Medical Concierge

Overview:

The Medical Concierge is to serve as the Otterbein representative for Perennial Advantage of Ohio for resident member(s), and resident family(s). Provides navigational assistance for Perennial Advantage members/family needs in order to optimize any and all care delivery. Address any questions or concerns from member/family specifically on care/service needs.

This position will be required to travel up to 50%; lodging will be provided if over 1 hour commute from home.

Responsibilities:

• Review nurse notes (all facilities) for Perennial Advantage of Ohio (PAO) members each morning and report any issues to facility PAO Nurse Practitioners (NP).
• Visit Perennial Advantage members weekly as able.
  • Document visit in the Electronic Medication Administration Record (EMAR). Update key facility staff and NP of any issues noted during visit.
• Update PAO Utilization Management (UM) and Interdisciplinary Care Team with any transitions of care, ie: hospitalization, death, and disenrollment.
• Document in EMAR any hospitalizations/returns from hospital.
  • Review care plan. Ensure NP is aware of admissions/discharges.
• Review orders for any upcoming appointments and submit referral requests for out-of-network physicians.
• Gather and submit clinical notes for any upcoming procedures that require prior authorization.
• Monitor for any potential skill in place (SIP) episodes.
  • Guide facility/NP thru process to ensure all clinical information reaches PAO UM department and monitors Portal for authorization approvals.
• Update facility and NP of membership changes each month.
• Complete Health Risk Assessments (HRAs) annually and with any new enrollment.
• Assist NPs with obtaining information needed to complete Medication Therapy Management plans for members.
• Maintain records from HRA/care plans, authorizations, etc.
• Assist with obtaining Perennial Advantage Permission to Contacts (PTC) as needed.
• Attend all plan of care meetings (either in person or on phone) for Perennial members in nursing homes if NP unable. Document in EMAR and review care plan each quarter. 
• Coordinate plan of care meetings twice/year for the assisted living facilities. Ensure that facility staff, NP, family and member are aware of meeting. Document in EMAR and review care plan each quarter.
• Attend weekly/scheduled calls each Friday and provide input on any SIP or Part A skilling episodes.
• Attend and participate in morning meeting or clinical wrap up if in facility at time of meeting.

Qualifications:

• Licensure/Certification:  Current OH RN or LPN license;
• Experience:
  • Minimum 5 years’ of experience in long-term care//nursing home environment required.  
  • Experience in post-acute environments and/or case management, significant plus
  • Experience with Electronic Medical Records; PCC experience highly preferred

Apply from your phone! Text OTTER to 89743