Registered Nurse (RN) PRN - Care Coordination

4010 Wellstar Spalding Regional Hospital, Inc.; United States; On-site; USD 70,000 - 98,000; Full time

Job summary

Wellstar Spalding Regional Hospital, Inc. is seeking a PRN RN Care Coordinator to join the team. The role requires prior medical care coordination experience in an acute care setting with varied shifts across the United States of America.

The Care Coordinator will manage discharge planning, community resources, psychosocial assessment, and patient education for defined populations. Collaboration with the health care team and adherence to standards is essential to improve outcomes and ensure

Qualifications

• Knowledge of case management processes and care coordination workflows.
• Strong organizational and communication skills for multidisciplinary teams.
• Ability to apply screening criteria and assess patient needs for appropriate care.
• Experience in discharge planning and transition of care is highly desirable.

Responsibilities

• Coordinate care across acute, chronic, and long-term illness stages for a defined patient population.
• Administer discharge planning and identify barriers to timely disposition.
• Provide patient/family education, advocacy, and resources across the continuum.
• Collaborate with care team to develop and monitor plan of care and outcomes.

Skills

Case management

Organizational skills

Professional communication

Screening criteria use

Education

Associate degree in Nursing

Nursing diploma

Bachelor's degree in Nursing (Preferred)

Job description

Wellstar Spalding is seeking a PRN RN Care Coordinator to join their amazing team! Prior Medical Care Coordination experience in an Acute Care setting. Work Shift Various (United States of America)

Job Summary: The Care Coordinator is responsible for coordination of care across the continuum during the patient's acute, chronic and long-term stages of illness for a defined patient population. This includes utilization management, transitional care planning, psychosocial and functional status assessment, patient advocacy, education for the patient/family, and monitoring quality indicators to demonstrate outcomes resulting from the service provided. Collaborates with all team members to provide a comprehensive assessment of the patient's plan of care, goal/outcome attainment and continued care needs. It is expected that all RN Clinical Nurses are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association. As a member of the patient services team, it is expected that the individual upholds the voice of the patient, System policies and procedures while supporting service excellence goals and providing and unwavering focus on exceeding the expectations of our patients and consumers.

Core Responsibilities and Essential Functions: Disposition Planning Implements Discharge planning and provides resource information in a timely and efficient manner. Identifies and documents barriers for timely disposition Collaborates with other members of the health care team in planning care appropriate for age Provides education/counseling to patient/family in understanding, accepting and following medical recommendations of his/her conditions Provides assistance with Advance Directives for customers throughout WellStar Health System. Understands eligibility processes and criteria for both private and public local, state and federal resources Responds to referrals from hospital staff, physician offices, community and family to provide resource information, counseling and education to the community Provides financial needs assessment for patients in need of assistance for follow-up care throughout the continuum Provides follow-up for patients needing post-discharge assistance Allows for any cultural or religious beliefs in providing service and continuity of care Always partners with the patient and significant others (as appropriate) using such appropriate method for setting and purpose (e.g., interdisciplinary rounds, keeping the patient and significant others updated and making the patients goals the focus of the plan of care.)

* Exemplary Practice and Outcomes Participates in the development of protocols and procedures when called upon or through self-initiation in collaboration with care managers and other members of the health care team to achieve best practice outcomes (i.e. decrease in re-admission rates, avoidable days, adverse events, etc.) Resources and Support Utilization Management Initiates assessment for necessity and appropriateness of health services by the application of established screening criteria (e.g. Interqual) Timely identification and referral for alternative level of care Responsible for timely and accurate certification of hospital admission Provides required information to payors Monitors and evaluates patient/clients ongoing plan of care and facilitates modification utilizing established screening criteria to determine level of care with documentation in the computerized Utilization Management module Monitors and evaluates the appropriateness of managed care denials and collaborates with attending physician and managed care representative and Medical Director or VP Medical Affairs Monitors for compliance of Medicare/Medicaid regulations (e.g. order for patient type for billing, appropriate billing) Negotiates and refers for services outside of patients health care plan Evaluates and negotiates patients needs based on quality, cost and necessity Participates and supports performance improvement inclusive of all stakeholders, research and research utilization to promote safe, quality patient care including initiating and/or leading such activities as well as, promoting an inter/intra-disciplinary process and actively supports/participates in shared governance at all levels in the system Teamwork and Collaboration and Evidence Based Practice Research Assessment Initiates assessment for necessity and appropriateness of health services by the application of established screening criteria (e.g. Interqual) Assesses insurance and coverage issues such as managed care, PPO, HMO, and the identification of preferred providers Identifies issues relating to patient type and/or appropriateness of admission and collaborates with physician/physician advisor for resolution Documentation Initial psychosocial /functional assessment completed and documented in medical record Complete chart notes accurately and timely per Departmental protocol Ensure all records are up-to-date and legible. Complete all Electronic Medical Record software screens Ensure timely and accurate documentation of clinical reviews and insurance updates as required by payor Accounts for and indicates all services delivered in Electronic Medical Record Participates in data collection, poses relevant clinical questions to advanced evidence-based practice. Consults appropriate experts and uses appropriate resources and evidence to address practice questions Evidence Based Practice and Research Professional Development and Initiative Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education Serves as a preceptor and/or or mentor for other professional and/or students, to ensure that there is a current and future qualified workforce Performs other duties as assigned Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education: Associates Nursing or Diploma (Nurse) Nursing or Bachelors Nursing-Preferred Required Minimum License(s) and Certification(s): All certifications are required upon hire unless otherwise stated. BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact or LCSW - Lic Clinical Social Worker GA or LMSW - Lic Master Social Worker GA or MSW - Master Social Worker Additional License(s) and Certification(s): Required Minimum Experience: Minimum 3 years Three to Five years Clinical Practice/Experience Preferred Required Minimum Skills: Knowledge of Case Management process. Excellent organizational and professional communication skills. Knowledgeable in utilizing screening criteria in review of clinical data with respect to patients/clients needs for health care. Ability to effect change performs critical analysis, promote client/family autonomy and plan and organize effectively for the continuum of care.

Mission, Vision & Values At a time when the healthcare industry is changing rapidly, Wellstar remains committed to exceeding patients’ and team members’ expectations, while transforming healthcare delivery. OUR MISSION: To enhance the health and well-being of every person we serve. OUR VISION: Deliver world-class healthcare to every person, every time. OUR VALUES: We serve with compassion We pursue excellence We honor every voice Culture of Excellence Wellstar consistently receives attention and accolades from national organizations that set the standards for world-class care. Our system-wide practice of safety principles, assessing and addressing errors and seeking feedback from our patients and customers continually earns recognition for advances in safety and quality. Featured on the FORTUNE “100 Best Companies to Work For” list and Seramount 100 Best Companies list, we not only provide top-notch care for our patients, but also foster the culture of Wellstar as a Great Place to Work.