Registered Nurse Case Coordinator

2 weeks ago


Houston, Texas, United States Kindred Hospital Houston Medical Center Full time
Position Overview:

The Registered Nurse Case Coordinator plays a pivotal role in managing patient care through effective collaboration with the Interdisciplinary Care Transitions (ICT) team. This position is essential in ensuring that patients receive comprehensive support throughout their healthcare journey.

Key Responsibilities:

  • Care Coordination: Oversee all aspects of patient care to ensure seamless coordination and effective service delivery.
  • Resource Management: Maintain up-to-date knowledge regarding reimbursement processes, community resources, and relevant psychosocial and legal considerations impacting patient care.
  • Patient Advocacy: Identify and refer high-risk patients for additional support as necessary.
  • Interdisciplinary Collaboration: Engage in patient care rounds and conferences to assess treatment objectives, optimize resource use, and provide education to families regarding post-hospital needs.
  • Continuity of Care: Work closely with the interdisciplinary care team, including physicians and families, to ensure comprehensive planning and execution of patient care strategies.

Discharge Planning:

  • Conduct thorough assessments to facilitate timely and safe discharge processes.
  • Utilize critical thinking skills to create and implement effective discharge plans tailored to individual patient needs.

Utilization Management:

  • Perform medical necessity evaluations to ensure appropriate service utilization from admission to discharge.
  • Conduct clinical reviews and coordinate continued stay authorizations with payors.

Qualifications:

  • Graduation from an accredited program is required, with a preference for a Master of Social Work or Bachelor of Social Work, along with necessary state licensure.
  • Healthcare professional licensure as a Registered Nurse or Licensed Clinical Social Worker (LCSW) is mandatory, depending on state regulations.
  • Certification in Case Management is preferred.
  • A minimum of two years of experience in a healthcare environment is desirable, particularly in case management, utilization review, or discharge planning.
  • Familiarity with government and non-government payer practices, regulations, and reimbursement standards is essential.


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