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The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients requiring these services. The RN Care Coordinator 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.
Job Responsibility:
Overseeing the progression of care and discharge planning for identified patients requiring these services
Perform 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
Emphasis 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
Advocate for the patient and family by identifying, valuing, and addressing patient choice, spiritual needs, cultural, language and socioeconomic barriers to care transitions
Strive to enhance the patient experience
Requirements:
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
California RN license
AHA BLS card
LA City Fire Card required within 90 days of hire
Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used
Able to apply clinical guidelines to ensure progression of care
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
Excellent customer service and presentation skills are a must
Strong interpersonal and written communication skills are essential
Demonstrated ability to apply analytical and problem solving skills
Demonstrated ability to manage multiple tasks or projects
Nice to have:
Graduate of an accredited school of nursing (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
Knowledge of managed care and payer environment preferred
What we offer:
Medical, prescription drug, dental, vision plans
Life insurance
Paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
Tuition reimbursement
Retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings