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Clinical Nurse Case Coordinator
2 months ago
ABOUT NCH HEALTHCARE SYSTEM
NCH Healthcare System is a locally governed, independent non-profit organization dedicated to providing exceptional healthcare services. Our system encompasses two hospitals, a network of over 700 physicians, and numerous medical facilities across Southwest Florida, all committed to delivering high-quality healthcare.
As we evolve into an Advanced Community Healthcare System(TM), we are proud to offer:
- Enhanced care capabilities and Centers of Excellence
- Graduate Medical Education and fellowship opportunities
- Endowed chairs and research initiatives
- Participation in national clinical trials
- Collaborations with leading healthcare organizations
We are on a mission to promote healthier, happier lives for all individuals we serve. Our commitment to care ensures that there is always more to discover at NCH.
POSITION SUMMARY
The RN Case Manager acts as a patient advocate, guiding and coordinating care for patients, families, and caregivers throughout their healthcare journeys. This role involves collaborating in the development of personalized care plans, ensuring efficient resource utilization, identifying patient needs, and establishing safe discharge plans.
KEY RESPONSIBILITIES
- Conduct comprehensive assessments of patients to identify clinical, psychosocial, and financial factors affecting care progression.
- Evaluate patient and family understanding and engagement in care goals, integrating insights into the care plan.
- Coordinate services among community agencies, healthcare providers, and families involved in the care process.
- Provide patients and families with essential tools and resources to facilitate informed decision-making.
- Develop clinically appropriate care plans that align with patient needs and available resources.
- Ensure effective communication during transitions of care, involving all relevant stakeholders.
- Identify community resources and advocate for addressing gaps in care availability.
- Maintain compliance with federal, state, and local regulations impacting patient advocacy.
- Participate in multidisciplinary rounds to ensure appropriate patient status and care level.
- Document interventions to support timely discharge and address any medical necessity issues.
- Educate patients and families on the financial implications of care options.
- Monitor resource utilization and address any patterns of avoidable delays.
- Support the appeals process for denied care by providing necessary clinical information.
- Engage in performance improvement initiatives to enhance care delivery.
- Collaborate with the utilization review team to meet organizational goals.
- Recognize and refer situations requiring quality or risk management intervention.
QUALIFICATIONS
- Associate Degree in Nursing required; BSN preferred.
- Minimum of 1 year of experience in discharge planning, case management, or as a Registered Nurse in a healthcare setting.
- Current Registered Nurse (RN) license in the state of Florida.
- Basic Life Support (BLS) certification from an accredited organization.
- Preferred Case Management Certification.
