RN-Care Coordinator

1 week ago

Rancho Mirage, United States EISENHOWER HEALTH Full time
  • Job Objective: A brief overview of the position.
    • The RN Care Coordinator is responsible for determining the appropriateness of hospital admission, and for advocating, coordinating and facilitating the interdisciplinary plan of care to expedite medically appropriate, effective, efficient and timely utilization of resources for maximum patient outcomes. The RN Care Coordinator partners with the Charge Nurse, Social Worker, physician and other members of the interdisciplinary team to facilitate safe and timely discharge, and intervenes as appropriate to remove barriers to efficient patient throughput and smooth patient transition. The RN Care Coordinator applies clinical expertise and medical appropriateness criteria to resource utilization, admissions and discharge planning
  • Reports to
    • Manager, Case Management
  • Supervises
    • None
  • Ages of Patients
    • Pediatric
    • Adolescent
    • Adult
    • Geriatric
  • Blood Borne Pathogens
    • Minimal/No Potential
  • Qualifications
    • Education
      • Required: BSN or MSN or enrollment in an RN-BSN or RN-MSN program within 1 year of hire and completion within 5 years of hire if hired after July 1, 2012
    • Licensure/Certification
      • Required: California Registered Nurse
      • Preferred: Certification in Case Management
    • Experience
      • Required: Two (2) years of experience as a Registered Nurse in an acute care setting OR case management
      • Preferred: Case Management/UM experience
  • Essential Responsibilities
    • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
    • Ensures that an admission review has been completed within one working day after admission.
    • Transitions with the ED Care Coordinator and Transfer Coordinator for patients admitted to inpatient/observation level of care.
    • Performs a comprehensive assessment of patient's clinical, psychosocial, discharge planning and financial needs. Establishes clinical milestones and goals related to these issues.
    • Establishes rapport and a relationship with the patient and family in order to understand their needs and expectations and to assist them in setting realistic and mutual goals. Integrate an awareness of cultural factors in the patient/family interview process and elicit clinically relevant cultural information.
    • In conjunction with the physician, the patient and interdisciplinary team, establishes a comprehensive plan of care to appropriately address clinical milestones.
    • Communicates plan of care, including changes and issues related to plan of care to patient/family, physicians and other members of the healthcare team. Facilitates communication between the physician, interdisciplinary team, patient and family.
    • Gathers sufficient information from all relevant sources to determine the effectiveness of the plan of care to assure it is done in an accurate, safe, timely and cost effective manner.
    • Is a resource to staff and physicians regarding appropriateness of admission and continued stay, levels of care (including related documentation requirements), quality of care concerns and criteria/guidelines/protocols utilized in care planning and resource utilization.
    • Organizes, integrates and evaluates the effectiveness of the plan of care and progress toward achievement of desired outcomes. Modifies plan of care as patient/family needs change to accomplish goals established in the plan of care.
    • Coordinates patient transfer to the appropriate level of care. Identifies and facilitates resolution of clinical and operational roadblocks to achieve optimal outcomes by identifying alternatives as needed. Communicates resulting decisions to patient/family, physicians and members of healthcare team, according to regulatory guidelines and hospital policies.
    • Identifies opportunities to improve care/service. Assists in development and implementation of care performance improvement plans based upon analysis of patterns and trends identified from data collection and observations.
    • Demonstrates understanding of payer prior approval requirements and the various health care delivery systems and payer plan contracts. Ensures timely communication with third party payers and/or review organization as necessary and provides information to federal, state, and privates payers and/or review organizations so that determinations regarding benefits and coverage may be made. Provides clinical information requested by providers as part of the concurrent appeal process.
    • Documents all care management assessments and interventions. Inserts most current discharge planning documentation into medical record.
    • Assigns process, social and physician related avoidable days according to established policy and procedure.
    • Ensures that the appropriate level of care is maintained through ongoing continued stay reviews using UR Committee approved criteria. Makes recommendations when alternate levels of care are indicated.
    • Escalates to the UM Committee through the physician advisor or EHR when unable to resolve issues with the attending physician, and as required by federal and regulatory requirements.
    • Educates physicians and staff to understand admission status, appropriate patient placement and other regulatory requirements.
    • Works with ED and Transfer Coordinator to ensure evidence based order sets are initiated upon admission, when available. Follows up to ensure that order sets and clinical pathways are being implemented as available. Monitors and intervenes for variances.
    • Proactively discusses discharge planning needs with the physician and interdisciplinary team. Establishes an initial discharge plan in conjunction with patient and families within 24 hours or as soon thereafter of an assessed need or referral is sent.
    • Rounds regularly with physicians to establish plan of care, and to ensure that care is proceeding in an efficient and effective manner. Follow up to ensure that tests and treatments are proceeding efficiently, and that results are available to physicians on a timely basis.
    • Ensures that the care plan is updated as appropriate, through clinical progression of the patient toward clinical milestones updating the team and patient and family accordingly.
    • Closely monitors the progression of care for the observation patient, and ensure appropriate utilization of resources and efficient throughput for this patient population.
    • Facilitates the initiation of diagnostic services, treatment planning, and therapeutic treatments. Assesses and intervenes to ensure that the patient's treatment plan is current, appropriate and efficient.
    • Identifies and ensures a safe discharge plan and that it is completed at least 24 hours prior to discharge whenever possible.
    • Refers to Social Worker or Discharge Planner for complex psychosocial and discharge planning issues (per criteria) and ensures appropriate follow-up. Consults with other members of the interdisciplinary team (physical therapy, pharmacy, etc.) to provide safe discharge as appropriate.
    • Ensures that any information appropriate to facilitate continuity of care post discharge is communicated to post acute provider via discharge paperwork or via phone per departmental documentation guidelines.
    • Develop strong relationships with community health resources to ensure appropriate patient access after discharge. Completes timely referrals to post discharge providers, ensuring efficient patient flow and adherence to federal and regulatory requirements.
    • Develops, maintains and provides community resource information to patients.
    • Helps patients obtain a PCP (Primary Care Physician) and affordable discharge medications and resources as necessary.
    • Ensure appropriate follow-up appointments are made and patient is knowledgeable about post discharge activities.
    • Issues notices of non-coverage/denial letters to patients based on results of physician reviews and in compliance with Medicare/HSAG, federal and state and department guidelines.
    • Ensures that the Medicare Important Message has been delivered according to hospital policy.
    • Monitors and manages clinical outcomes and intervenes on issues that have the potential to impact quality.
    • Performs other duties as required.

