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Patient Care Coordinator

2 months ago


Atlanta, Georgia, United States Children's Healthcare of Atlanta Full time

Work Schedule
Day Shift: Monday to Friday

Shift Timing
Start: 8:00 AM | End: 4:30 PM

Position Type
Regular Employment

About Us
Children's Healthcare of Atlanta stands as a premier institution dedicated to the health and well-being of children. Our mission is to enhance the lives of children today while ensuring a healthier tomorrow. We prioritize our people, fostering a culture where every team member plays a vital role in our mission.

Role Overview
The Clinical Case Manager is responsible for coordinating patient care and overseeing program evaluations to ensure families navigate effectively through the continuum of care, ultimately aiming for a safe return to their home or community. This role includes maintaining essential documentation and liaising with external case managers and payors for insurance re-certification. Additionally, the manager will assist in coordinating patient/family financial responsibilities with Patient Accounts and maintain comprehensive program evaluation records, including outcome measures. Continuous analysis of trends and quality improvement reporting is also a key responsibility.

Qualifications

  • Minimum of 1 year of experience in case management within a hospital setting.
Preferred Qualifications
  • Master's degree in a relevant field.
  • Experience in a rehabilitation hospital.
  • At least 3 years of case management experience in a hospital environment.
Educational Requirements
  • Bachelor's degree in a related discipline.
Certification Requirements
  • Current licensure as a Registered Nurse in Georgia or Multi-State through the Enhanced Nurse Licensure Compact, or certification as a Certified Rehabilitation Counselor (CRC), Certified Disability Management Specialist (CDMS), Certified Case Manager (CCM), or registration in social work, occupational therapy, physical therapy, physical therapy assistant, or speech-language pathology.
Skills and Competencies
  • Ability to successfully complete the Basic Windows Skill Assessment with a minimum score of 80% within the first month of employment.
  • Successful completion of Epic training within the first month of employment.
Key Responsibilities
  • Facilitates ongoing assessment and oversight of patient treatment plans and care levels, collaborating with clinicians, physicians, service providers, and educational programs to ensure appropriate care.
  • Assists in planning for discharge and ensuring suitable placement post-discharge.
  • Communicates with external case managers, physicians, and payors regarding patient progress and prepares necessary documentation for insurance re-certification.
  • Coordinates discharge planning to ensure a seamless transition to the appropriate care setting, connecting families with community resources and support systems.
  • Secures approvals and orders necessary equipment for post-discharge care.
  • Maintains a therapeutic relationship with patients and families, ensuring clear communication tailored to their understanding.
  • Identifies the need for ancillary services and facilitates referrals as needed.
  • Participates in maintaining a work environment that meets Joint Commission readiness standards.
Equal Opportunity Employer
Children's Healthcare of Atlanta is committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability, or any other characteristic protected by applicable law.