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Care Coordinator
4 months ago
Position Summary: Care Coordination is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality cost effective outcomes. Successful outcomes cannot be achieved without specialized skills and knowledge applied throughout the process. These skills include, but are not limited to, positive relationship-building; effective written and verbal communication; negotiation; knowledge of contractual or risk arrangements; the ability to effect change, perform ongoing evaluation and critical analysis; and the ability to plan and organize effectively. The Transitional Care Coordinator is a Registered Nurse responsible for the clinical, quality, and cost- effective care progression and outcomes for patients across the care continuum. The Transitional Care Coordinator effectively and efficiently mobilizes resources, manages the system, provides consultation to physicians and providers, and directs staff in response to patient needs according to an interdisciplinary plan of care, consistent with prevailing Federal and State statutes and regulations. She/he collects, trends, analyzes and reports aggregate clinical and financial data to identify best practices and target performance Improvement and reimbursement/recoupment efforts. Educational Requirements/ Qualifications: Must have a current NYS RN license in good standing. Three years' clinical experience in a hospital setting desirable. case Management experience preferred. Certification in Case Management or Outcomes Management by a recognized national Board preferred. Requires exceptional communication and collaboration skills. Requires ability to problem solve effectively in complex situations. Must be able to take the lead in a confident and competent manner in emotionally demanding situations. Working knowledge of prevailing Federal and State regulations guiding the profession a plus; required within 6 months of hire. Working knowledge of intensity/severity criteria in common use (e.g. lnterQual and MCG) a plus; required within 3 months of hire. Familiarity with MS Word, Excel; and Internet use required; Familiarity with Meditech a plus and will be required within 3 months of hire. PRI Screen and Certification preferred and will be required after successful completion of probation status. The Care Coordinator must demonstrate knowledge of funding sources (third party payer contracts and requirements), health care services, human behavior dynamics, the health care delivery and financing systems, and clinical standards and outcomes. (Case Management Society of America - Standards of Practice). Salary Range: $35.02 - $51.51 per hour Job Type: Full-Time Benefits of Working Full-Time at Adirondack Health: Medical, Dental and Vision Insurance Paid Benefit Time (PTO and Sick days) Tuition Reimbursement 403(b) Retirement Plan with Employer Contributions And much more
