Healthcare Coordinator

4 weeks ago

Lebanon, Pennsylvania, United States Alice Peck Day Health Systems Full time
Job Summary

The Case Manager will lead a collaborative process with the healthcare team to coordinate patient care and transitions. This role will promote a patient and family-centered approach to care coordination and transitions, facilitating seamless lines connecting patients, providers, and caregivers to community resources. The Case Manager will organize patient care activities to facilitate an effective and efficient use of healthcare resources.

Key Responsibilities

Coordinate the integration of social services and case management functions into the patient care, discharge, and transition planning processes with other hospital departments, external service organizations, agencies, and healthcare facilities.
Conduct concurrent medical record review using specific indicators and criteria as approved by the Department of Quality, Medical Staff, CMS, and other state agencies.
Perform staff education related to resource utilization, discharge planning, and psychosocial aspects of healthcare delivery.
Act as a resource to providers and staff for questions around payers.
Promote effective and efficient utilization of healthcare services.
Mobilize resources to assist in achieving desired clinical outcomes within the desired time frame.
Conduct review for appropriate utilization of services from admission through discharge.
Evaluate patient satisfaction and quality of care provided as it relates to coordination of care and transitions.
Initiate and present 'denial letters', as appropriate.
Assess patient care required throughout the continuum of care for diagnosis, procedures, and DRGs.
Communicate with physicians at regular intervals throughout hospitalization and develop an effective working relationship. Assist physicians to maintain appropriate cost, case, and desired patient outcomes.
Introduce self to patient and family and explain clinical case manager role and process for patient and family to contact clinical case manager.
Complete expanded assessment of patients and family needs at time of admission. Complete psychosocial assessment.
Assess patient's progress through expected hospital course.
Refer cases where patients and/or family would benefit from psychosocial counseling to Social Services.
Serve as a patient advocate. Enhance a collaborative relationship to maximize the patient's and family's ability to make informed decisions.
Facilitate interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education, and identified post-hospital needs.
Collaborate with clinical staff in the development and execution of the plan of care, and achievement of goals.
Coordinate the provision of social services to patients, families, and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from healthcare services.

Requirements

Bachelor's degree in nursing required; Master's preferred.
Licensed as a Registered Nurse in the State of New Hampshire.
BCLS certification required within 30 days of hire.
Board Certification in Case Management (CCM or CMC) preferred. If not certified, willingness to work toward CCM Certification in reasonable timeframe.
Five years experience in a healthcare setting. Experience as a Case Manager is an asset.
Excellent interpersonal skills required.
Ability to build and maintain positive working relationships.
Excellent written and verbal communication skills.
Knowledge of Microsoft Office Suite preferred.
Capable of prioritizing and completing a high volume of requests quickly and efficiently in multiple diverse environments with strong attention to detail.
Ability to work effectively in a self-directed role and make clear decisions.

Physical Requirements

Light lifting up to 50 lbs.
Walking, bending, and sitting for extended periods of time.

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