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Clinical Navigator
PAM Health. Maintain responsibility for patient referrals until admission to PAM Health .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare admissions processes, payer authorization requirements, and referral management while effectively communicating and collaborating with diverse stakeholders. Proven ability to support multiple facilities, manage patient referrals, and drive marketing strategies to enhance admissions and revenue.
Highest-signal resume keywords
Current Licensure In NursingHealthcare Admissions ProcessesPayer Authorization RequirementsInterpersonal Communication SkillsMarketing Strategies
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Referral ManagementPre-Admission AssessmentsMedical Record ReviewLevel Of Care RecommendationsAccount Management SystemsMarket Intelligence GatheringProgram DevelopmentEducational PresentationsOperational ReportingCensus Management
Soft Skills
Organizational SkillsAdaptabilityCollaborationCustomer ServiceMentoring
Certifications & Qualifications
Licensure In NursingLicensure In Respiratory TherapyLicensure In Physical TherapyLicensure In Occupational TherapyLicensure In Speech And Language Therapy
Industry Keywords
HealthcareRehabilitationLTACHPatient EducationCommunity EngagementBusiness DevelopmentMarket SupportReferral SourcesOperational NeedsCensus Growth
About the role
Key responsibilities & impact- Maintain responsibility for patient referrals until admission to PAM Health
- Complete and document on-site, phone, or FAX pre-admission assessments
- Review medical records and assess pre-certification coverage and admission criteria
- Obtain payer pre-certification and recommend the appropriate level of care
- Orient and educate patients, families, referral sources, and community members about facility services
- Communicate daily with Admissions and facility CEOs to optimize census management and case-finding strategies
- Follow up on pending cases and medical denials
- Provide temporary market support during hospital openings, staffing transitions, census growth initiatives, and operational needs
- Support marketing strategies and growth in admissions and revenue across assigned facilities and markets nationwide
- Collaborate with Business Development Educators and local leadership on market action plans
- Present PAM Health hospitals and services to referral sources
- Identify, manage, and prospect referral sources using account management systems
- Participate in community events, business development meetings, and operational calls
- Educate referral sources about PAM Health programs and services
- Maintain provider relationships and assess rehabilitation/LTACH needs
- Schedule and provide educational in-services and presentations
- Coordinate facility tours
- Gather healthcare-provider information and market intelligence
- Assist with development of new programs and services
- Support onboarding, mentoring, and field training for business development and admissions team members
- Maintain pending-case logs, reports, territory plans, account-management systems, and resource libraries
- Provide updates on activities, operational barriers, and market trends
- Promote PAM Health’s mission and values while maintaining confidentiality, professionalism, safety, and customer service
Requirements
What you’ll need- Current licensure in nursing, respiratory therapy, physical therapy, occupational therapy, or speech and language therapy is required
- Minimum of two years’ experience in the designated field of license
- Degree in a health-related field from an accredited college or university preferred
- Prior marketing and/or rehabilitation/LTACH experience preferred
- Experience supporting multiple facilities or markets preferred
- Strong interpersonal, communication, and organizational skills
- Ability to work independently and adapt quickly to changing operational needs
- Knowledge of healthcare admissions processes, payer authorization requirements, and referral management
- Ability to travel nationally for extended periods of time
- Ability to collaborate effectively with corporate and local leadership teams
- Reliable transportation
- Ability to travel by air as needed
- Ability to charge expenses and complete expense reimbursement forms
- Extended hours and irregular schedules may be required based on operational needs
Benefits
Comp & perks- Exempt position
- Employee Health requirements for continued employment
- OSHA-required training