Care Coordinator RN PRN Specialist

Job Title & Specialty Area:

Care Coordinator RN PRN

Department:

Enterprise Care Management

Location:

Dallas

Shift:

Varied

Job Type:

On Site

Why Children's Health?

At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal. Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being.

Our dedication to promoting children's health extends beyond our organization and encompasses the broader community. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all.

Summary:

The Care Coordinator RN PRN is responsible for coordinating care throughout the continuum of care for an assigned patient population. This role requires advanced nursing skills and knowledge, as well as the ability to work collaboratively with the patient, family, and other caregivers to facilitate effective care transitions.

The Care Coordinator RN PRN will work with the multidisciplinary team, including Providers, Nurses, Social Workers, financial counselors, and other ancillary staff, to actively facilitate those functions associated with moving the patient through the continuum of care. This includes advocating for the needs of the patient and family, working with identified care team members to promote access to care, facilitating communication, and providing effective resource coordination during care transitions.

Responsibilities:

• Prescribe, delegate, and coordinate patient care using clinical judgment based on nursing skills acquired through formal and informal experiential knowledge and evidence-based guidelines.
• Ensure patient care meets standards of safety, effectiveness, patient rights, and guest relations.
• Oversee care delivered by patient care team; coordinate plan of care.
• Provide education and facilitate learning for patients, families, and patient care team in a way that demonstrates a sensitivity to recognize, appreciate, and incorporate differences related to diversity.
• Collaborate with physicians, families, and other healthcare professionals to assist in developing and implementing an appropriate plan of care in a way that promotes/encourages each person's contributions towards achieving the best patient outcomes.
• Advocate for the patient, represent the concerns of the patient/family, and identify and assist in resolving ethical and clinical concerns.
• Deliver care with a team-orientation, an emphasis on good customer relations, sound clinical judgment, and appropriate decision-making abilities that take into consideration evidence-based practice.
• Maintain a body of knowledge and tools that allow the nurse to manage whatever environmental and system resources exist for the patient/family, within or across healthcare and non-healthcare systems.

Disease Management:

• Complete and analyze comprehensive assessment with patient intake.
• Treatment plan coordination and management to include payors, supplies, and equipment, medications, in-house services, other healthcare facilities, and community resources/entities.
• Collaborate with the healthcare team on the plan of care, referrals, and ongoing needs of the patients.
• Ensure consults, testing, and procedures are sequenced in a manner that is appropriate to the patient's clinical condition and supports timely and efficient care delivery. Intervene, resolve, or escalate where barriers to service exist.
• Utilize disease-specific clinical pathways to ensure effective clinical/disease management.
• Assess the educational needs of patients, families, and caregivers, taking into consideration barriers to care (e.g., literacy, language, cultural influences, comorbidities).
• Ensure that education regarding the clinical/disease process has been provided by the healthcare team.
• Coach patients/families toward lifestyle changes and successful self-management of their chronic disease.
• Demonstrate customer-focused interpersonal skills, utilizing problem-solving processes and critical thinking.
• Facilitate communication and coordination of the plan of care with the Providers and the healthcare team.
• Involvement in the development of strategies and plans to maximize the most appropriate use of services in the assigned areas.

Resource Management:

• Navigate payor benefits and assist patients and families in understanding insurance plan benefits and financial impact with transition management and discharge planning.
• Understand the impact on the organization and utilize knowledge of Diagnosis Related Groupings and estimated length of stay as guides when developing discharge plans.
• Understand the negative impact of readmissions on the patient and the healthcare system, and engage in review of root cause and implementing strategies to prevent readmission.

Transition Management:

• Identify and address actual and potential barriers in service or treatment and work with the appropriate resources across the continuum of care.
• Evaluate with the team, the patient's response to pharmacological and therapeutic treatment regimens.
• Work with multidisciplinary staff to ensure patient/family has received appropriate information and education prior to transition to the next level of care.
• Identify and solve problems related to discharge needs; implement a plan of care and coordinate a safe and timely discharge.
• Ensure/maintain plan consensus from patient/family, healthcare team, and payor.
• Advocate, mediate, and negotiate to formulate a cohesive plan for maintaining or enhancing patient's health status and moving the patient safely to the next level of care.

