Clinical Care Coordinator

1 week ago


Detroit, Michigan, United States Henry Ford Health System Full time
Job Summary

The Case Manager-RN plays a pivotal role in coordinating comprehensive patient care, ensuring seamless transitions between care levels. This position requires strong clinical judgment, excellent communication skills, and a deep understanding of healthcare systems. The Case Manager-RN will collaborate closely with patients, families, healthcare providers, and community resources to optimize patient outcomes and promote efficient resource utilization.

Key Responsibilities
  • Clinical Care Coordination: Conduct comprehensive patient assessments to identify individualized needs and develop personalized care plans. Collaborate with the healthcare team to ensure timely and appropriate interventions, including specialty consultations and referrals. Monitor patient progress, identify potential barriers to care, and implement strategies to address them proactively. Facilitate patient education and support to empower patients and families in their healthcare decisions.
  • Discharge Planning: Develop and implement comprehensive discharge plans that address the patient's physical, social, and financial needs. Coordinate with community resources and post-acute care providers to ensure a smooth transition of care. Advocate for patients' rights and ensure access to necessary services and support.
  • Quality Improvement: Analyze patient outcomes and identify opportunities for improvement in care processes. Participate in quality improvement initiatives and contribute to the development of best practices. Stay updated on relevant regulations, guidelines, and industry trends to ensure compliance and optimize care delivery.
  • Interdisciplinary Collaboration: Collaborate effectively with physicians, nurses, social workers, therapists, and other healthcare professionals to deliver coordinated care. Facilitate communication and information sharing among team members to ensure optimal patient outcomes. Build strong relationships with community partners to support patient needs beyond the hospital setting.
Qualifications
  • Registered Nurse (RN) with active licensure
  • Minimum [number] years of clinical experience in [relevant specialty]
  • Strong organizational and time management skills
  • Excellent communication and interpersonal skills
  • Proficiency in electronic health records (EHR)
  • Knowledge of case management principles and practices
  • Ability to work independently and as part of a team
Additional Information

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus.



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