Clinical Care Coordinator
3 weeks ago
Baylor Scott & White Medical Center – Uptown is a joint venture surgical hospital between Baylor Scott & White Health (BSWH), United Surgical Partners International (USPI), and local physicians.
The hospital provides a wide range of medical and surgical services to the greater North Texas area, including orthopedics, joint replacement, spine, general, bariatrics, surgical oncology, ENT, reconstructive surgery, and other specialties.
Job SummaryThe Case Manager will be the leader in navigating the patient through the care coordination process. This involves coordinating services to promote maximum outcomes in relation to appropriate length of stay, effective use of hospital resources, and established guidelines of care.
Key Responsibilities- Facilitate interdisciplinary team collaboration to ensure seamless care coordination
- Act as a liaison between the patient, physician, and payor to promote effective communication and care planning
- Develop and maintain rapport with physicians and care team members to ensure successful patient outcomes
- Negotiate and resolve conflicts to ensure timely and effective care coordination
- Utilize medical terminology, InterQual or Milliman criteria, TJC and Federal/State regulations to inform discharge planning decisions
To be successful in this role, the Case Manager will require:
- Bachelor of Science in Nursing preferred with current license, State of Texas
- Minimum of 5 years acute hospital experience with a minimum of 3 years of utilization review, discharge planning, or case management preferred
- Expert interpersonal skills, negotiation skills, conflict resolution, and assertive communication skills
Schedule for this role is: 11a - 7:30p.
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Clinical Research Coordinator
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