RN Care Coordinator

22 hours ago


San Bernardino, California, United States Unavailable Full time
Job Summary

The RN Care Coordinator is a key member of our healthcare team, responsible for overseeing the progression of care and discharge planning for patients requiring these services. This role involves performing a critical function to meet the individual's health needs while promoting quality of care and cost-effective outcomes.

Responsibilities
  • Collaborate with utilization management, nursing, physicians, ancillary departments, insurers, and post-acute service providers to progress care toward optimal outcomes.
  • Advocate for patients and families by identifying, valuing, and addressing patient choice, spiritual needs, cultural, language, and socioeconomic barriers to care transitions.
  • Enhance the patient experience by striving to provide exceptional care coordination and communication.
Qualifications
  • Minimum two (2) years of acute hospital clinical experience or a Master's degree in Case Management or Nursing field in lieu of 1 year experience.
  • California RN license.
  • AHA BLS card.
  • Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used.
  • Able to apply clinical guidelines to ensure progression of care.
  • Must have critical thinking and problem-solving skills.
  • Collaborate effectively with multiple stakeholders.
  • Professional communication skills.
  • Understand how utilization management and case management programs integrate.
  • Ability to work as a team player and assist other members of the team where needed.
  • Thrive in a fast-paced, self-directed environment.
  • Knowledge of CMS standards and requirements.
  • Proficient in prioritizing work and delegating where indicated.
  • Highly organized with excellent time management skills.
  • Excellent customer service and presentation skills are a must. Strong interpersonal and written communication skills are essential. Demonstrated ability to apply analytical and problem-solving skills. Demonstrated ability to manage multiple tasks or projects.
Preferred Qualifications
  • Graduate of an accredited school of nursing (Bachelor's Degree in Nursing (BSN)) or related healthcare field.
  • At least five (5) years of nursing experience.
  • Certified Case Manager (CCM) Accredited Case Manager (ACM-RN) or UM Certification preferred.
  • Knowledge of managed care and payer environment preferred.

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