Clinical Coordinator

6 months ago

Miami, United States Jackson Health System Full time
JOB DESCRIPTION

Department: Jackson Memorial Hospital - Utilization Review Case Management (two openings)

Address: 1611 NW 12 Ave, Miami, FL 33136

Shift Details: 8:00 am - 4:30 pm, Monday-Friday with weekends occasionally (primarily remote)

Why Jackson Memorial Hospital:  Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals.

Summary

The Clinical Resource Coordinator is a professional member of the health care team who has 24hour/7day accountability for the coordination, monitoring and management of patient care resources to promote cost effective delivery of patient care services at the appropriate level while maintaining a standard of quality patient care for all patient populations. The Clinical Resource Coordinator acts as a resource to all levels of staff in defining / implementing and evaluating patient care and nursing practice standards utilizing clinical expertise, the nursing process, current concepts/principles of case management/utilization management/disease management, quality improvement, clinical practice and health care trends. This professional member of the healthcare team maintains compliance with current regulatory standards and new regulatory regulations, clinical and financial, and promotes such compliance as part of daily operations amongst all team members. The Clinical Resource Coordinator performs specific job criteria/performance standards according to prevailing applicable Jackson Health System, professional and regulatory standards.

Responsibilities

Leads the assessment, planning, implementation and evaluation for new department models/initiatives.  Identifies practices issues, systems issues and trends utilizing medical criteria, clinical data systems and protocols.  Performs problem resolution activities to maintain quality patient care.  Presents at administrative meetings. Case Management and Social Work metrics and productivity to include but not limited to: length of stay (LOS), case mix index (CMI), discharge barriers, resource utilization, discharge planning and level of care. Management oversight of patient throughput: assessment and evaluation to determine appropriate level of care and appropriate admission status (inpatient, observation, outpatient procedure), beginning with point of entry continuing through discharge.  Follow up in the outpatient setting for patients enrolled in the CRM Placement EDP program.  In the event that Manager for Clinical Resource Management is not available, visit facilities to evaluate and determine patient appropriateness in the current level of care as needed.  Work in collaboration with Manager for Clinical Resources Management to transition CRM Placement EDP program patients to the appropriate level of care as needed.  Management oversight of the Clinical Care Coordinator's performance regarding the level of care along the continuum (. effectiveness of medication, treatments, pain status, discharge plans) and individualizing the plan of care including their role in re-enforcing teachings and discharge planning.  Maintain leadership visibility, supporting service excellence initiatives and focusing on improved employee satisfaction.  Rounding on patient units to identify barriers to staff performance and discharge barriers.  Create and implement Corrective Action Plans (CAP) for problem resolution and escalation of issues/problems preventing efficient performance.  Coordinates day to day CRM operations for designated areas including program development/implementation/outcomes, staffing, liaison with PROS / MCOS / regulatory/community agencies, revenue cycle department, length of stay initiatives, Physician Adviser activities and evidenced based practices.  Provides management oversight for referral and problem resolution of complicate discharges.  May provide management oversight for referral and problem resolution of complex discharges.  Collaborates with family, Attending physician, Chief Utilization Officer, Utilization Management Committee, and Discharge services providers for a safe discharge plan.  Concurrent review of employee schedules for appropriate staffing coverage based on patient census.  Collaboration with the Chief Utilization Officer related to the Utilization Management Committee, case consultation activities, negotiation of patient placement at appropriate level of care and evaluation of patient's medical plan of care.  Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).  Performs all other related job duties as assigned.

Experience

Generally requires 3 to 5 years of related experience.

Preferred Experience

Clinical experience as Utilization Review RN in hospital acute care setting, strongly preferred. Leadership experience in case management, highly preferred. Experience with using InterQual or MCG guidelines, highly preferred.

Education

BSN or Bachelor's degree in related field is required. Master's degree is preferred.

Credentials

Valid Florida RN license is required.  American Heart Association Basic Life Support (BLS) and any additional applicable life support certification for Healthcare Providers is required upon hire with at least 6 months validity and maintenance at JHS for the duration of employment.  Must meet and maintain valid and current all unit specific and organizational skills/competencies, certifications/licensures, as required by regulatory and/or nursing standard of practice for the specialty.

  • Clinical Coordinator

    1 month ago

    Miami, United States destinationone Consulting Full time

    destinationone Consulting specializes in recruitment across diverse sectors including Healthcare Health Tech Government Municipalities NonProfits Legal Public Accounting Food and more. We are proactively building a data bank for opportunities in these fields. By applying you ensure our recruiters can quickly match you with suitable roles when they...

  • Clinical Program Coordinator

    4 months ago

    Miami, United States University of Miami Full time

    Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this . The UHealth System at the University of Miami has an exciting...

  • Sr. Clinical Research Coordinator

    5 months ago

    Miami, United States University of Miami Full time

    Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this . The Schiff Center for Liver Diseases (SCFLD) has an exciting...

  • Dietetic Internship Clinical Coordinator

    6 months ago

    Miami, United States Florida International University Full time

    Job Information The Robert Stempel College of Public Health & Social Work’s mission is to improve health, health equity, and the wellbeing of local, national, and global populations through education, research, and partnerships that are innovative and transformative. The college’s academic disciplines—public health, dietetics and nutrition,...

