Care Coordinator Specialist

2 weeks ago

Parkersburg, West Virginia, United States WVU Medicine Full time
Job Summary

This role comprehensively plans for targeted patient populations, ensuring effective resource management, including denial management, utilization management, access to the appropriate level of care, discharge planning, care facilitation, and referral to other levels of care.



Responsibilities

  • Manages all aspects of transition/discharge planning for assigned patients in a timely manner.
  • Collaborates with all members of the multidisciplinary team to facilitate the transition/discharge process for designated caseload.
  • Monitors the patient's progress; intervening as necessary and appropriate, to ensure that the plan of care and services provided are patient-focused, high-quality, efficient, and cost-effective.
  • Provides education as needed to staff, physicians, and patients and their families to ensure effective transition planning.
  • Meets directly with the patient and/or family to assess needs and develop an individualized transition/discharge plan in collaboration with the physician team.
  • Communicates with the multidisciplinary team and post-acute providers when applicable, any complex family dynamics that may directly impact patient care and transition/discharge planning.
  • Initiates and facilitates referrals to post-acute services, including but not limited to: Homecare, Durable Medical Equipment, Hospice Care, Long Term Acute Care Facilities, Acute Rehab Facilities, and Skilled Nursing Facilities.
  • Communicates all necessary information regarding transition/discharge plan to the multidisciplinary team, patient and family.
  • Provides timely and comprehensive documentation of interactions with patient and/or families and all transition/discharge planning activities and progress according to departmental policy.
  • Assists patient/families with completion of medical power of attorney, health care surrogate, and advanced directives.
  • Collaborates for appropriate resource and financial management which may include but is not limited to: financial assistance coordination/referrals, entitlement program coordination/referrals, or patient benefit coordination.
  • Utilizes quality screens in the electronic record to identify potential issues, including but not limited to- avoidable delays and readmissions.
  • Completes clinical reviews for patients.
  • Applies approved utilization criteria to ensure medical necessity of patient's admissions and continued stays, and documents the findings based on department standards, policy and procedure.
  • Screens for appropriate authorization and level of care.
  • Facilitates covered day reimbursement certification for assigned patients and discusses payor criteria and issues on a case-by-case basis with clinical staff, and follows up to resolve problems with payors as needed.
  • Educates hospital staff and physicians to payer regulations and managed care principals to prevent denials.
  • Fosters the integration of staff and/or students into the healthcare team.


Requirements

To perform this role, you must have a current unencumbered licensure with the WV Board of Registered Professional Nurses or licensure as Registered Professional Nurse in another state with a temporary West Virginia practice permit.


You must also have five (5) years clinical experience.


PREFERRED QUALIFICATIONS include a Bachelor's degree in Nursing (BSN).



Physical Requirements

This role requires frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling. You must be able to lift, move, and position patients of all weights, with varying amounts of assistance in a fair manner on a regular and recurring basis.


You must also be able to hear within a normal range and have visual acuity within a normal range. You must be able to perform heavy work, exerting in excess of 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects.



Working Environment

This role requires working closely with others, working protracted or irregular hours, working around biohazards, working around infectious diseases, working with hands in water, and working with electrical hazards associated with patient care equipment.



Skills and Abilities

  • Knowledge of patient's current medical insurance coverage and limitations and the precertification requirements for Durable Medical Equipment (DME), post-acute placements, infusions, transfers, etc.
  • Knowledge of relevant scientific principles, established standards of care and/or research findings.
  • Knowledge of procedures and techniques involved in administering routine and special treatments to patients.
  • Knowledge of and appropriate application of the nursing process.

  • Care Coordinator

    2 weeks ago

    Parkersburg, West Virginia, United States WVU Medicine Full time

    This position comprehensively plans for targeted patient populations. Performs resource management, including denial management, utilization management, access to the appropriate level of care, discharge planning, care facilitation, and referral to other levels of care. Works collaboratively with the multidisciplinary care team to facilitate achievement of...

