Duties of a Project Coordinator in Care Management may include the following but are not limited to: Coordinate departmental data management and quality improvement activities. Identify and develop data collection methods using available software systems Coordinate collection of data for reporting Assist in implementation of programs and ensure strict compliance with these standards. Review, learn and understand all applicable operating standards and regulations. Manages internal programs and databases Generate outcome data reports Manage department benchmark items Assist with Internal Performance Audit Tools and Programs Partners with management to define project scope, establish goals, objectives and timeline. Main timely and up-to-date- project tracking Identify and develop data collection methods using available software systems, (Excel, Access, SPSS, Crystal Reporting, Cerner DA2, UHC Database) Review Learn, and understand all applicable operating standards and regulations Assist with Internal Performance Audit tools and Programs Data validation for internal and external quality improvement requirements. Maintain internal and external application by validating data and exported measures Coordinate and ensure efficient communication internal/external Track and Trend internal and external data Work closely with nurse case manager/social worker team regarding payer delays, authorization and denial notification. Maintain ongoing communication with payers for up-to-date claim status Communicate unique and complicated cases to denials and appeals unit. Ensure proper follow-up with outstanding claims Serve as a liaison between hospital departments that will correlate with department function and initiatives Prepares documents and reports required for payer proficiency and quarterly reviews. Keep high level customer service responsibility Train users in navigation, data entry and routine report generation Maintain and Coordinate Departmental Resources Create and Maintain Internal Discharge Database Management tools Collaborate with Lead Program analyst to maintain working functionality of Acute Care Management Application Assist with department advancement of professional growth Assist in educating staff members with hospital systems and Microsoft Applications Develop competency and maintain up to date knowledge of hospital software i.e. Power Chart, Siemens, Eclipsys & other programs as acquired Assist department leadership with staff educational presentations Coordinate training and meetings Evaluate and improve current departmental data management systems Other duties as assigned Assist Discharge Process/Support Services Maintain understanding of referral resources Knowledge of discharge planning programs Prepare and Track discharge reporting items Assist with Weekly Long Stay Process Assist with reporting tools to decrease Length of Stay Assist with Transportation Authorization Assist in the IPRO/IPRA discharge appeal process Communicate with Care Management Team about patient IPRO/IPRA appeal Coordinate with Case Manager/Social Worker Team appropriateness of appeal and documentation requirements Maintain IPRO/IPRA determination with internal and external departments Maintains high level of customer satisfaction Provide customer support for patient/patient family member Keep a high level customer service responsibility Demonstrate courteous, respectful and professional demeanor with both internal and external customers Qualifications Required Qualifications: Bachelor's Degree. Demonstrate good working knowledge and good understanding of database systems i.e. Excel, Sharepoint, SQL Server and Access. Preferred Qualifications: N/A Special Notes: Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises. This function/position has been designated as "essential." This means that when the Hospital is faced with an institutional emer
FROM ITS BEGINNINGS A HALF-CENTURY AGO, STONY BROOK UNIVERSITY HAS BEEN CHARACTERIZED by innovation, energy and progress, transforming the lives of people who earn degrees, work and make groundbreaking discoveries here. A dramatic trajectory of growth has turned what was once a small teacher preparation college into an internationally recognized research institution that is changing the world.