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Care Coordinator

4 months ago

Everett WA, United States Everett Center - Everett, WA Full time
Benefits
*Nursing Student Loan Debt Repayment and Tuition Assistance
*Tuition, Travel, and Wireless Service Discounts
*Employee Assistance Program to support mental health
*Employee Foundation to assist financially with unforeseen hardships
*Diverse, Equitable, and Inclusive (DEI) workplace with DEI committee. DEI is a part of our company's DNA.
*Variable compensation plans
*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off We also offer several voluntary insurances such as:
*Pet Insurance
*Term and Whole Life Insurance
*Short-term Disability
*Hospital Indemnity
*Personal Accident
*Critical Illness
*Cancer Coverage Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service. The Care Coordinator RN is responsible for the promotion of quality, cost-effective services, and care through a collaborative process that coordinates, monitors, and evaluates services provided to all transitional care patients. This individual identifies practice patterns within the nursing center that contribute to high resource utilization and monitors changes in status that could lead to hospital readmission. He/she develops and implements discharge plan to include nursing, rehabilitation and social service staff and communicates the plan to payor, staff and patients/family. Position Highlights
*Provide current, accurate and complete clinical information to payor
*Negotiate for appropriate continuation of length of stay or extension of services and appropriate Level of Care rates.*Assess patient/family risk factors as it relates to resource utilization: chronicity, complications and comorbidity and identify barriers to a timely discharge
*Serves as a resource to physicians, NPs and the treatment team to identify alternate, cost-effective treatment options.
*Educate staff in cost containment strategies, covered services, resources and the terminology, language and format that is preferred by Managed Care Operations for reporting.*Maintain comprehensive case management records on all patients that reflect authorizations, extensions, levels of care, dates of service and rates approved by the payor to include name, phone and date of payor case manager's authorization.
Qualifications:

*Must be a graduate of an accredited School of Nursing with current RN licensure in the state in which employment occurs required.*Five years of recent clinical nursing experience is required.*Prior experience in utilization review, case management or discharge planning required.*Valid driver's license and automobile with appropriate insurance required.

Other Info
  • Position Type: Full Time
  • Pay Target: $50.00-$53.00/ hour
  • Job City: Everett
  • Requisition Number: 503219