Clinical Care Coordinator
4 weeks ago
Transform Patient Care with a Passion for Excellence
At Mary Washington Healthcare, we're seeking a dedicated Clinical Care Coordinator to join our Emergency Department team. As a key member of our clinical care team, you'll play a vital role in ensuring seamless patient flow and efficient care delivery.
Key Responsibilities:
- Assess patients' clinical presentation against Milliman Care Guidelines (MCG) to identify admission status, working DRG, and target LOS; communicate recommended status to physician; validate admission order matches determined status and level of care.
- Collaborate with ED and Hospitalist providers/clinicians to proactively evaluate appropriateness of potential admissions (i.e., status, level of care); evaluate alternatives for patients not meeting admission criteria.
- Assess patient discharge needs (for patients not meeting admission criteria); collaborate with physicians and ancillary services (i.e., PT, OT, Social Work) when indicated to ensure a comprehensive discharge plan that addresses patient needs, barriers, and readmission risk.
- Communicate plan of care and discharge plan to patient and/or their family in coordination with the patient's primary care team (RN, physician).
- Evaluate and identify cases where status discrepancy requires physician level review; escalate case through appropriate venue for review and status determination.
- Consult and educate medical and nursing staff regarding status, placement, payor requirements, patient progression, and care coordination.
- Communicate and coordinate patient admission activities with the Hub and Unit Clinical Care Coordinators (C3s) to facilitate system-wide planning; ensure appropriate patient placement, level of care, patient progression, and patient flow.
- Lead clinical care team (RN, physician, ancillary staff, and social worker) in SNAP huddles for ED Holds to ensure care team alignment on progression of care; identify and escalate barriers to senior leadership as appropriate.
- Manage all aspects of admission/patient progression in Care Advance software (i.e., bed requests, status, patient attributes/alerts, DRG/TLOS, etc.); communicate timely updates of patient status and level of care with the Hub to facilitate unit and bed assignment for admitted patients.
- Oversee and ensure timely compliance with patient's preprocedural requirements for service department diagnostics and procedures; ensure communication of service event issues with care team.
- Proactively identify and remove barriers that may impede department or system-wide patient flow.
- Serve as a resource on patient status, progression, and care coordination for the Emergency Department Associates.
- Perform other duties as assigned.
Requirements:
- Minimum of three (3) years recent acute care clinical experience.
- Bachelor of Science in Nursing is preferred.
- Able to work independently, managing time, multiple priorities, and resources to achieve goals.
- Able to assimilate information quickly to produce sound decisions and recognize situations that require immediate intervention.
- Able to maintain a calm demeanor and command during time of crisis management.
- Able to articulate information and ideas clearly through both written and verbal communication.
Preferred Qualifications:
- One (1) year supervisory experience strongly preferred.
- Clinical experience in critical care or emergency nursing strongly preferred.
- Utilization review experience.
License and/or Certifications:
- Valid RN License from Virginia or reciprocal compact state required.
Equal Employment Opportunity:
As an EOE/AA employer, Mary Washington Healthcare will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
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