Care Coordinator

4 days ago

Chico, United States Enloe Health Full time

ENL Case ManagementCompensation range:$51.76 - $69.88Your rate of pay will be based on applicable experienceShift: Days , Per Diem, Temporary Days off: Variable Hours per pay period: Variable Shift length: 10 HoursPOSITION SUMMARY:The Care Coordinator has responsibility for coordinating the care and services for assigned patients for an episode of illness or treatment in collaboration with the patient, family, physician, patient care team, and payors. The Care Coordinator utilizes advanced clinical skills to facilitate the provision of care which includes the assessment, planning, intervention and evaluation principles of the nursing process. The Care Coordinator promotes and evaluates the effective utilization of resources using current clinical knowledge, awareness of community services, and assuming a leadership role with the patient care team to achieve optimal clinical and resource outcomes. The Care Coordinator evaluates and analyzes quality/utilization cases, admission/discharge criteria, observation/1-day stays, readmits in 30 days, Medicare and diagnosis related criteria. Participates in outlier review on an ongoing basis. In addition, the Care Coordinator may be assigned to the Emergency Department. In collaboration with the patient/family, multidisciplinary team including physicians and payors ensure the patient's progress along with emergency episode of care in an efficient and cost effective manner for assigned case load. Advocates for the patient and family throughout the entire episode of care. Maintains availability to the patient/family as a resource to facilitate communication among providers and to monitor services rendered. Remains involved until the patient is discharged or appropriately transferred to the acute care setting or an alternate level of care. Initiate appropriate clinical pathways based on admission diagnosis and to serve as a resource person for utilization management purposes. EDUCATION / TRAINING / EXPERIENCE:Minimum:Two years of acute care clinical experience, one year of recent Case Management experience in an Acute or Post Acute setting, or a Master's in Nursing with a Case Management emphasis.Desired:Bachelor's degree in nursingExperience in acute clinical case management and utilization reviewWorking knowledge of managed care requirements and hospital information systemsPrefer experience in area of assignment. Must be able to maintain confidentiality of patient information, be a patient advocate, be collaborative and able to delegate when appropriate. Must have initiative to assume fiscal responsibilities.LICENSES / CERTIFICATIONS: Minimum:Current licensure with the California Board of Registered NursingCurrent CPR recognitionSKILLS / KNOWLEDGE / ABILITIES: Assessment, planning, intervention, and evaluation of patient care. Demonstrates current clinical nursing knowledge as evidenced by completion of staff nurse OCAT and passing medication administration examination. Maintains and regularly updates clinical nursing knowledge by completion of the Skills Fair on an annual basis. Understanding of third party reimbursement methodologies. Critical thinking and analytical skills. Must have excellent communication and interpersonal skills to establish a high degree of rapport and professional interaction. Must be able to maintain strict confidentiality at all times. Ability to build positive working relationships with physicians and external agencies. Ability to communicate with multiple levels of the organization (e.g., managers, physicians, clinical, and support staff). Capable of using (Microsoft Office Suite) Microsoft Word, Excel, Outlook, Midas, Chart Max, and Epic computer systems. Organizational and multi-tasking skills are essential. Must be able to fulfill the essential functions of the position.Enloe offers a comprehensive and competitive benefits program to all eligible employees, including medical, vision, RX and dental group insurance, retirement with employer match, paid time off (PTO), and an employee assistance program. Please visit the employee benefits page www.enloe.org/benefits to get more in-depth benefits and coverage information or email recruiter@enloe.org to receive a full summary of our benefits.

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