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Clinical Care Coordinator

2 months ago

Lafayette, Louisiana, United States Ochsner Health Full time
About Ochsner Health
Since our inception in 1942, Ochsner Health has been dedicated to the mission of serving, healing, leading, educating, and innovating in healthcare. Our commitment to excellence is reflected in the achievements of our team members who strive to make a positive impact on the lives of our patients.

Role Overview
The Clinical Care Coordinator plays a pivotal role in managing interdisciplinary communications and facilitating care throughout a patient's hospital stay. This position involves evaluating the appropriate use of resources while respecting the patient's autonomy. Responsibilities include:
  • Assessing patient hospitalizations and recommending suitable levels of care that align with medically necessary criteria.
  • Ensuring accurate documentation of care orders and other essential records in the medical file.
  • Engaging in discussions regarding alternative care options with attending physicians and emergency department staff.
  • Acting as a liaison among patients, caregivers, multidisciplinary team members, and third-party payers.
  • Collaborating with the care team to create and execute discharge plans tailored to individual patient needs.
Qualifications
Education:
  • Required: Registered nurse diploma or equivalent.
  • Preferred: Bachelor's degree in nursing.
Experience:
  • Required: None.
  • Preferred: 3 years of experience in a hospital setting focusing on discharge planning, case management, or utilization review.
Certifications:
  • Required: Current registered nurse license in the state of practice and Basic Life Support (BLS) certification from the American Heart Association.
  • Preferred: Certification in Case Management (CCM) or Accredited Case Manager (ACM).
Skills and Abilities:
  • Proficient in computer systems, software, and web applications.
  • Strong verbal and written communication skills, capable of presenting information clearly to diverse audiences.
  • Excellent interpersonal skills.
  • Flexibility to work various schedules, including weekends and holidays.
Key Responsibilities:
  • Conducting pre-admission, admission, and ongoing stay reviews in accordance with CMS and payer guidelines.
  • Embodying the values of service excellence, teamwork, and integrity while pursuing personal and professional growth.
  • Staying informed about participation conditions related to utilization review and discharge planning.
  • Maintaining open lines of communication with all relevant parties, acting as a bridge between physicians and care teams.
  • Overseeing the management of functional and financial outcomes, including the coordination of discharge plans during acute care.
  • Adapting interactions to respect the unique needs of each patient population.
  • Performing additional related duties as necessary.
Compliance and Safety:
All employees are expected to adhere to the Compliance & Privacy Program and Standards of Conduct, including the prompt reporting of any unethical behavior or safety concerns.

Physical Demands:
This role requires the ability to exert physical force to move objects and may involve exposure to communicable diseases and hazardous materials. Reasonable accommodations may be made for individuals with disabilities to perform essential functions.

Ochsner Health is an Equal Opportunity Employer, committed to a diverse and inclusive workplace.