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continuum of care coordinator - Port Charlotte, FL , USA, United States - Community Health System
Description
Job DescriptionSummary:
The Continuum of Care Coordinator (CCC) is a valued member of the hospital leadership team.
This individual will work hand-in-hand with multiple departments to improve the lives of patients attributed to the Accountable Care Organization (ACO), and monitor the ACO Care Continuum for patients discharged from ACO Hospitals; this includes managing the local partners in the post-acute network.
The CCC will collaborate with Hospital Leadership and Case Managers to review trends in resource utilization and serves as a local subject matter expert on all things ACO for their supported markets.
Essential Duties and Responsibilities:
population.
Qualifications:
Bachelors degree required, Master degree in relevant field preferred. A current, unencumbered Nursing or Social work license is desired. A Minimum of two years of strong clinical/healthcare experience required.
Working knowledge of care transitions with specific emphasis on hospital discharge planning, utilization management, post-acute resources, case management and disease management.
Understanding of pre-acute and post-acute venues of care and post-acute community resources, physician office routines, and transitional procedures for pre and post-acute care.
Comfortable working with multiple key stakeholders on care delivery efforts. Ability to aggregate and present ACO performance data.