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Provides clinical administrative support, clinical expertise to meet patient and staff needs and functions as the liaison with physician practices and hospital case management and other referral sources
Analyzes the data to prioritize multi-issue situations to support appropriate actions based on the criticality of patient health and welfare, patient/staff safety and impact to effective, timely services
Identifies barriers to situation/complaint resolution and follows-up with the appropriate resources or leadership to address timely and effectively
Reviews and supports the development of patient specific clinical plans of care that is effectively communicated with the parties involved and supports quality patient outcomes and patient satisfaction
Supports clinical staff in the implementation of the identified plan, coordination of care delivery, and strategies to promote health and safe outcomes
Evaluates progress toward attainment of outcomes through documentation review, interdisciplinary team meetings and/or case conference
Supports billing compliance and timeliness by maintaining current knowledge of payer requirement and billing criteria, state and federal regulations, performing timely completion of CSC workflow and identifying opportunity for appropriate reimbursement
Delegates elements of care to appropriate healthcare workers in accordance with any applicable legal or policy parameters or principles
Collaborates with healthcare consumer, family, and others in the conduct of clinical practice
Utilizes appropriate resources to plan and provide clinical services that are safe, effective, and financially responsible
Participates in committees, shared governance, or other facility decision making activities
Requirements:
Graduate from an accredited School of Nursing
BSN preferred
BLS required per policy guidelines
One-year experience in a related field required
Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside
Must maintain current state driver's license and auto insurance at all times
What we offer:
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs