Patient Care Coordination Specialist

2 weeks ago

Carmichael, California, United States Unavailable Full time
Position Overview

The organization is a prominent not-for-profit medical facility dedicated to providing exceptional healthcare services. With a commitment to community health, our team strives to deliver high-quality care to our patients. We are recognized for our excellence in various medical specialties, ensuring comprehensive support for our patients' needs.

Key Responsibilities

Per Diem RN Care Coordinator The RN Care Coordinator plays a crucial role in managing patient care progression and discharge planning for those requiring specialized services. This position focuses on effective care coordination, fostering communication and collaboration among various stakeholders, including utilization management, nursing staff, physicians, ancillary departments, insurers, and post-acute service providers to achieve optimal patient outcomes.

Responsibilities include:

  • Conducting and documenting discharge planning assessments for patients identified through designated screening processes or upon request, with regular reassessments as necessary.
  • Facilitating the creation of a multidisciplinary discharge plan, engaging relevant healthcare team members, patients, and post-acute care providers based on clinical or psychosocial needs, preferences, and available resources.
  • Overseeing and evaluating the execution of the discharge plan.
  • Collaborating with the healthcare team to ensure appropriate utilization of inpatient resources and adherence to established evidence-based guidelines.
  • Working with post-acute service providers to ensure seamless transitions to the most suitable type and setting of post-acute services based on patients' clinical requirements.
  • Identifying potential readmission risks and implementing strategies to mitigate these risks for a minimum of 30 days.
  • Delivering essential patient notifications and maintaining related documentation.
  • Providing patient education and advocacy throughout the care process.
  • Participating in performance improvement initiatives and programs as required.

Qualifications



Minimum Requirements:

  • At least two (2) years of clinical experience in an acute hospital setting, or a Master's degree in Case Management or Nursing in lieu of one year of experience.
  • Current RN licensure in California.
  • AHA BLS certification required within three months of hiring if working within the hospital.

Preferred Qualifications:

  • Five (5) years of nursing experience.
  • Certification as a Case Manager (CCM), Accredited Case Manager (ACM-RN), or Utilization Management Certification.
  • Graduation from an accredited nursing program (Bachelor's Degree in Nursing or a related healthcare field).

Skills and Abilities:

  • Ability to successfully pass annual inter-rater reliability tests for Utilization Review products.
  • Competence in applying clinical guidelines to ensure effective care progression.
  • Understanding of the integration between utilization management and case management programs.
  • Ability to thrive in a fast-paced, self-directed environment.
  • Knowledge of CMS standards and requirements.
  • Familiarity with managed care and payer environments is preferred.
  • Strong organizational and time management skills.
  • Proficiency in prioritizing tasks and delegating responsibilities as needed.
  • Team-oriented mindset with a willingness to assist colleagues.

We have multiple vacancies available for this role.

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