Clinical Care Coordinator
6 days ago
At Kindred Hospital Denver, we are seeking a highly skilled and compassionate Clinical Care Coordinator to join our team. As a key member of our Interdisciplinary Care Transitions team, you will play a vital role in coordinating and facilitating the care of our patients, ensuring their needs are met and their outcomes are optimized.
Key Responsibilities- Care Coordination
- Collaborate with the Interdisciplinary Team and Physicians to develop and implement comprehensive care plans that meet the unique needs of each patient.
- Monitor patients' stays to ensure effective care coordination and efficient care facilitation.
- Stay current on reimbursement modalities, community resources, case management, psychosocial, and legal issues that impact patients and providers.
- Refer high-risk patients who would benefit from additional support.
- Serve as a patient advocate, enhancing a collaborative relationship to maximize patients' and families' ability to make informed decisions.
- Discharge Planning
- Conduct comprehensive, ongoing assessments of patients to provide timely and safe discharge planning.
- Develop and execute effective discharge plans, utilizing critical thinking to ensure seamless transitions.
- Coordinate and communicate with patients and families efficiently and effectively.
- Utilization Management
- Conduct medical necessity reviews to ensure appropriate utilization of services from admission through discharge.
- Promote effective and efficient utilization of clinical resources.
- Collaborate with payors to ensure timely and accurate clinical reviews, care coordination, and continued stay authorization.
- Education
- Graduate of an accredited program required.
- RN, BSN preferred.
- OR Master of Social Work with licensure as required by state regulations.
- OR Bachelor of Social Work with licensure as required by state regulations.
- Licenses/Certification
- Healthcare professional licensure required as Registered Nurse or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.
- Certification in Case Management preferred.
- Experience
- Two years of experience in a healthcare setting preferred.
- Prefer prior experience in case management, utilization review, or discharge planning.
- Knowledge of government and non-government payor practices, regulations, standards, and reimbursement.
- Knowledge of Medicare benefits and insurance processes and contracts.
- Knowledge of accreditation standards and compliance requirements.
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