RN CARE COORD - Full Time - We want you on our TEAM!

The Care Coordinator is responsible for the coordination of patient care through multidisciplinary collaboration with medical, nursing and ancillary departments. The Care Coordinator assists with the planning of patient care including, but not limited to, facilitation of patient progression and discharge planning. The Care Coordinator is responsible for assuring effective use of available hospital and community resources and monitoring patient outcomes through concurrent utilization review and proactive discharge planning. Has full access to patient health information.

Requirements

• Currently licensed as a Registered Nurse by the North Carolina Board of Nursing. BSN preferred.
• BLS Certification through American Red Cross or American Heart Association
• Minimum of 2 years of clinical experience in a hospital setting.
• Previous utilization and/or discharge planning experience preferred.
• Excellent organizational and communication skills required.

Essential Physical Requirements

• Must be able to possess full range of body motion to pass a basic FIT test to include bending, stooping, standing and sitting for extended periods of time.
• Must be able to lift 30 pounds.

Job Specific Standards

• Responsible for screening patient records for the need for discharge planning and risk of readmission.
• Performs social assessment on patients identified as high-risk for discharge planning needs.
• Responds to physician orders and staff referrals by initiating patient assessment or intervention within 24 working hours of receiving the referral.
• Performs patient reassessment according to departmental policy.
• Collaborates with patient/family and appropriate hospital/medical staff in order to facilitate timely discharge of patient.
• Participates in interdisciplinary patient care communication (e.g. huddles, rounds, conferences, etc.) to facilitate patient progression and discharge planning.
• Provides patient information to the physician, patient and family, and other members of the health care team to facilitate care coordination and development of discharge plan.
• Coordinates continuity of patient care through identification of pre-hospital services and collaboration with post- discharge agencies/facilities.
• Arranges post-discharge services taking into consideration payer requirements and coverage and patient preference.
• Makes referrals to appropriate departments/agencies per hospital and agency policies.
• Ensures appropriate documentation is completed and forwarded to post-discharge agencies/facilities.
• Performs utilization review according to Utilization Review Plan, departmental policies, and payor requests.
• Provides support, education, and guidance to physicians, hospital staff, patients, and families on utilization review and case management.
• Monitors timeliness of patient care intervenes to expedite care when delays are identified, and reports identified barriers to care.
• Documents all patient assessments, planning, and intervention in the medical record in a timely manner.
• Performs other related duties as requested by department director.

Reports to

Director of Case Management and Care Transitions