RN Care Coordinator: Complex Discharge & Care Advocacy

Mercy Medical Center; Cedar Rapids (IA); On-site; USD 33,000 - 44,000; Full time

Job summary

Mercy Medical Center in Cedar Rapids, IA is seeking a Patient Care Coordinator to support patient-centered care for complex cases in inpatient and outpatient settings. You will coordinate with physicians and staff, participate in care conferences, and help with discharge planning to ensure timely and quality care delivery.

The role requires a Bachelor’s degree in nursing, an Iowa RN license, and knowledge of utilization management and discharge planning.

Qualifications

• 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.

Responsibilities

• 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
• 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.
• 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.

Education

Baccalaureate degree in nursing

RN license in Iowa

Job description

Mercy Medical Center in Cedar Rapids, IA is seeking a Patient Care Coordinator to support patient-centered care for complex cases in inpatient and outpatient settings. You will coordinate with physicians and staff, participate in care conferences, and help with discharge planning to ensure timely and quality care delivery.

The role requires a Bachelor’s degree in nursing, an Iowa RN license, and knowledge of utilization management and discharge planning.