- Identifying patients requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral
- Performing assessments, data collection, review, and analysis, in collaboration with patients, family, healthcare teams, employers, and others as appropriate
- Evaluating psychosocial status alongside clinical status and current treatment plans
- Assessing patient/family/significant others needs such as medical diagnosis and treatment, resources, treatment options, financial resources, psychosocial concerns, and discharge planning in collaboration with appropriate resources
- Obtaining necessary physician orders for home health referrals, home infusion medications and supplies, oxygen and equipment and coordinate referrals for oxygen and equipment
- Maintaining computer-based tracking system and compiling required reports and records
- Developing collaborative relationships with other departments/services and community health care agencies to ensure quality care in specialty area of clinical expertise
- Assessing patients, families, and significant others for patient-centered goals in collaboration with physicians, staff RNs, and other health care team members
- Developing comprehensive multidisciplinary plans of care effectively utilizing tools and resources
- Conducting timely discharge planning by anticipating patient needs in collaboration with physicians, staff RNs, and other health care team members
- Intervening when variances occur in individualized patient treatment plan
- Coordinating and evaluating the use of resources and services in a quality-conscious, cost-effective manner and collaborating with appropriate providers to ensure effective, quality outcomes
- Monitoring and evaluating short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
- Facilitating and/or participating in conferences to evaluate interdisciplinary dynamics, goals attainment, and treatment management
- Ensuring patient and family understanding of instructions based on identified learning needs
- Participating in continuous quality improvement activities by evaluating patient care systems that may include standards, protocols, and documentation
- Attending meetings and representing department or Hospital within Hospital-related committees or the community as assigned by the supervisor
- Enhancing professional growth and development by participating in educational programs, reading current literature, attending in-services, meetings and workshops
- Following patient safety-related policies, procedures, and protocols
- Encouraging patients to actively participate in their own care and reporting treatment or situations that they don't understand or may "not seem right"
- Administering medication, including IV medication, via the Seven Rights, documenting and communicating clinical findings (UPC and CPC Only)
- Writing treatment plans; coordinating patient drug and procedure activities; administering medication and treatment; providing and coordinating nursing care of assigned patients; may facilitate group therapy and/or education sessions (UPC and CPC Only)
- Program Graduate
- Nationally Accredited Nursing Graduate
- 1-year Directly related experience
- Current RN license within New Mexico or as allowed by reciprocal agreement
- CPR/BLS for Healthcare Providers
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Care Coordinator Nurse - Cedar Crest, United States - University of New Mexico
Description
Care Coordinator Nurse - Utilization Management
We are seeking a Care Coordinator Nurse to join our Utilization Management healthcare team. The Care Coordinator Nurse is responsible for coordinating the care team approach for quality, cost-effective care of the patient population. The successful candidate will manage patient care, working with physicians, nurses, and staff to ensure optimal outcomes and efficient utilization of resources. Initial and ongoing assessments, disease management protocols, continuity of care through discharge planning, utilization of resources, and analysis of variances are key components of this role. The ideal candidate will be a contact person for patients, families, healthcare team members, community resources, and employees as necessary.
Key Responsibilities:
Qualifications:
Physical Demands:
Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (ability to maintain constant physical activity or condition exists 2/3 or more of the time) to move objects.
Working Conditions:
Minor Hazard - physical risks, dirt, dust, fumes, noise.
