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Clinical Care Coordinator II
2 months ago
Role Overview: The Clinical Care Coordinator II is responsible for orchestrating and enhancing the care of patients by fostering effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team.
Patient Care Management: This position involves guiding patients through the entire care continuum, ensuring optimal resource utilization, service delivery, and adherence to external review standards.
Comprehensive Support: The Clinical Care Coordinator II provides continuous support and expertise through thorough assessments, care planning, implementation of plans, and overall evaluation of individual patient requirements.
Quality Enhancement: The role aims to improve patient management and satisfaction, promoting continuity of care and cost efficiency by integrating case management, utilization review, and discharge planning functions.
Care Coordination Responsibilities:
- Oversees all aspects of patient care to ensure effective coordination and facilitation.
- Maintains up-to-date knowledge regarding reimbursement methods, community resources, and relevant psychosocial and legal issues impacting patients and care providers.
- Identifies and refers high-risk patients who may benefit from additional assistance.
- Exhibits understanding of growth and development principles across the lifespan, providing age-appropriate care.
- Engages in interdisciplinary rounds and conferences to assess treatment objectives, optimize resource use, educate families, and identify post-hospital needs.
- Collaborates with the interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others to plan patient care throughout the continuum.
Knowledge Requirements:
- Familiarity with government and non-government payer practices, regulations, standards, and reimbursement processes.
- Understanding of Medicare benefits and insurance procedures.
- Ability to apply critical thinking, prioritize tasks, and manage time effectively.
- Proficient in basic computer skills, including Microsoft Office and spreadsheet software.
- Excellent interpersonal, verbal, and written communication skills to foster collaboration with hospital leadership, physicians, payors, and external stakeholders.
- Demonstrates strong interpersonal skills when interacting with patients, families, and colleagues.
- Must possess the ability to read, write, and speak fluent English.
- Graduation from an accredited nursing program is required. Licensure as a Registered Nurse or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) is necessary as per state regulations.
- Certification in Case Management is advantageous.
Experience:
Two years of experience in a healthcare environment is preferred, particularly in case management, utilization review, or discharge planning.
