Patient Care Coordinator
Patient Care Coordinator - PT
The Patient Care Coordinator is responsible for utilization review, discharge planning transitions in care, in collaboration w/ MAPMG rounder in acute or alternative settings of care. Essential Functions: - Utilization Review. According to department policy, procedure protocols, consistently apply verbally communicate approved utilization review criteria guidelines for services delivered in acute or alternative care settings. - Eligibility Benefit Verification. Confirm eligibility status ensure the appropriate administration of benefits in accordance w/ department policies procedures. - Assessing Right Venue of Care w/ Hospitalist. Collaboration w/ Hospitalist to assess the appropriate level of care for patients (i.e., Medical Unit, Surgical Unit, Tele Unit, TCU, ICU) post- (Home, Continuum or Community-based Services) hospitalization. - Coordination of Care. Driving patient care plan through assuring daily plan is executed, management of transitions post-hospital care. - Effective Discharge Planning. Prompt, clinically appropriate discharge planning beginning at time of admission. - Variance Management. Timely steps in identification of delays in throughput, escalation to correct delays, recording delays to identify patterns trends that will require corrective actions. - Quality Screening. Demonstrate competency to assess all aspects of care across the continuum for variations from quality utilization standards. - Performs other related duties as directed. Qualifications: Schedule Details: - This position has a rotatin schedule to include weekends and holidays. Basic Qualifications: - 2 years of experience in acute hospital utilization review or equivalent required. - RN License in jurisdiction where assigned required - CPR certification required. - New Hire: o Successful completion of PCC Orientation Assessment of Critical Skills. o Passing score on inter-rater reliability. - Annually: o Successful completion of PCC Assessment of Critical Skills. o Passing score on inter-rater reliability. - Ability to effectively communicate. - Ability to conform to established policies procedures. - Ability to analytically problem solve make decisions. - Ability to tolerate cope w/ ambiguity. - Ability to work as a team member. - Proficiency in the use of applicable computer software. - Demonstrated ability to effectively clearly present information through the written word, to influence or persuade others through oral presentation in positive or negative circumstances, to listen well. - Demonstrated ability to write clearly, legibly, effectively, to present ideas document activities, to read interpret written information. Preferred Qualifications: - Recent acute care, case management, or home health experience preferred. - B.S.N. preferred.