Patient Care Coordinator RN - Part-Time

Mercy Medical Center; United States; On-site; USD 39,000 - 55,000; Full time

Benefits offered by this job

Talent Tuesdays

Job summary

Mercy Cedar Rapids seeks a Patient Care Coordinator to advocate for patients with complex disease needs, coordinating holistic care and discharge planning across inpatient and outpatient settings.

The role requires a nursing background, RN licensure in Iowa, and effective communication with patients, families, and clinical staff to ensure timely, high-quality care while adhering to safety guidelines.

Qualifications

• Requires nursing degree and active RN license in Iowa
• Basic Life Support (BLS) required per policy
• Familiarity with utilization management, discharge planning and managed care processes a plus

Responsibilities

• Complex care review of patient status and plan of care
• Develop understanding of referral sources for caseload
• Collaborate with programs and departments to coordinate care
• Assist in teaching patients and families as needed
• Act as liaison between physicians and departments for timely, quality care
• Conduct peer-to-peer reviews with payers to ensure reimbursement
• Follow safety guidelines and report unsafe conditions promptly
• Communicate daily with physicians and clinical staff about plan and progress
• Co-facilitate care conferences and ensure appropriate admission status
• Apply InterQual criteria for continued stay review and length-of-stay management
• Provide clinical data to third-party payers during hospitalization
• Complete case management assessments for timely transition planning
• Identify patients eligible for Transitional Care Unit or other referrals

Skills

Complex nursing principles

Communication skills

Self-starter

Utilization management knowledge

Education

Baccalaureate degree in nursing

Certification in patient population or relevant experience in lieu of a degree

Job description

Work Shift Day Scheduled Weekly Hours 24

Summary This position supports Mercy's philosophy of patient centered care acting as an advocate to patients and their families. The Patient Care Coordinator works specifically with patients experiencing complex disease processes needing multiple sources of health care support. The Patient Care Coordinator provides clinically based holistic care coordination and discharge planning in the inpatient and outpatient setting.

Job Description

Job Duties

• Complex care review of patient status
• Develops an understanding of referral sources for assigned caseload
• Collaborates with other programs and departments
• Assists in the teaching needs for patient and families as needed
• Ability to work with a variety of personalities, character or ability
• Serves as a liaison between physicians and departments to ensure timely and quality care delivery
• Conducts peer to peer reviews with third party payors when necessary to ensure reimbursement.
• Follows Mercy's safety guidelines, carries out job-specific safety duties and responsibilities, and promptly reports any unsafe conditions, situations, incidents and injuries.

Department Specific Duties

• Care Coordination Communicates daily with physicians and clinical staff regarding the plan of care and progress towards goals Co-facilitates care conferences on assigned unit Ensures appropriate admission status has been documented applying InterQual Criteria and communicates effectively with physicians per Utilization Review process.
• Applies InterQual criteria for continued stay review to effectively manage length of stay and communicate effectively with commercial insurance reviewers.
• Provides clinical data/information to contracted third party payers while patient is hospitalized to ensure continued reimbursement and to avoid reimbursement delays.
• Completes case management assessment of patients and support systems in order to facilitate the most appropriate and timely transition plan.
• Seeks patients eligible for admission to the Transitional Care Unit and other appropriate referral organizations.

Knowledge, Skills and Abilities

• Sound background in complex nursing principles and procedures and demonstrated ability to provide safe and effective nursing care.
• Ability to communicate well orally and in writing; via phone, email and face to face; establish rapport with clients/patients.
• Self-starter; able to initiate and direct own activities in an organized manner and make decisions within the framework of the responsibility and authority of the job.
• Knowledge of utilization management process, discharge planning and managed care processes is a plus.

Professional Experience

• Previous nursing experience required; case management experience preferred.
• Working knowledge of healthcare insurance, Medicare and Medicaid is preferred.

Education

A baccalaureate degree in nursing, current certification in patient population or relevant experience in lieu of a degree required.

Licensure, Certification, Registration

• Basic Life Support (BLS) in accordance with the American Heart Association required.
• Current RN license to practice as a Registered Nurse in the state of Iowa required.
• Iowa Dependent Adult Abuse/Iowa Child Abuse Mandatory Reporter training required. Employee must submit certification of completed training to Human Resources prior to start or transfer date.

Physical Requirements

Light: Exert up to 20 lbs. of force occasionally and/or up to 10 lbs. of force frequently

Pay Rate Type Hourly

Mercy is an independent, community-based organization supporting the Cedar Rapids area for over 120 years.

Mercy is an equal-opportunity employer. We value diversity, equity, and inclusion and therefore evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status, and other legally protected characteristics.

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