Clinical Care Coordinator

REHAB Hospital of the Pacific; Honolulu (HI); On-site; USD 83,000 - 125,000; Full time

Job summary

REHAB Hospital of the Pacific is seeking a Clinical Care Coordinator to manage the continuum of care for patients in rehabilitation. You will facilitate interdisciplinary communications, coordinate transitions across care settings, and ensure payer and CMS/IRF compliance throughout the stay.

The role emphasizes patient advocacy, safety, and timely progression, working closely with physicians, nursing, therapy teams, and post-acute providers to support optimal outcomes.

Qualifications

• Bachelor’s degree in Nursing, Social Work, Case Management, Healthcare Administration, or related healthcare field.
• Current BLS certification.
• One of RN, LCSW, or LSW licensure and required competencies.

Responsibilities

• Coordinate and facilitate continuum of care for Rehabilitation Hospital patients.
• Oversee utilization review and medical necessity with providers and payers.
• Lead discharge planning and transition of care.
• Collaborate with interdisciplinary teams and advocate for patients.

Skills

Mobility management

Education

Bachelor’s degree in Nursing

Bachelor’s degree in Social Work

Bachelor’s degree in Case Management

Bachelor’s degree in Healthcare Administration

Tools

Google G Suite

Report writer

Database software

Job description

Position Title: Clinical Care Coordinator FLSA Status: Exempt Department: Care Coordination Reports To: Care Coordination Manager

POSITION SUMMARY: The Clinical Care Coordinator is responsible for coordinating and facilitating the continuum of care for patients admitted to the Rehabilitation Hospital of the Pacific. The role integrates utilization management, discharge planning, interdisciplinary collaboration, payer communication, patient advocacy, regulatory compliance, and transition-of-care coordination to promote safe, timely, and appropriate patient progression throughout the rehabilitation stay. The Clinical Care Coordinator functions as a central member of the interdisciplinary rehabilitation team and serves as a liaison between patients, families, physicians, nursing, therapy disciplines, payers, community resources, and post-acute providers. The position supports patient-centered care while ensuring compliance with CMS regulations, IRF standards, payer requirements, and organizational policies. Wage Range: $83,208.31 to $124,812.48/year. The actual wage is dependent on the applicant's relevant experience and qualifications for this position. The wage range for this position may be subject to change in the future depending on a variety of factors such as market conditions, business needs, legal developments, and other appropriate factors.

REQUIRED QUALIFICATIONS

• Certification/Licensure: STANDARD FOR PATIENT CARE POSITIONS: One of the following, depending on discipline: Registered Nurse (RN) Licensed Clinical Social Worker (LCSW) Licensed Social Worker (LSW) Current BLS certification Completion of competencies and other job-related and REHAB requirements. (move to essential job functions)
• Education: Bachelor’s degree in Nursing, Social Work, Case Management, Healthcare Administration, or related healthcare field required.
• Skills/Experience: Ability to safely and effectively manage patients’ mobility.

PREFERRED QUALIFICATIONS

• Certification/Licensure: Certified Case Manager (CCM) Accredited Case Manager (ACM)
• Education: Bachelor’s degree in Nursing or Master’s degree in Nursing or Social Work
• Skills/Experience: Minimum of 1 year of acute care, rehabilitation, case management, or care coordination experience. Experience with utilization review, discharge planning, and payer communication. Knowledge of rehabilitation diagnoses and functional outcomes and post-acute levels of care.

CORE VALUES

• Models REHAB’s core values, HEART, in daily actions.
• Honesty – Speak and act with truth and respect.
• Engagement – Embrace and commit to our mission, vision and values.
• Aloha – Serve others with a spirit of kindness and compassion.
• Resilience – Rebound and recover with a sense of urgency.
• Teamwork – Work together for success.

ESSENTIAL FUNCTIONS

• Comprehensive care coordination by assessing the potential barriers to discharge, facilitating interdisciplinary communication, coordinating transitions across the continuum of care, advocacy, and assistance with complex discharge planning to ensure safe and timely patient transition.
• Utilization review and medical necessity by monitoring progress and therapy participation while collaborating with providers and payers for authorizations, appropriate continued stays, and ensuring compliance with CMS regulations, payer requirements, and IRF standards.
• Discharge planning and transition of care
• Interdisciplinary team collaboration
• Patient advocacy and education
• Regulatory compliance and documentation by ensuring compliance with CMS regulations, IRF criteria, payer requirements, hospital policies, HIPAA, accreditation stands, and patient rights.
• Support quality improvement initiatives, regulatory readiness, and organization goals related to length of stay, readmission prevention, and care transition.
• Quality improvement and operation responsibilitiesHigh-risk and complex case managementUses sound judgment and ensures patient safety.
• Follows and adheres to all organizational and departmental policies and guidelines, code of conduct, and REHAB employee handbook.
• Performs other duties as assigned.

PROFESSIONALISM AND COMPLIANCE COMPETENCIES

Maintain a high level of proficiency in the following REHAB competencies.

• Job Knowledge
• Accountability
• Communication and interpersonal/relationship building skills
• Adaptability and problem solving, decision making
• Organization and project management

EQUIPMENT, TOOLS, WORK AIDS USED

Office equipment, including telephone, computer and multifunction devices (MFDs). Google’s G Suite, report writer and database software.

About REHAB Hospital of the Pacific

REHAB Hospital of the Pacific (REHAB) is Hawaii's only premier, acute-care rehabilitation hospital dedicated to providing high-quality, comprehensive and innovative inpatient and outpatient rehabilitation services. Our clinical team of comprehensive rehabilitation experts and specialized programs serve individuals with physical and cognitive disabilities from injury or disease, including stroke, traumatic brain injury, spinal cord injury, complex orthopedics, chronic pain and more.