RN Care Coordinator - CommonSpirit Health
OMAHA, NE 68124-2319
About the Job
Overview:
At CHI Health Creighton University Medical Center - Bergan Mercy our focus is patient-centered care. Our level I trauma center and academic medical center campus is designed to heal the body mind and spirit of every person in a more comfortable less stressful hospital environment. Our full range of medical services includes trauma services heart and vascular care emergency services surgery maternity cancer care and diagnostic imaging.
Responsibilities:- Completes and documents a discharge planning assessment on those patients identified by the designated screening process or upon request.Reassess the patient as appropriate and update the plan accordingly.
- Facilitates the development of a multidisciplinary discharge plan engaging other relevant health team members the patient and/or patient representative and post acute care providers in accordance with the patients clinical or psychosocial needs choices and available resources.
- Oversees and evaluates the implementation of the discharge plan.
- Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria.
- Collaborates with the healthcare team and post-acute service providers to ensure timely and smooth transitions to the most appropriate type and setting of post-acute services based upon patients clinical needs.
- Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-day period.
- Responsible for delivery of appropriate patient notifications and related documentation
- Responsible for patient education and advocacy.
- Participates in performance improvement teams and programs as necessary.
- Demonstrates behavior that aligns with the Mission and Core Values of the Organization.
- Responsible for completing required education within established timeframes.
- Adheres to all hospital policies standards of practice and Federal or State regulations pertaining to their practice.
- Performs other duties as assigned including utilization review as necessary.
Required
- Graduate of an accredited school of nursing.
- Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience.
- RN license in the state(s) covered is required.
- BLS required within 3 months of hiring if located within hospital
- Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used.
Preferred
- Bachelor's Degree in Nursing (BSN) or related healthcare field.
- At least five (5) years of nursing experience.
- Certified Case Manager (CCM) Accredited Case Manager (ACM-RN) or UM Certification preferred
- Able to apply clinical guidelines to ensure progression of care.
- Knowledge of managed care and payer environment preferred.
- Must have critical thinking and problem-solving skills.
- Collaborate effectively with multiple stakeholders
- Professional communication skills.
- Understand how utilization management and case management programs integrate.
- Ability to work as a team player and assist other members of the team where needed.
- Thrive in a fast paced self-directed environment.
- Knowledge of CMS standards and requirements.
- Proficient in prioritizing work and delegating where indicated.
- Highly organized with excellent time management skills.
#CareCoordination
Source : CommonSpirit Health