  • Veterinary Care Specialist

    3 weeks ago

    Parkersburg, West Virginia, United States VCA Animal Hospitals Full time

    Veterinary Care SpecialistVCA Dudley Avenue Animal Hospital is seeking a skilled Veterinary Care Specialist to join our team in Parkersburg, West Virginia. As a Veterinary Care Specialist, you will provide exceptional medical and surgical care to patients and deliver top-notch service to their human counterparts.We offer a competitive salary and a...

  • Nurse Care Specialist

    3 weeks ago

    Parkersburg, West Virginia, United States Clarvida - West Virginia Full time

    The Nurse Care Specialist will provide comprehensive medical care to clients in accordance with their Individualized Plan of Care (IPP). This role involves overseeing nursing services, triaging medical incidents, and assigning care to Charge LPNs. The Specialist will also conduct annual nursing assessments and self-medication evaluations for clients...

  • Neuroscience Care Specialist

    2 weeks ago

    Parkersburg, West Virginia, United States Amare Medical Network Full time

    Job Title: Neuroscience Care SpecialistAt Amare Medical Network, we are seeking a highly skilled Neuroscience Care Specialist to join our team.Key Responsibilities:- Assess and diagnose patients with neurological issues- Develop and implement effective care plans to manage disease processes- Collaborate with healthcare professionals to provide comprehensive...

  • Wound Care Specialist

    3 weeks ago

    Parkersburg, West Virginia, United States WVU Medicine Full time

    Job SummaryWe are seeking a highly skilled Wound Care Specialist to join our team at WVU Medicine. The successful candidate will provide expert care and consultation for patients with complex wounds, working closely with nurses, physicians, and other healthcare professionals to deliver comprehensive patient care.Key ResponsibilitiesAssess and treat draining...

  • Medical Care Coordinator

    3 weeks ago

    Parkersburg, West Virginia, United States Clarvida Full time

    About the Role:The Medical Care Coordinator will oversee the overall medical care for all clients in accordance with their Individualized Plan of Care (IPC). This includes triaging medically related incident reports, assigning care to Charge Licensed Practical Nurses (LPNs), and completing annual nursing assessments and self-medication evaluations for all...

  • Critical Care Physician Specialist

    3 weeks ago

    Parkersburg, West Virginia, United States WVU Medicine Full time

    About the RoleWe are seeking a highly skilled Critical Care Physician Specialist to join our team at WVU Medicine. As a Critical Care Physician Specialist, you will be responsible for providing high-quality patient care in our Intensive Care Unit (ICU).Key ResponsibilitiesProvide direct patient care to critically ill patients in the ICUDevelop and implement...

  • Wound Care Specialist

    3 weeks ago

    Parkersburg, West Virginia, United States WVU Medicine Full time

    Job SummaryWe are seeking a highly skilled and experienced Wound Care Specialist to join our team at WVU Medicine. The successful candidate will be responsible for providing comprehensive wound management services to patients with complex wounds, including assessing causative factors, nutritional needs, and providing topical therapies.Key...

  • Dental Care Specialist

    2 weeks ago

    Parkersburg, West Virginia, United States All Medical Personnel Full time

    About the Role:We are seeking a skilled Dentist to join our team of healthcare professionals. As a Dental Care Specialist, you will be responsible for providing high-quality patient care, conducting exams, cleanings, extractions, and restorative procedures. You will also be required to work with dentures and fillings. The ideal candidate will have excellent...

  • Spiritual Care Specialist

    3 weeks ago

    Parkersburg, West Virginia, United States WVU Medicine Full time

    Job SummaryWe are seeking a highly motivated and compassionate Spiritual Care Specialist to join our team at WVU Medicine. As a key member of our healthcare team, you will provide spiritual care and support to patients, families, and hospital staff.Key ResponsibilitiesProvide spiritual care and support to patients, families, and hospital staffRespond to...

  • Nurse Care Specialist

    3 weeks ago

    Parkersburg, West Virginia, United States Genesis Healthcare LLC Full time

    At Genesis Healthcare LLC, we are seeking a skilled Nurse Care Specialist to join our team. As a key member of our healthcare team, you will provide high-quality patient care and work collaboratively with our nursing staff to develop effective plans of care.Key Responsibilities:Perform nursing assessments and collaborate with the nursing team, other...

