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Clinical Care Coordinator

2 months ago

GondrecourtleChâteau, Grand Est, United States Allina Health Full time
Job Overview:
We are seeking a dedicated Registered Nurse to serve as a Clinical Care Coordinator within our healthcare system. This role is pivotal in ensuring seamless transitions for patients with complex medical needs, facilitating their journey from hospital to home or other care settings.

Key Responsibilities:
  • Patient Care Coordination:
    • Conduct comprehensive clinical assessments and actively participate in patient care discussions to ensure timely and effective interventions.
    • Identify and address potential barriers to patient care, escalating issues to leadership when necessary.
    • Work collaboratively with healthcare teams, community providers, and families to ensure smooth transitions and continuity of care.
    • Provide support and information regarding palliative care and advanced care planning for patients experiencing chronic conditions.
  • Clinical Transition Management:
    • Coordinate the discharge process for patients in the hospital and Emergency Department, ensuring all clinical details are managed effectively.
    • Serve as a resource for post-discharge care options, ensuring patients and families are well-informed about available services.
    • Assess patients' clinical stability for discharge and ensure all discharge orders are accurate and complete.
  • Readmission Prevention:
    • Engage in transition planning meetings with patients and families to facilitate understanding and preparation for post-discharge care.
    • Utilize technology and tools to identify patients at risk for readmission and ensure comprehensive clinical handoffs.
  • Length of Stay Management:
    • Collaborate with the healthcare team to promote appropriate lengths of stay and timely referrals.
    • Ensure that necessary outpatient services are arranged prior to discharge.
  • Resource Management:
    • Support adherence to clinical guidelines and regulatory requirements during patient care.
    • Work with Social Workers to address any reimbursement or discharge planning concerns.
    • Maintain up-to-date knowledge of payer networks and community resources to coordinate care effectively.
Qualifications:
  • Bachelor's degree in Nursing is required.
  • A minimum of 2 to 5 years of nursing experience, including at least 2 years in an acute care environment.
  • Current RN licensure is required.
  • Certification in Case/Care Management must be obtained within two years of hire.
Physical Requirements:
This position involves light work, including occasional lifting of up to 20 lbs and frequent lifting of up to 10 lbs.