  • Nurse Care Coordinator

    3 weeks ago

    Rancho Mirage, California, United States Eisenhower Health Full time

    About the RoleWe are seeking a dedicated and compassionate Registered Nurse to join our team as a Nurse Care Coordinator at Eisenhower Health. This is an exciting opportunity for a registered nurse to provide high-quality patient care and coordination services in a dynamic healthcare environment.Job SummaryThe successful candidate will be responsible for...

  • Nurse Care Coordinator

    4 days ago

    Rancho Mirage, California, United States Eisenhower Medical Center Full time

    Job Overview:We are seeking a highly skilled and caring Nurse Care Coordinator to join our team at Eisenhower Medical Center. In this role, you will work closely with patients, families, and healthcare providers to ensure seamless care transitions and optimal health outcomes.About the Position:Coordinate patient care plans across various settings, including...

  • Nurse Care Coordinator

    3 weeks ago

    Rancho Mirage, California, United States Eisenhower Health Full time

    Eisenhower Health seeks a dedicated Registered Nurse to join our team as a Nurse Care Coordinator.Job SummaryWe are committed to delivering exceptional patient care, and as a Nurse Care Coordinator, you will play a vital role in ensuring that our patients receive the highest level of care and support.About the RoleThe successful candidate will have a passion...

  • RN-Clinical Coordinator

    1 week ago

    Rancho Mirage, United States EISENHOWER HEALTH Full time

    Job Objective: A brief overview of the position. The RN, Clinical Coordinator demonstrates advanced clinical and communication skills who, under the direction of the clinical director, is responsible for optimal provision of quality patient care and assists with functioning of an assigned unit. Assumes clinical and operational management responsibility on...

  • RN-Clinical Coordinator

    2 days ago

    Rancho Mirage, United States EISENHOWER HEALTH Full time

    Job Objective: A brief overview of the position. The RN, Clinical Coordinator demonstrates advanced clinical and communication skills who, under the direction of the clinical director, is responsible for optimal provision of quality patient care and assists with functioning of an assigned unit. Assumes clinical and operational management responsibility on...

  • Clinical Coordinator RN

    4 days ago

    Rancho Mirage, California, United States Eisenhower Health Full time

    About this RoleWe are seeking a skilled Cardiac Clinical Coordinator RN to join our team at Eisenhower Health. As a leader in the Cath Lab, you will be responsible for ensuring that all aspects of nursing care are provided according to standards of practice.The ideal candidate will have a BSN or MSN degree, California RN License, and relevant experience in...

  • RN-Hematology/Oncology Coordinator

    2 months ago

    Rancho Mirage, United States Eisenhower Health Full time

    Job Objective: A brief overview of the position. Works collaboratively as an active member of the inter-professional team to provide therapeutic patient and family centered care in the Hematology/Oncology patient population in the Cancer Care Program. Collaborates in the development, execution and evaluation of the multidisciplinary plan of care....

  • Patient Care Coordinator

    3 days ago

    Rancho Mirage, California, United States Hazelden Betty Ford Foundation Full time

    Job Summary: The Hazelden Betty Ford Foundation seeks a dedicated Patient Care Coordinator to join our team. In this role, you will play a vital part in supporting patients' recovery journeys, ensuring they receive the best possible care.Key Responsibilities:Collaborate with treatment teams to develop and implement patient care plans.Coordinate patient...

