Pediatric Care Coordinator

12 hours ago

Columbus, Ohio, United States Nationwide Children's Hospital Full time
About the Role

We are seeking a highly skilled Registered Nurse to join our team as a Care Coordinator. In this role, you will be responsible for ensuring the provision of quality patient care in the appropriate setting through care coordination, case management, utilization management of inpatient admissions, and transitions of care to different levels of care.

Responsibilities
  • Perform case management core functions, including screening and identification of patients, establishment of an effective relationship with patient/family, assessment of patient/family strengths and needs, development of a family-centered plan of care around discharge planning, and procurement and coordination of services.
  • Facilitate the patient/family's ability to assume responsibility for managing their own health care when appropriate by promoting return of the patient/family to the highest level of wellness possible, ensuring that the right services are delivered at the right site by the right provider at the right time for the right cost, and assisting in the acquisition or verification of financial/payer/insurance information when appropriate.
  • Collaborate with the Utilization Review Specialist RN regarding medical necessity of inpatient admission, appropriate patient class and duration of hospitalization.
  • In collaboration with the practitioner, facilitate and coordinate quality patient care in a timely and cost-effective manner while promoting multidisciplinary collaboration between all members of the health care team.
  • Facilitate multi-disciplinary patient progression rounds, focusing practitioner, nurse and other health care team members on progress toward discharge including needed tests and procedures, family education and family and patient readiness for discharge.
  • Identify barriers to a timely, safe discharge and develop a plan to address, monitor progress of the plan, and escalate discharge barriers that the team cannot address to the appropriate next level.
  • Work in collaboration with the patient, family and health care team to secure and coordinate services and equipment needed to manage the special health care needs of the patient post discharge.
  • Assure that the family has choice in the selection of home care vendors.
  • Maintain accurate documentation of all patient/family encounters and documents appropriately in the medical record and the case management system.
  • Provide information and resources to patient, family and post hospital providers that will help the patient maintain his/her optimal level of health post discharge.
  • Demonstrate knowledge of growth and development in their individualized discharge planning.
  • Analyze clinical trends and data to identify patterns for continuous quality improvement studies and/or research development.
  • Maintain knowledge of current concepts, research needs and research strategies related to case management, utilization review and discharge planning.
  • Maintain knowledge of The Joint Commission, Medicare/Medicaid and other regulatory standards and requirements.
  • Participate in the development of guidelines and clinical/social/financial outcome indicators for given population.
  • Identify need for, plans, and/or provides continuing education regarding patient progression and effective skills and strategies to help patients and families achieve self-management.
  • Demonstrate accountability for identifying own learning needs and seeks sources of information.
  • Assist in educating others regarding the role of care coordination/case management.
  • Participate in ongoing education related to information technology requirements for the department. Demonstrate competency in PC and mainframe computer applications and software needed to perform job functions.
  • Provide after-hour services as assigned through on-call availability.
Qualifications
  • Current licensure as a registered nurse in the State of Ohio required.
  • Two years of nursing experience as an RN. At least one year in pediatric nursing is highly preferred.
  • Pediatric certification, Advanced-Continuity of Care Certification (A-CCC), or other Case Management certification desirable.
  • BSN Required.
  • Valid Driver's License and Proof of Auto Insurance.

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