Medical Concierge

Overview:

The Medical Concierge isto 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.
• Create and update care plans.
• Attend care conferences even if NP can/cannot.
• 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
  • The ability to work in multiple EMR systems.
  • Knowledge of MS Outlook and Excel.

BENEFITS*

Health & Wellness

• Medical Insurance with free virtual doctor visits
• Vision & Dental Insurance
• Pet Insurance
• Life Insurance
• Employee Assistance Program (EAP) for personal and professional support

Financial Security

• 401(k) Retirement Savings Plan with company match
• Paid Time Off (PTO) that accrues immediately from day one
• Paid Holidays for a healthy work-life balance
• Access to DailyPay enabling you to access up to 100% of your earned wages on a daily basis
• Tuition Reimbursement up to $5250 per year for ANY field of study
• Tuition Discounts through exclusive partnerships with the University of Cincinnati University of Toledo and Hondros College
• Employee-Sponsored Crisis Fund available for those facing unforeseen challenges
• Legal & Identity Theft Protection

Growth & Development

• University Partnerships with University of Cincinnati University of Toledo and Hondros College for exclusive tuition discounts
• Multiple Partner Discounts available for various products and services through Access Perks
• Access to 1000s of hours of personal and professional development material through RightNow Media @ Work

*Some benefits including PTO and tuition reimbursement are based on hours worked.

Why work for Otterbein SeniorLife:

For more than 100 years Otterbein has provided senior housing options rooted in respect and community. Were a non-profit 501(c)(3) health and human service organization so our values and initiatives are focused on serving our residents.

Otterbein SeniorLife consists of lifestyle communities revolutionary small house neighborhoods home health and hospice care in Ohio and Indiana. We offer different lifestyle options for seniors through independent living assisted living skilled nursing rehab memory support respite care in-home care and hospice services.