RN Care Coordinator
US-NE-OMAHA
commonspirit_careers
Req #: 400638
Type: Day
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Overview: At CHI Health Creighton University Medical Center - Bergan Mercy, our focus is patient-centered care. Our level I trauma center and academic medical center campus is designed to heal the body, mind, and spirit of every person in a more comfortable, less stressful hospital environment. Our full range of medical services includes trauma services, heart and vascular care, emergency services, surgery, maternity, cancer care, and diagnostic imaging. 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. Qualifications: * 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. * 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.
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