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Clinical Resource Coordinator
2 months ago
Join Jackson Health System, a world-class academic medical center, as a Clinical Resource Coordinator. In this role, you will be responsible for coordinating, monitoring, and managing patient care resources to promote cost-effective delivery of patient care services.
Responsibilities:- Lead the assessment, planning, implementation, and evaluation of new department models and initiatives.
- Identify practice issues, systems issues, and trends using medical criteria, clinical data systems, and protocols.
- Perform problem resolution activities to maintain quality patient care.
- Present at administrative meetings, providing case management and social work metrics and productivity.
- Manage patient throughput, assessing and evaluating patients to determine the appropriate level of care and admission status.
- Follow up with patients in the outpatient setting for the CRM Placement EDP program.
- Collaborate with the Manager for Clinical Resource Management to transition patients to the appropriate level of care.
- Provide management oversight for the Clinical Care Coordinator's performance, ensuring effective medication, treatments, pain status, and discharge plans.
- Maintain leadership visibility, supporting service excellence initiatives and focusing on improved employee satisfaction.
- Round on patient units to identify barriers to staff performance and discharge barriers.
- Create and implement Corrective Action Plans for problem resolution and escalation of issues.
- Coordinate day-to-day CRM operations, including program development, implementation, outcomes, staffing, and liaison with PROS/MCOS/regulatory/community agencies.
- Provide management oversight for referral and problem resolution of complex discharges.
- Collaborate with family, attending physicians, Chief Utilization Officer, Utilization Management Committee, and Discharge Services providers for safe discharge plans.
- Concurrently review employee schedules for appropriate staffing coverage based on patient census.
- Collaborate with the Chief Utilization Officer on case consultation activities, negotiation of patient placement, and evaluation of patient medical plans.
- Generally requires 3 to 5 years of related experience.
- Clinical experience as a Utilization Review RN in a hospital acute care setting is strongly preferred.
- Leadership experience in case management is highly preferred.
- Experience with using InterQual or MCG guidelines is highly preferred.
- BSN or Bachelor's degree in a related field is required; Master's degree is preferred.
- Valid Florida RN license is required.
- American Heart Association Basic Life Support (BLS) and any additional applicable life support certification for Healthcare Providers is required upon hire with at least 6 months' validity and maintenance at JHS for the duration of employment.