  • RN Clinical Coordinator

    2 weeks ago

    Miami, United States Nicklaus Children's Hospital Full time

    RN Clinical Coordinator - Radiology (Full Time, Evening shift)Job Summary M - F 12:30pm - 9pm Assesses, plans, facilitates and evaluates the coordination of patient care according to unit/department policies and procedures. Provides clinical leadership, utilizes effective problem solving strategies and applies evidence based practice to improve patient...

  • RN Clinical Coordinator

    4 days ago

    Miami, United States Nicklaus Children's Hospital Full time

    RN Clinical Coordinator - Radiology (Full Time, Evening shift)Job Summary M - F 12:30pm - 9pm Assesses, plans, facilitates and evaluates the coordination of patient care according to unit/department policies and procedures. Provides clinical leadership, utilizes effective problem solving strategies and applies evidence based practice to improve patient...

  • Clinical Research Nurse

    4 weeks ago

    Miami, United States Actalent Full time

    MUST have prior clinical research research experience to be considered!Job Description + Coordinates team activities to ensure studies are carried out according to protocol, standard operating procedures (SOPs), applicable guidelines and regulations, and within budget. + Plans logistical activities for procedures as per protocol and ensures thorough...

  • Legal Services Coordinator- CFL

    1 week ago

    Miami, United States Florida Immigrant Coalition (FLIC) Full time

    Organizational Overview The Florida Immigrant Coalition (FLIC) is a non-profit organization whose mission is to grow the connection, capacity, and consciousness of communities to strengthen pro-immigrant power in Florida.Job Description The Legal Services Coordinator will oversee the planning, implementation and evaluation of virtual and in-person legal...

  • Legal Services Coordinator- CFL

    1 week ago

    Miami, United States Florida Immigrant Coalition (FLIC) Full time

    Organizational Overview The Florida Immigrant Coalition (FLIC) is a non-profit organization whose mission is to grow the connection, capacity, and consciousness of communities to strengthen pro-immigrant power in Florida.Job Description The Legal Services Coordinator will oversee the planning, implementation and evaluation of virtual and in-person legal...

  • Patient Coordinator

    4 weeks ago

    Miami, United States Aspen Dental Full time

    At Aspen Dental, we put You first, offering the security and job stability that comes with working with a world-class dental service organization (DSO). Our best-in-class training program, competitive compensation, and flexible scheduling will help you thrive in your career. When you join our team as a Patient Coordinator, which at Aspen we call Patient...

  • Manager, Clinical Research

    6 months ago

    Miami, United States University of Miami Full time

    Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this . The Department of Pathology and Laboratory Medicine is currently...

  • Clinical Therapist

    4 weeks ago

    Miami, United States Palm Careers LLC Full time

    We are hiring a Clinical Therapist for our Detox and Rehab facility in beautiful Miami, FL! We are an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, eating disorders and mental health issues. We put behavioral health front and center, providing assistance to people with substance abuse issues,...

  • Donor Management Coordinator 2

    3 months ago

    Miami, United States University of Miami Full time

    Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this . $7,500 Sign On Bonus The Life Alliance Organ Recovery Agency at...

  • Care Coordinator

    2 months ago

    Miami, United States Sanitas Full time

    Job DetailsJob LocationMiami Dade - Corporate - Doral, FLEducation Level4 Year DegreeJob ShiftDayJob CategorySpecial Care at HomeDescription"Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive...

  • Care Coordinator

    4 months ago

    Miami, United States Gastro Health Full time

    Do you love to care for patients in a warm and welcoming environment?Gastro Health is currently looking for an enthusiastic full-time Care Coordinator to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours - and we enjoy paid holidays plus...

  • RN Organ Placement Clinical Coordinator, MTI Transplant Donor Desk, Nights, 7p-7:30am

    2 weeks ago

    Miami, United States Jackson Health System Full time

    RN Organ Placement Clinical Coordinator, MTI Transplant Donor Desk, Nights, 7p-7:30amRN Organ Placement Clinical Coordinator, MTI Transplant Donor Desk, Nights, 7p-7:30am Jackson's Miami Transplant Institute Department: Miami Transplant Institute (MTI) Address: 1801 NW 9th Avenue, Miami, Florida 33136 Shift Details: Nights 7pm-7:30am variable...

  • Clinical Dietitian 3

    4 weeks ago

    Miami, United States The University of Miami Full time

    Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.The department of Medicine has an exciting opportunity for a...

  • Sr. Clinic Assistant

    2 months ago

    Miami, United States The University of Miami Full time

    Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.The Department of Medicine, division of General Internal Medicine,...

  • Clinical Care Manager

    1 week ago

    Miami, United States UnitedHealth Group Full time

    At UnitedHealthcare, we‘re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start...

  • Structural Heart Coordinator RN

    4 weeks ago

    Miami, United States HCA Florida Kendall Hospital Full time

    Description IntroductionDo you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At HCA Florida Kendall Hospital our nurses set us apart from any other healthcare provider. We are seeking a Coord Valve to join our healthcare family.BenefitsHCA Florida Kendall Hospital, offers a total rewards...