- 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.
- 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.
- Bachelor's Degree in Nursing (BSN) or related healthcare field.
- At least five (5) years of nursing experience.
- Current licensure as a Registered Nurse in the state of Washington (RN-WA).
- BLS required within 3 months of hiring if located within hospital
- Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred
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care coordinator rn - Tacoma, WA , USA, United States - Common Spirit
Description
Overview
In 2020, united in a fierce commitment to deliver the highest quality care and exceptional patient experience, Virginia Mason and CHI Franciscan Health came together as natural partners to build a new health system centered around the patient: Virginia Mason Franciscan Health.
Our combined system builds upon the scale and expertise of our nearly 300 sites of care, including 11 hospitals and nearly 5,000 physicians and providers.
Together, we are empowered to make an even greater impact on the health and well-being of our communities.CHI Franciscan and Virginia Mason are now united to build the future of patient-centered care across the Pacific Northwest. That means a seamlessly connected system offering quality care close to home.
From basic health needs to the most complex, highly specialized care, our patients can count on us to meet their needs with convenient access to the region's most prestigious experts and innovative treatments and technologies.
While you're busy impacting the healthcare industry, we'll take care of you with benefits that may include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and moreResponsibilities
JOB SUMMARY / PURPOSE
This position works as part of the Psychiatric Assessment Team triaging patients at multiple hospitals and rounds with detained patients along with the provider.
The Care Coordinator RN is responsible for overseeing the progression of care and discharge planning for identified patients requiring these services.
The Care Coordinator RN performs this role to meet the individual's health needs while promoting quality of care, cost effective outcomes and by following hospital policies, standards of practice and Federal and State regulations.
The position's emphasis will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute service providers to progress the care toward optimal outcomes at the appropriate level of care.
The Care Coordinator RN advocates for the
patient and family by identifying, valuing, and addressing patient choice, spiritual needs, cultural, language and socioeconomic barriers to care transitions.
ESSENTIAL KEY JOB RESPONSIBILITIES
Education and Experience
Required
Licensure and Certifications:
Required
