Medical Records

5 days ago


Leonardtown MD, United States MEDSTAR HEALTH Full time

Collaborates with the healthcare team, community agencies, and primary care providers to ensure continuity of the patient's care through outpatient healthcare settings. Promotes effective communication among healthcare team members, including the patient, family, and significant others. PLEASE NOTE: THIS POSITION SHALL OFFICIALLY BE KNOWN AS "CARE COORDINATOR" TO THE COMMUNITY.
Contributes to the achievement of established grant goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Administers direct patient care and healthcare provider support.
In collaboration with healthcare providers, clinical and administrative staff creates clinical pathways and protocols for community care management.
Establishes strong working relationships with community health and human service providers, including establishing a data base of services and establishing referral networks.
Functions as a clinical resource to healthcare practitioners, clinical staff, outside patient providers and patient/family and initiates referrals to appropriate support services.
Mary's Hospital Standards of Care.
Actively participates in Quality Improvement Processes as a basis for assisting with the implementation of changes in practice, when needed. Collects and analyses data as needed.
With hospital Case Management services, establishes transition plans for patients who are being discharged from the hospital.
Participates, and demonstrates competency in, Electronic Medical Record (EMR) initiatives.
Establishes and implements care plans for health promotion, illness prevention and for disease self-management for all patients referred by the HEZ or other providers.
Assess protocols for all required case management indicators within required timeframes.
Documents complete and clinical relevant assessments, reassessments, plans, interventions and evaluations in the EMR.
Bachelor's degree Nursing required or
1-2 years Experience in case management or similar role required and
3-4 years Experience in case management or similar role preferred



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