Clinical Care Coordinator
1 week ago
The Clinical Care Coordinator coordinates with healthcare professionals to ensure patients receive medically appropriate and cost-effective care. This role involves assessing patients' needs, documenting assessments, and collaborating with a multidisciplinary team to facilitate timely discharge.
Key Responsibilities:
- Assess patients' needs upon admission and document assessments in IPOC notes.
- Contribute to the interdisciplinary plan of care and ensure consistency with discharge plans and patients' continuing care needs.
- Identify patients with complex discharge planning needs and refer them to the social worker.
- Assess patients for appropriateness of admission, continued stay, and take action to ensure correct patient status.
- Communicate with external review agencies regarding concurrent patient review.
- Discuss appropriateness of admission, continued stay, resource utilization, consultations, estimated length of stay, and discharge plan with attending physicians.
- Refer cases to the Physician Advisor as necessary.
- Participate in interdisciplinary patient meetings to coordinate efficient delivery of care.
- Coordinate activities to ensure patients' appeal rights under the discharge appeal program.
- Ensure patients receive Important Message from Medicare as required upon admission and discharge.
- Maintain chart documentation consistent with department and organizational standards.
- Document reviews and findings on appropriate paperwork and/or software.
- Demonstrate knowledge of federal and state regulations regarding Medicare, Medicaid, Champus, and other government agencies in healthcare.
- Maintain clinical competency and current knowledge of regulatory and payer requirements.
- Participate in the quality improvement process for the Case Management Department.
- Attend Department and Team staff meetings.
Qualifications:
Education:
Graduate of an accredited School of Nursing with current Alabama licensure.
Experience:
Three years of clinical experience preferred. Comparable combination of education and experience will be considered. Previous utilization management, discharge planning, or hospital-based social service experience is preferred.
Additional Skills/Abilities:
Excellent communication skills with the ability to work in a fast-paced environment, prioritizing and changing tasks frequently and quickly.
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