Supervisor Patient Care Coordinator
3 weeks ago
Description:
JOB PURPOSE:
Coordinates and monitors all Care Management team activities, provides leadership, coaching, and
mentoring to Care Management and Social Works staff members. Responsible for providing leadership
and direction for Discharge Planning and Transitions of Care, within the acute hospital. Monitors for
quality indicators to assure appropriate social and transitional services are provided to patients and
families. Develops and maintains relationships with physicians, nursing supervisors, payers, community
resources/ agencies to provide the needs services for indigent, uninsured, and underinsured populations.
KEY RESPONSIBILITIES:
1. Provides onsite mentoring, orientation and supervision for Care Managers, Social Workers and Care
Management Assistants.
2. Communicates with charge nurses, physicians, ED staff and PCC leadership regarding complex
discharge planning, transitional care, complex psycho/social, psychiatric cases, or high risk cases at
risk for readmissions and avoid inappropriate hospital admissions.
3. Provides mediation between the patient, provider, guardians, family members or the agency relative to
the needs and desires identified by the patient.
4. Assists in identifying training needs for the Care Management program and staff.
5. Supports Care Management in developing mediation and intervention strategies.
6. Review, monitor and intervene with LOS cases greater than 7 days.
7. Coordinate various aspects of Care Management services; including referral, intake, eligibility
determination, program planning, monitoring, assessment, and evaluation of needs and services.
8. Collaborate with post-acute care providers to secure insurance authorization for placement.
9. Performs Care Management services in-house to develop alternative treatment plans for patients. Acts
as a liaison with attending physicians, medical providers, state, federal and local agencies, outside
vendors, and members.
10. Determines if proposed medical treatment plans meet contract provisions.
11. Initiate the transfer of an individual to other services or terminate services when the patient determines
they are no longer required or desired.
12. Assist patients, guardians, and families in maximizing their abilities for self-determination by enabling
them and empowering them in decision-making to the greatest extent possible.
KNOWLEDGE, SKILLS, ABILITIES
Skill and ability to communicate effectively both verbally and in-writing with Physicians, Nurses and
Hospital Departments.
Knowledgeable in care management principles, procedures and practices.
Knowledgeable in crisis intervention principles and practices.
Detailed knowledge of Federal and State Hospital Discharge Planning, Patient Care, Conditions of
Participation and Interqual / MCG Criteria.
Skills and ability to handle multiple prioriti
Qualifications:
MINIMUM EDUCATION REQUIRED:
Associates Degree from accredited school of Nursing or Masters in Social Work and current Social Work
licensure in the State of Georgia.
MINIMUM EXPERIENCE REQUIRED:
Three (3) years of experience in care management, medical social work or transitional care management.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
Current license in the state of Georgia as a Registered Nurse or NLC/eNLC Multistate License or
Licensed Master Social Worker (LMSW) in the state of Georgia.
ADDITIONAL QUALIFICATIONS:
Bachelors degree from accredited school of Nursing preferred.
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