Patient Care Coordinator - Norristown State Hospital

Are you ready to make an impact where it matters most? The Department of Human Services is looking for a dedicated Patient Care Coordinator to join our vital Utilization Review Program at Norristown State Hospital. If you have a strong work ethic and possess the keen observational skills and decisive judgement needed to navigate complex health care environments, we want to hear from you!

As a Patient Care Coordinator, you will play a vital role in managing the continuity and quality of inpatient care. Your primary responsibility involves the timely monitoring of admissions and continued stays within the electronic health record (EHR) to ensure that ongoing hospitalization remains medically appropriate. To maintain clinical integrity, you will conduct rigorous quality reviews of active patient records, evaluating the documentation from all treatment team members for both frequency and content quality. All work must align strictly with the hospital's utilization review (UR) plan, as well as federal and state regulations, Medicare standards, and internal policies.

In this role, you are responsible for assigning and certifying appropriate lengths of stay based on medical necessity. You will be expected to generate and distribute EHR feedback to the relevant departments while monitoring any necessary follow-through. For complex or questionable cases regarding admissions or extended stays, you will escalate the matter to the UR Advisor. Beyond daily monitoring, you will take a leadership role by chairing or co-chairing the UR Committee meetings, where you will provide supportive data and recommendations on case disposition.

Furthermore, you will act as a key liaison for insurance and financial compliance. Your work will include coordinating managed Medicare pre-certification reviews and performing concurrent reviews to secure continued stay approvals for billing purposes. Your will also collaborate closely with physicals and social workers to organize the documentation required for Medicaid applications. Finally, you will be responsible for preparing and presenting essential reports for the Performance Improvement Council and the UR Committee to drive institutional excellence.

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information:

• Full-time employment, 37.5 hours per week
• Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch. This may change based on operational needs.
• Travel as operationally necessary
• Telework: You will not have the option to telework in this position.
• Salary: In some cases, the starting salary may be non-negotiable.
• FREE parking!
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

QUALIFICATIONS

Minimum Experience and Training Requirements:

• One year as a Psychiatric Nurse 2 in a state hospital or a Nurse 2 (Commonwealth job title or equivalent Federal Government job title, as determined by the Office of Administration) in a State General Hospital or Restoration Center; or
• Three years of professional psychiatric nursing or general nursing, including one year at an advanced level in a state hospital, general hospital or Restoration Center; and graduation from an approved school of professional nursing; or
• Two years of professional social or rehabilitative work, including one year of clinical experience in a supervisory, administrative or consultative capacity in a state hospital, state general hospital or Restoration Center; and a bachelor's degree with major course work in social work, nursing, health care administration, behavioral sciences or related fields; or
• Any equivalent combination of experience and training.

Other Requirements:

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency.
• You must be able to perform essential job functions.

Legal Requirements:

• A conditional offer of employment will require a medical examination.
• This position falls under the provisions of the Older Adult Protective Services Act.
  • Under the Act, a conditional offer of employment will require submission and approval of satisfactory criminal history reports, including but not limited to, PA State Police and FBI clearance.

• Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
• If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
• Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
• Failure to comply with the above application requirements may eliminate you from consideration for this position.

Veterans:

• Pennsylvania law (51 Pa. C.S. *7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.pa.gov/agencies/employment/how-to-apply.html and click on Veterans.

Telecommunications Relay Service (TRS):

• 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.

• Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.
• You may only apply/test once for this posting.
• Your results will be provided via email.