  • Pet Care Specialist

    2 weeks ago

    Parkersburg, West Virginia, United States VCA Animal Hospitals Full time

    We are seeking a skilled Pet Care Specialist to provide exceptional animal handling and client service skills to our clients. This is an outstanding opportunity for a highly motivated individual to capitalize on our established clientele.Key Responsibilities:Provide top-notch animal grooming services for dogs and catsDevelop strong relationships with clients...

  • Nurse Care Specialist

    2 weeks ago

    Parkersburg, West Virginia, United States Wexford Health Sources Full time

    Job SummaryWexford Health Sources is seeking a skilled Registered Nurse to join our team. As a Nurse Care Specialist, you will be responsible for delivering high-quality patient care through the nursing process of assessment, planning, implementation, and evaluation.Key ResponsibilitiesAssess patients' physical, psychological, and psychosocial dimensions and...

  • Dental Assistant

    3 weeks ago

    Parkersburg, West Virginia, United States Affordable Care Full time

    **Job Summary**We are seeking a skilled Dental Assistant to join our team at Affordable Care. As a key member of our dental support team, you will play a vital role in providing exceptional patient care and supporting our dentists in delivering high-quality services.**Key Responsibilities** Assist dentists with surgeries and procedures, ensuring a safe and...

  • Dental Assistant

    2 weeks ago

    Parkersburg, West Virginia, United States Affordable Care Full time

    About the RoleAs a Dental Assistant at Affordable Care, you will play a vital role in delivering life-changing tooth replacement care to our patients. You will work closely with our experienced dentists and lab professionals to provide quality patient care within the scope of state regulations.Key ResponsibilitiesSet-up and breakdown rooms to ensure a clean...

  • Dental Assistant

    3 weeks ago

    Parkersburg, West Virginia, United States Affordable Care Full time

    Job SummaryWe are seeking a highly skilled Dental Assistant to join our team at Affordable Care. As a key member of our dental support team, you will play a vital role in providing exceptional patient care and supporting our dentists in delivering high-quality treatment plans.Key ResponsibilitiesAssist dentists with surgeries and procedures, ensuring a safe...

  • Field Support Specialist

    4 weeks ago

    Parkersburg, West Virginia, United States VSP TECH Full time

    Job Title: Field Support SpecialistAt VSP Technologies, we are seeking a highly skilled Field Support Specialist to join our team. As a Field Support Specialist, you will provide technical, product, and sales support to current and new customers to facilitate sales growth.Key Responsibilities:Coordinate with Sales personnel and the Regional Sales Manager to...

  • Nurse Care Specialist

    2 weeks ago

    Parkersburg, West Virginia, United States Sevita Full time

    Job Summary:We are seeking a skilled Licensed Practical Nurse to join our team at Sevita. As a Nurse Care Specialist, you will play a vital role in providing high-quality nursing services to individuals with intellectual and developmental disabilities.Key Responsibilities:- Monitor the health conditions of individuals served and ensure quality services are...

  • Veterinary Care Specialist

    2 weeks ago

    Parkersburg, West Virginia, United States VCA Animal Hospitals Full time

    VCA Dudley Avenue Animal Hospital is seeking a skilled Associate Veterinarian to join our practice in Parkersburg, West Virginia. As a member of our team, you will provide exceptional medical and surgical care to patients and deliver top-notch service to their human counterparts.We see a variety of animals, including dogs, cats, pigs, guinea pigs, and...

  • Field Support Specialist

    3 weeks ago

    Parkersburg, West Virginia, United States VSP Technologies Full time

    Job Title: Field Support SpecialistAt VSP Technologies, we are seeking a highly skilled Field Support Specialist to join our team. As a Field Support Specialist, you will provide technical, product, and sales support to current and new customers to facilitate sales growth.Key Responsibilities:Coordinate with Sales personnel and the Regional Sales Manager to...