Care Progression & Discharge Coordinator - RN

Montage Health; Monterey (CA); On-site; USD 101,000 - 135,000; Full time

Job summary

Montage Health in Monterey, CA seeks a Care Coordinator to lead patient progression and discharge planning on Unit C3, coordinating with nurses, social workers, physicians and therapy staff to ensure timely discharges.

The role requires acute care experience, strong communication, and knowledge of reimbursement; offers regular day hours, and a competitive hourly pay range with shift differentials.

Qualifications

• 5 years acute care hospital experience preferred.
• Broad clinical expertise to evaluate patient diagnosis and treatment outcomes.
• Effective communication and interpersonal skills.
• Ability to work as an integral member of the interdisciplinary assessment team.
• Strong organizational skills.
• Knowledge of financial reimbursement, state, federal and commercial insurance requirements preferred.
• Knowledge of community resources preferred.
• Acute hospital case management experience preferred.
• Utilization Management experience preferred.

Responsibilities

• Acts as a spoke of the Hub by partnering with other Care Coordinators to facilitate patient progression and care coordination at a unit level to achieve system goals.
• Collaborates with the Hub to ensure appropriate patient placement and level of care (ICU, Telemetry, Med/Surg, etc.).
• Evaluates discharge needs upon admission, ensuring each patient has a complete discharge plan.
• Works collaboratively with interdisciplinary team to progress each patient's care towards discharge while assuring quality standards and excellent patient experience.
• Leads SNAP rounds on the unit with the physician to discuss patient progression and barriers to discharge.
• Communicates with patients and families as needed on post-acute plan of care
• Identifies potential discharges and updates patient status and planned discharge time
• Works with primary nurse and SW on discharge needs/barriers for all patients; initiates intervention by UM nurse as needed
• Works with unit staff to ensure Care Progression technology accurately reflects unit and patient status (anticipated transfers, discharges, and patient alerts)
• Proactively monitors patients in observation or outpatient status to ensure timely discharge or status change
• Communicates service event and patient preparedness issues to Order Coordinator
• Ensures acknowledgement and completion of prep prior to testing and/or procedures
• Identifies opportunities to transition patient care or testing to an outpatient setting
• Assists Clinical Documentation Specialist in engaging physician to respond to queries clarifying documentation to reflect appropriate severity of illness
• Serves as a consultant and educator with medical staff regarding status, placement, payor requirements, and utilization of resources

Skills

Acute care

Interdisciplinary collaboration

Communication skills

Organizational skills

Reimbursement knowledge

Education

Bachelor's degree in nursing

Job description

Montage Health in Monterey, CA seeks a Care Coordinator to lead patient progression and discharge planning on Unit C3, coordinating with nurses, social workers, physicians and therapy staff to ensure timely discharges.

The role requires acute care experience, strong communication, and knowledge of reimbursement; offers regular day hours, and a competitive hourly pay range with shift differentials.