Care Coordinator

2 weeks ago


Chico, California, United States Enloe Medical Center Full time
Job Summary

We are seeking a highly skilled Care Coordinator to join our team at Enloe Medical Center. As a Care Coordinator, you will play a critical role in coordinating the care and services for assigned patients, working collaboratively with the patient, family, physician, patient care team, and payors.

Key Responsibilities
  • Assess, plan, intervene, and evaluate patient care to ensure optimal clinical and resource outcomes.
  • Utilize advanced clinical skills to facilitate the provision of care, including assessment, planning, intervention, and evaluation principles of the nursing process.
  • Promote and evaluate the effective utilization of resources, using current clinical knowledge, awareness of community services, and assuming a leadership role with the patient care team.
  • Evaluate and analyze quality/utilization cases, admission/discharge criteria, observation/1-day stays, readmits in 30 days, Medicare and diagnosis-related criteria.
  • Participate in outlier review on an ongoing basis and collaborate with the patient/family, multidisciplinary team, including physicians and payors, to ensure the patient's progress along with emergency episode of care in an efficient and cost-effective manner for assigned case load.
Requirements
  • Minimum: Two years of acute care clinical experience, one year of recent Case Management experience in an Acute or Post Acute setting, or a Master's in Nursing with a Case Management emphasis.
  • Desired: Bachelor's degree in nursing, experience in acute clinical case management and utilization review, working knowledge of managed care requirements and hospital information systems, and prefer experience in area of assignment.
Skills and Knowledge
  • Assessment, planning, intervention, and evaluation of patient care.
  • Demonstrates current clinical nursing knowledge as evidenced by completion of staff nurse OCAT and passing medication administration examination.
  • Maintains and regularly updates clinical nursing knowledge by completion of the Skills Fair on an annual basis.
  • Understanding of third-party reimbursement methodologies.
  • Critical thinking and analytical skills.
  • Excellent communication and interpersonal skills to establish a high degree of rapport and professional interaction.
  • Ability to maintain strict confidentiality at all times.
  • Ability to build positive working relationships with physicians and external agencies.
  • Ability to communicate with multiple levels of the organization.
Working Environment

Enloe Medical Center is a dynamic and fast-paced environment that requires strong organizational and multi-tasking skills. The successful candidate will be able to work effectively in a team environment, prioritize tasks, and maintain a high level of productivity in a rapidly changing environment.


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