Inpatient Care Coordinator

2 weeks ago

North Houston TX United States Optum Full time

Join the Optum Team: At Optum, we are dedicated to providing exceptional healthcare services to our patients. We believe in the importance of delivering the highest standard of medical care, and we are looking for passionate individuals to join our team.

Position Overview: This is a full-time position that involves a significant amount of travel within designated areas. The Inpatient Care Coordinator plays a crucial role in overseeing the care of patients during their hospital stay and ensuring a smooth transition to lower levels of care.

Key Responsibilities:

  • Collaborate with an interdisciplinary care team to create personalized transition plans for patients.
  • Act as a clinical liaison with hospital staff and conduct reviews for clinical authorizations based on established criteria.
  • Perform various types of clinical reviews, documenting medical necessity and appropriate care levels.
  • Engage with facility staff and patients to assess discharge needs and formulate effective discharge plans.
  • Utilize population stratification tools to identify patient risk levels and communicate transition plans effectively.
  • Manage a caseload efficiently, demonstrating strong time management skills.
  • Maintain knowledge of utilization management and care coordination processes to support transition planning.
  • Document all interactions and decisions accurately to meet compliance and quality standards.
  • Participate in on-call assignments as required.
  • Ensure current licensure and hospital credentialing are maintained.

Qualifications:

  • Bachelor's degree in Nursing or an Associate's degree with relevant experience.
  • Current RN license specific to the state of employment.
  • Certification in Case Management or the ability to obtain it within a specified timeframe.
  • Extensive clinical experience in managing acutely ill patients.
  • Experience in managed care or case management settings.
  • Proficient in Microsoft Office applications.
  • Strong interpersonal and critical thinking skills.

Preferred Qualifications:

  • Experience with psychiatric and geriatric populations.
  • Bilingual proficiency in English and Spanish.

At Optum, we are committed to fostering a diverse and inclusive workplace. We believe that diversity enhances our ability to provide quality care and improve health outcomes for all individuals.

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