Patient Care Coordinator RN

1 week ago

Dallas, Texas, United States Children's Health Full time

Position Title & Specialty Area:
Care Coordinator Specialty Center

Department:
Enterprise Care Management

Location:
Dallas

Shift:
Day

Job Type:
Onsite

Why Children's Health?

At Children's Health, our mission is to enhance the lives of children, recognizing that their health is vital to achieving this objective.


Through innovative treatments and our partnership with UT Southwestern, we aim to provide an exceptional experience for patients and their families, ensuring that every moment contributes positively to their overall health.

Our commitment to advancing children's health extends beyond our organization and into the wider community.

Together, we can significantly impact the lives of children and work towards a healthier future for all.


Overview:


Employing advanced nursing expertise, the Care Coordinator is accountable for orchestrating care throughout the healthcare continuum for a designated patient demographic.

Care Coordination within the healthcare system is a collaborative practice model.

In collaboration with the patient, family, and other caregivers, the Care Coordinator will engage with a multidisciplinary team, including Providers, Nurses, Social Workers, financial counselors, and additional support staff to effectively facilitate the processes involved in guiding the patient through their care journey.

This role promotes continuity of care by advocating for the needs of patients and families, working with designated team members to enhance access to care, improve communication, and ensure effective resource coordination during transitions to maintain quality and close any gaps in care.

The Care Coordinator will identify and implement initiatives aimed at enhancing processes.

Key Responsibilities:

  • Responsible for prescribing, delegating, and coordinating patient care, utilizing clinical judgment based on nursing expertise and evidence-based guidelines to assess the patient's situation and develop an effective care plan.
  • Ensure that patient care adheres to safety, effectiveness, patient rights, and guest relations standards.
  • Supervise care provided by the patient care team; coordinate the care plan.
  • Educate and facilitate learning for patients, families, and the care team, demonstrating sensitivity to diversity.
  • Collaborate with physicians, families, and healthcare professionals to create and implement a suitable care plan that encourages contributions towards optimal patient outcomes.
  • Advocate for patients, representing their concerns and assisting in resolving ethical and clinical issues.
  • Deliver care with a team-oriented approach, emphasizing strong customer relations and sound clinical judgment.
  • Continuously assess the patient's condition through ongoing evaluation and implement treatment adjustments as necessary in collaboration with the healthcare team.
  • Maintain a comprehensive knowledge base and resources to manage the patient's needs within healthcare and community systems.
  • Care Coordination /

Disease Management:

  • Conduct and analyze comprehensive assessments during patient intake.
Coordinate treatment plans, including payors, supplies, medications, in-house services, and community resources.

  • Collaborate with the healthcare team on care plans, referrals, and ongoing patient needs.
Ensure that consults, testing, and procedures are appropriately sequenced to support timely care delivery. Address barriers to service as needed.

  • Utilize disease-specific clinical pathways for effective management.
Assess educational needs of patients and families, considering barriers to care.

  • Ensure education regarding clinical processes is provided by the healthcare team.
Guide patients and families towards lifestyle changes and effective self-management of chronic conditions.

  • Demonstrate customer-focused interpersonal skills, employing problem-solving and critical thinking.
Facilitate communication and coordination of care plans with Providers and the healthcare team.

  • Participate in developing strategies to optimize service use in assigned areas.

Resource Management:

  • Advise patients and families on cost-effective care options based on evidence-based information.
Assist patients in understanding insurance benefits and financial implications during transitions.

  • Utilize knowledge of Diagnosis Related Groupings and estimated lengths of stay for discharge planning.
Recognize the impact of readmissions and engage in strategies to prevent them.

  • Discharge Planning /

Transition Management:

  • Identify and address barriers to service or treatment, collaborating with appropriate resources.
Evaluate patient responses to treatments with the team.

  • Ensure patients and families receive necessary information and education before transitioning to the next care level.
Identify and resolve discharge needs, coordinating a safe and timely discharge.

  • Maintain consensus on care plans among patients, families, healthcare teams, and payors.
Advocate and negotiate to create cohesive plans for maintaining or enhancing patient health status during transitions.

  • Communication:
Resolve conflicts with Providers, team members, community agencies, clients, and families with diverse opinions and values.

  • Build therapeutic relationships with patients, families, and caregivers through effective communication.
Maintain ongoing communication with all stakeholders to facilitate seamless transitions across care levels.

  • Managing Key Performance Indicators:
Work to enhance quality by reducing treatment delays and monitoring quality indicators.

  • Provide consultation and training to medical staff on discharge and home care issues; participate in process improvement initiatives.
Increase quality, efficiency, and patient satisfaction while managing care costs for targeted populations.

  • Collect and submit statistical data in a timely manner.

Professional Development:

  • Stay current with EMTALA and regulatory requirements.
Keep informed about payor guidelines and community resources for safe patient transitions.

  • Remain updated on clinical advancements related to the primary patient population.
Proactively seek to understand roles outside of immediate responsibilities.

  • Engage in community involvement and advocacy through health fairs and professional organizations.

WORK EXPERIENCE

  • Minimum of 4 years in Pediatric nursing, Case Management, Care Management, Care Coordination, Utilization Review, or Community-based nursing required.

EDUCATION

  • Bachelor's degree required.

LICENSES AND CERTIFICATIONS

  • Registered Nurse in the State of Texas required upon hire.
  • Accredited Case Manager (ACM) or Certified Case Manager (CCM) or Care Coordination and Transition Management (CCTM) preferred upon hire.
  • Basic Life Support for Healthcare Providers required.
A Place Where You Belong

We prioritize our people. We value and respect the beliefs, identities, and experiences of our patients and colleagues.

We are dedicated to providing culturally effective care, fostering meaningful partnerships in our communities, and empowering our team members to contribute to Children's Health.

Holistic Benefits - How We'll Care for You:

  • Employee medical plan premiums covered after 3 years.
  • 4%-10% employee savings plan match based on tenure.
  • Paid Parental Leave (up to 12 weeks).
  • Caregiver Leave.
  • Adoption and surrogacy reimbursement.

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