Communication:

• Communicate and resolve conflicts with Providers, healthcare team members, community agencies, clients, and families with diverse opinions, values, and religious/cultural ideals.
• Build therapeutic and trusting relationships with patients, families, and caregivers through effective communication and listening skills.
• Continually communicate with patients and families, Providers, multidisciplinary team members, and payors to facilitate coordination of clinical activities and to enhance the effect of a seamless transition from one level of care to another across the continuum.

Managing Key Performance Indicators:

• Work to improve quality through reduction in treatment delays, use of clinical pathways, and monitoring of quality indicators.
• Provide ongoing consultation and training to medical staff and other healthcare professionals on discharge and home care issues; participate in process improvement activities; identify barriers in service delivery systems and develop a process for improvement.
• Increase quality, efficiency, and patient satisfaction while managing cost of care for targeted population.
• Collects, completes, and submits statistical data in a timely manner.

Professional Development:

• Remain current in EMTALA and regulatory requirements.
• Stay abreast of payor guidelines and standards.
• Stay abreast of community resources available to facilitate safe patient transitions of care.
• Remain current on clinical advancements related to primary patient population.
• Proactively seek to understand areas/roles outside of immediate area/role within the department.

Community Involvement and Advocacy:

• Participate in health fairs, appropriate professional organizations, and educational speaking.

WORK EXPERIENCE:

• At least 4 years Pediatric nursing, Case Management, Care Management, Care Coordination, Utilization Review, or Community-based nursing required.

EDUCATION:

• BSN required.

LICENSES AND CERTIFICATIONS:

• Registered Nurse in the State of Texas Upon Hire required.
• Accredited Case Manager (ACM) or Certified Case Manager (CCM) or Care Coordination and Transition Management (CCTM) Upon Hire preferred.
• Effective 7/1/2023, Basic Life Support for Healthcare Providers as required by CP 1.20 Life Support Course Upon Hire required.

JOB PROFILE:

• Requires in-depth professional knowledge and practical/applied expertise in own discipline and basic knowledge of related disciplines within the broader professional field.
• Has knowledge of best practices and how own area integrates with others; demonstrates awareness of the industry, including regulatory, evolving customer demands, and the factors that differentiate the organization in the market.
• Acts as a resource for colleagues with less experience; may lead projects with manageable risks and resource requirements.
• Solves complex problems and takes a new perspective on existing solutions; exercises judgment based on the analysis of multiple sources of information.
• Impacts a range of customer, operational, project, or service activities within own team and other related teams; works within broad guidelines and policies.
• Works independently, receives minimal guidance.
• Explains difficult or sensitive information; works to build consensus.

NON-MANAGEMENT SKILLS:

• Maintain effectiveness when experiencing major changes in work responsibilities or environment; adjust effectively to work within new work structures, processes, requirements, or cultures.
• Use appropriate interpersonal styles to establish effective relationships with customers and internal partners; interact with others in a way that promotes openness and trust and gives them confidence in one's intentions.
• Meet patient and patient family needs; take responsibility for a patient's safety, satisfaction, and clinical outcomes; use appropriate interpersonal techniques to resolve difficult patient situations and regain patient confidence.
• Ensure that the customer perspective is a driving force behind business decisions and activities; craft and implement service practices that meet customers' and own organization's needs.
• Develop and use collaborative relationships to facilitate the accomplishment of work goals.
• Identify and understand issues, problems, and opportunities; compare data from different sources to draw conclusions; use effective approaches for choosing a course of action or developing appropriate solutions; take action that is consistent with available facts, constraints, and probable consequences.
• Take prompt action to accomplish objectives; take action to achieve goals beyond what is required; be proactive.
• Deal effectively with others in an antagonistic situation; use appropriate interpersonal styles and methods to reduce tension or conflict between two or more people.
• Effectively manage one's time and resources to ensure that work is completed efficiently.
• Accomplish tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.
• Set high standards of performance for self and others; assume responsibility and accountability for successfully completing assignments or tasks; self-impose standards of excellence rather than having standards imposed.
• Assimilate and apply new job-related information in a timely manner.
• Clearly convey information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.

A Place Where You Belong:

We put our people first. We welcome, value, and respect the beliefs, identities, and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children's Health a place where everyone can contribute.

Holistic Benefits - How We'll Care for You:

• Employee portion of medical plan premiums are 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.

As an equal opportunity employer, Children's Health does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally-protected status or class.

This applies to all aspects of the employer-employee relationship including but not limited to recruitment, hiring, promotion, transfer pay, training, discipline, workforce adjustments, termination, employee benefits, and any other employment-related activity.

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