daily attendance: the overall daily goal is to be at building capacity but at minimum an average of 85% of patients enrolled in attendance
• Assist the Administrative Assistant with monitoring daily attendance and investigate patient absences
• Ensure that all measures are exhausted when following up on attendance (ex. phone calls, home visits, letters, contact with the Primary Care Physician)
• Report on patients with excessive absences, along with follow-up efforts, during the weekly Administrative Meetings
• Make home visits (with other staff) as needed for various problems such as patient absences, assessment for environmental risk, to obtain required documentation, signatures, etc.
• Maintain an adequate list of community resources and ensure patients and families stay…