Care Coordinator PRN 3

remote typeOnsite

locationsDouglas Hospital

time typePart time

posted onPosted 5 Days Ago

job requisition idJR-56835

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful : to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Day (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

Assessment

Documentation

Professional Development and Initiative

Performs other duties as assigned

Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education :

Required Minimum License(s) and Certification(s) :

All certifications are required upon hire unless otherwise stated.

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.

Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.