Clinical Services Coordinator (RN)- Hospice Admissions

Advocate Health; Monroe (NC); On-site; USD 65,000 - 85,000; Full time

Job summary

Advocate Health in Monroe, NC seeks a registered nurse to provide clinical administrative support and guidance to patient care teams, acting as liaison with physician practices and hospital case management to ensure timely, quality services.

The role involves analyzing data to prioritize multi-issue situations, developing patient care plans, supporting billing compliance, and promoting safety and positive patient outcomes in a office-based environment.

Qualifications

• 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 Practitioner in the state.

Responsibilities

• Provides clinical administrative support and acts as a liaison with physician practices and hospital case management and other referral sources.
• Analyzes data to prioritize multi-issue situations to support actions based on patient health and welfare and safety.
• Identifies barriers to resolution and follows up with appropriate resources or leadership.
• Reviews and supports development of patient-specific clinical plans of care and communicates with involved parties.
• Supports coordination of care delivery and strategies to promote health and safe outcomes.
• Evaluates progress through documentation review and team meetings.
• Supports billing compliance by understanding payer requirements and regulations and completing CSC workflow.
• Delegates care elements to appropriate healthcare workers per policy parameters.
• Collaborates with patients, families, and others in clinical practice; uses resources to provide safe, effective, and financially responsible care.
• Participates in committees and other governance activities.

Skills

Clinical coordination

Administrative support

Communication skills

Problem solving

Education

RN license

BSN preferred

Job description

Essential Functions

• 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.

Physical Requirements

Primary work is in the office environment. Requires long periods of sitting and computer work. Work may require walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies in the home/facility setting. Must speak English in good, understandable terms. Intact sense of sight, hearing, smell, touch. Finger dexterity. Critical thinking and ability to concentrate. Must be able to respond quickly to changes in patient conditions.

Education, Experience and Certifications

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 or; if declaring aNational License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works. Must maintain current state driver's license and auto insurance at all times. Additional education, training, certifications, or experience may be required within the department by the nurse leader.