  • RN-Clinical Coordinator/Educator

    1 week ago

    Rancho Mirage, United States Eisenhower Health Full time

    Job Objective: A brief overview of the position.The RN-Clinical Coordinator/Educator provides leadership for all aspect of nursing care in the Cath/Ep LabReports toCardiac Service Line Administrator/DirectorSupervisesStaff RN's, Nursing Assistants, Monitor Tech'sAges of PatientsAdultGeriatricBlood Borne PathogensHigh PotentialQualifications...

  • Clinical Health Navigator

    3 weeks ago

    Rancho Mirage, California, United States Eisenhower Health Full time

    About the Role:We are seeking an experienced Clinical Health Navigator to join our team at Eisenhower Health. As a key member of our care coordination team, you will play a critical role in ensuring seamless transitions between healthcare services and facilitating timely access to quality care for our patients.Key Responsibilities:Assessment and Diagnosis:...

  • Lead-Care Coordination Liaison

    3 days ago

    Rancho Mirage, United States EISENHOWER HEALTH Full time

    Oversees coordination of inpatient and post-acute care for complicated, high-risk patient populations to community care providers. Primarily focused on out of area community services, uninsured/underinsured, TB, Dialysis, Infusion, IEHP and other hig Liaison, Transportation, Management, Processing, Department Leader, Healthcare, Patient

  • Patient Care Coordinator

    4 days ago

    Rancho Mirage, California, United States Eisenhower Medical Center Full time

    Job DescriptionEisenhower Medical Center is seeking a qualified Registered Nurse to join our team. This is a unique opportunity to work in a dynamic and fast-paced environment, providing direct patient care and contributing to the delivery of exceptional patient outcomes.We offer a competitive salary range of $115,000 - $145,000 per year, as well as a...

  • Clinical Coordinator and Educator

    4 days ago

    Rancho Mirage, California, United States Eisenhower Medical Center Full time

    About the PositionWe are seeking a highly skilled RN-Clinical Coordinator/Educator to join our team at Eisenhower Medical Center. As a leader in nursing care, this role provides exceptional leadership for all aspects of nursing care in the Cath/EP Lab.This position is responsible for monitoring department-specific standards of care and practice, ensuring...

  • Nurse Care Coordinator

    3 weeks ago

    Rio Rancho, New Mexico, United States Santa Fe Care Center Full time

    At Santa Fe Care Center, we offer a competitive salary for our Registered Nurse position.Job SummaryWe are seeking an experienced Registered Nurse to join our team. The successful candidate will be responsible for coordinating nursing care, supervising staff, and implementing physicians' orders.Key ResponsibilitiesUtilize the nursing process to assess...

  • Lead Nursing Education Coordinator

    3 weeks ago

    Rancho Mirage, California, United States ALLS WELL Full time

    Company Overview">Alls Well values its nursing education department and strives to provide students with the best possible learning experience. As a leader in the field, we are committed to excellence in teaching and patient care.">Job Summary">We are seeking an experienced nursing professional to serve as our Lead Nursing Education Coordinator. This role...

  • PCU Nurse Specialist for Critical Care Unit

    6 days ago

    Rancho Mirage, California, United States The Fortus Group, Inc. Full time

    We are seeking a skilled PCU RN to join The Fortus Group, Inc. team in Rancho Mirage, CA.About the JobAs a Travel PCU RN, you will be responsible for providing high-quality patient care in a critical care unit setting.Salary and BenefitsThe estimated salary range for this position is $140,000 - $160,000 per year, depending on experience and...

  • RN Charge Nurse

    1 month ago

    Rancho Mirage, United States Eisenhower Health Full time

    Job Objective: A brief overview of the position. Under the direction of the Manager, the Charge Nurse supervises and coordinates the daily operations of the Urgent Care Clinics for assigned shifts. This includes the daily staffing assignments, coordination of department resources. Responsible for coordinating and supervising nursing staff, and Medical...

  • RN Charge Nurse

    4 weeks ago

    Rancho Mirage, United States Eisenhower Health Full time

    Job Objective: A brief overview of the position.Under the direction of the Manager, the Charge Nurse supervises and coordinates the daily operations of the Urgent Care Clinics for assigned shifts. This includes the daily staffing assignments, coordination of department resources. Responsible for coordinating and supervising nursing staff, and Medical...

  • Clinical Informatics Coordinator

    3 weeks ago

    Rancho Mirage, California, United States Eisenhower Health Full time

    At Eisenhower Health, we are seeking a Clinical Informatics Coordinator to support our Medical Staff and Acute Care Services in delivering high-quality patient care. This role plays a crucial part in enabling cost-effective, efficient, and safe patient care.Key Responsibilities:We expect the successful candidate to demonstrate compliance with our Code of...

  • 24/7 Recognition Coordinator

    3 weeks ago

    Rancho Mirage, California, United States Eisenhower Health Full time

    Job SummaryWe are seeking a skilled and compassionate 24/7 Recognition Coordinator to join our team at Eisenhower Health. As a key member of our 24/7 Recognition program, you will play a vital role in ensuring the highest level of patient care and satisfaction.About the RoleThe 24/7 Recognition Coordinator will collaborate with department leadership, staff,...