Coordinator Registered Nurse Care- Emergency Department Job at St. Elizabeth HealthCare
Job Description
Coordinates and Optimizes throughput activities to optimize patient outcomes including:
Completes thorough chart review upon entry and admission.
Collaborates with the Logistic Center to assist in Throughput throughout patient’s hospitalization.
Participates in ongoing communication with physician and interdisciplinary team to develop a collaborative relationship aimed at improving clinical treatment goals, efficient utilization of services, and appropriate and timely discharge for the patient.
Educates patients upon admission about their patient class, advance directives and anticipated LOS based upon the geometric length of stay.
Completes proactive initial patient assessments that holistically screen the patient for potential post- acute needs.
Maintains active interaction with the patient/family throughout the patient’s stay in the emergency department.
Proactively makes appropriate referrals to internal and post-acute service providers to ensure continuity of care during and post hospitalization.
Provide expertise and support to the treatment team regarding the management of chronic disease/complex patients
Provide expertise to the team in developing treatment and discharge planning strategies for frequently admitted patients.
Assists in the procurement of services and serves as an advocate on behalf of patient/family for scarce resources.
Maintains high team standards by addressing coordination problems within the functioning of the healthcare team.
Identifies and escalates any issues that relate to LOS/Throughput/Readmission management.
Provides to patients, families, and hospital staff education regarding post- acute services (home health services, durable medical equipment, etc.) Opportunities for conducting education may include patient families at bedside, one-on-one staff education, and unit department meetings.
Provides post discharge follow up calls to all patients who had post- acute services set up for home to ensure patient obtained identified needs.
*
25%
Upon admission, reviews appropriate/standardized criteria to determine the level of care required for the patient and alternate care delivery options.
Upon admission, assesses the appropriateness of the level of care/care management; diagnostic testing and clinical procedures; quality and clinical risk issues; and documentation of medical record completeness. Records variances through the established care coordination and quality improvement processes. Documents all reviews in designated software system.
As appropriate, reviews all patient information within the designated time frame to determine the suitability of the level of care. This includes appropriateness of admission and/or continued stay utilizing established nationally recognized criteria.
Provides educational support regarding utilization management issues.
Assists in monitoring critical care, telemetry and med/surg bed utilization.
*
25%
Documents throughput/ discharge planning activities according to departmental policies.
Completes data collection via designated software for all patients.
Identifies and documents risk management and quality issues to appropriate departments/services
Communicates only appropriate necessary information on chart applicable to the referral source in accordance with HIPPA guidelines
*
20%
Maintains knowledge as it applies to utilization management and discharge planning in general and specifically to Medicare, Medicaid guidelines, rules and regulations. Attends organizational committees, arriving on time and prepared, and implements/communicates information. Engages in educational opportunities to maintain professional competencies.
20%
Interacts with or provides information for third party payors/review agencies to coordinate certification requirements, LOS treatment planning and other benefit utilization issues. An established procedure is utilized to resolve denial of care, conflicts over care, service or payment.
Assists in coordinating pre/post hospital care within SEH, providers, and community health services.
Coordinates the utilization of benefits and resources in the course of care.
Works and communicates the plan of care effectively with patient/family; medical staff; caregivers, healthcare team members and third party payors.
Works confidently to identify an effective approach to task/problem. Communicates with patient to ensure understanding of discharge planning referrals as ordered by physician and third party guidelines.
Assists with negotiation of financial arrangements for reimbursement for out-of-network services.
5%
Performs other duties as assigned.
5%
TOTAL:
100
Qualifications
MINIMUM
DESIRABLE
Education, Credentials, Licenses:
Graduate of an accredited baccalaureate school of nursing or related field. Licensed as an RN to practice nursing in the state where work is being performed. Meets contact hour requirements for licensure, including all state required courses.
Please Note :
ajayjain.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, ajayjain.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
Coordinates and Optimizes throughput activities to optimize patient outcomes including:
Completes thorough chart review upon entry and admission.
Collaborates with the Logistic Center to assist in Throughput throughout patient’s hospitalization.
Participates in ongoing communication with physician and interdisciplinary team to develop a collaborative relationship aimed at improving clinical treatment goals, efficient utilization of services, and appropriate and timely discharge for the patient.
Educates patients upon admission about their patient class, advance directives and anticipated LOS based upon the geometric length of stay.
Completes proactive initial patient assessments that holistically screen the patient for potential post- acute needs.
Maintains active interaction with the patient/family throughout the patient’s stay in the emergency department.
Proactively makes appropriate referrals to internal and post-acute service providers to ensure continuity of care during and post hospitalization.
Provide expertise and support to the treatment team regarding the management of chronic disease/complex patients
Provide expertise to the team in developing treatment and discharge planning strategies for frequently admitted patients.
Assists in the procurement of services and serves as an advocate on behalf of patient/family for scarce resources.
Maintains high team standards by addressing coordination problems within the functioning of the healthcare team.
Identifies and escalates any issues that relate to LOS/Throughput/Readmission management.
Provides to patients, families, and hospital staff education regarding post- acute services (home health services, durable medical equipment, etc.) Opportunities for conducting education may include patient families at bedside, one-on-one staff education, and unit department meetings.
Provides post discharge follow up calls to all patients who had post- acute services set up for home to ensure patient obtained identified needs.
*
25%
Upon admission, reviews appropriate/standardized criteria to determine the level of care required for the patient and alternate care delivery options.
Upon admission, assesses the appropriateness of the level of care/care management; diagnostic testing and clinical procedures; quality and clinical risk issues; and documentation of medical record completeness. Records variances through the established care coordination and quality improvement processes. Documents all reviews in designated software system.
As appropriate, reviews all patient information within the designated time frame to determine the suitability of the level of care. This includes appropriateness of admission and/or continued stay utilizing established nationally recognized criteria.
Provides educational support regarding utilization management issues.
Assists in monitoring critical care, telemetry and med/surg bed utilization.
*
25%
Documents throughput/ discharge planning activities according to departmental policies.
Completes data collection via designated software for all patients.
Identifies and documents risk management and quality issues to appropriate departments/services
Communicates only appropriate necessary information on chart applicable to the referral source in accordance with HIPPA guidelines
*
20%
Maintains knowledge as it applies to utilization management and discharge planning in general and specifically to Medicare, Medicaid guidelines, rules and regulations. Attends organizational committees, arriving on time and prepared, and implements/communicates information. Engages in educational opportunities to maintain professional competencies.
20%
Interacts with or provides information for third party payors/review agencies to coordinate certification requirements, LOS treatment planning and other benefit utilization issues. An established procedure is utilized to resolve denial of care, conflicts over care, service or payment.
Assists in coordinating pre/post hospital care within SEH, providers, and community health services.
Coordinates the utilization of benefits and resources in the course of care.
Works and communicates the plan of care effectively with patient/family; medical staff; caregivers, healthcare team members and third party payors.
Works confidently to identify an effective approach to task/problem. Communicates with patient to ensure understanding of discharge planning referrals as ordered by physician and third party guidelines.
Assists with negotiation of financial arrangements for reimbursement for out-of-network services.
5%
Performs other duties as assigned.
5%
TOTAL:
100
Qualifications
MINIMUM
DESIRABLE
Education, Credentials, Licenses:
Graduate of an accredited baccalaureate school of nursing or related field. Licensed as an RN to practice nursing in the state where work is being performed. Meets contact hour requirements for licensure, including all state required courses.
Please Note :
ajayjain.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, ajayjain.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.