RN Care Coordinator - Chi : Job Details

Responsibilities

• 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.

QualificationsRequired

• 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.
• RN license in the state(s) covered is required.
• BLS required within 3 months of hiring if located within hospital
• Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used.

Preferred

• Bachelor's Degree in Nursing (BSN) or related healthcare field.
• At least five (5) years of nursing experience.
• Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred
• 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.

OverviewCHI Health Immanuel, located in North Omaha just off of I-680 on 72nd Street, offers a full-service hospital, cancer center, rehabilitation center, specialty spine hospital and more. For well over a century, our commitment to serve our community inspires our staff to provide the highest quality of care to all who we have the privilege to serve.Pay Range$32.70 - $48.65 /hour