- 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 patient's 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 patient's 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.
- Minimum two (2) years of acute hospital clinical experience or a Master's degree in Case Management or Nursing field in lieu of 1 year experience.
- 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
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care coordinator rn - Lexington, KY , USA, United States - Catholic Health Initiatives
Description
Overview
Saint Joseph Hospital is a 433-bed facility located in Lexington Kentucky.
Founded in 1877 a small group of Sisters of Charity of Nazareth in Kentucky led by Sister Euphrasia Stafford began their health ministry.
Their mission was to provide compassionate care to the poor and underserved - a tradition still carried out today.Saint Joseph Hospital primarily serves central and eastern Kentucky with a full range of services including distinguished awards for cardiology orthopedics and stroke care.
CHI Saint Joseph Health supports 5000 active employees 8 hospitals specialty clinics and a Medical Group with more than 200 locations across Central and Eastern KY.
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019.With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Responsibilities
Job Summary / Purpose
The RN Care Coordinator 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 RN Care Coordinator advocates for the patient and family by identifying, valuing, and addressing patient choice, spiritual needs, cultural, language and socioeconomic barriers to care transitions.
In addition, the RN Care Coordinator strives to enhance the patient experience.Essential Key Job Responsibilities
Qualifications
Minimum Qualifications
Required Education and Experience
Required Licensure and Certifications
RN:
KY
Required Minimum Knowledge, Skills, Abilities and Training
Pay Range
$ $44.19 /hour
We are an equal opportunity/affirmative action employer.
