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Coord - Case Mgmt PRN

Company: Maria Parham Health
Location: Henderson
Posted on: May 27, 2023

Job Description:

Case Manager Coordinator is knowledgeable about the program and is responsible for interacting with the patients, team, and other stakeholders, both internal and external, assisting the person served to become oriented to their program, participating consistently in team conferences concerning the person served, promotes the participation of the person served on an ongoing basis with discussions of plans, services, goals, and status throughout the process, facilitates and ensures the completion of discharge recommendations including consideration of financial information, communicates information to the person served, is responsible for handling all admission inquiries, working in liaison with physician to ensure appropriate and compliant admissions for the unit, completing the admission intake process, collecting and entering the -PPS data and transmissions, assisting in the QI process and data collection, and is responsible for remaining competent and knowledgeable about CMS and IRF regulations, -CMS changes, and training staff on these changes and regulations. - - -Reports to: Director of Quality/Risk/Patient Safety

  • Coordination of clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay, discharge and post- acute care) compared to evidence-based practice, internal and external requirements. (40% daily, essential).
  • Identify and report variances in appropriateness of medical care provided, over/under utilization of resources compared to evidence-based practice and external requirements. This priority includes work with relevant software and communicating information through clear, complete and concise documentation in eCCM (40% daily, essential).
  • Effective collaboration with physicians, nurses, ancillary staff, payors, patients and families to achieve optimum clinical outcomes (10% daily, essential).
  • Remain current with relevant clinical/case management practices. (10% daily, essential).
  • Maintains established departmental policies and procedures, objectives, performance improvement program, safety, environmental, and Infection Control standards.
  • Communicates effectively with customers of all ages.
  • Evaluates learning needs of patient and/or family and provides patient/family education appropriate to age, culture, condition, and circumstances.
  • Reports patient's complaint of pain to the licensed nurse.
  • Works as an advocate for the physical and emotional well-being of the patient.
  • Recognizes and meets the needs of customers.
  • Meets expectations for attendance at Ethics, Forums, meetings, and other required training/ workshop sessions.
  • Performs other related duties as assigned and requested.Minimum EducationBachelor's degree in NursingTraining commensurate with nursing licensureRequired SkillsCertifications:Basic Life Support (BLS) RequiredLicensure:Registered Nurse (RN)Case Management Certification is preferredMinimum Work ExperienceRN with minimum 5 years bedside experience or LPN with 10 years experience in the relevant clinical specialty (e.g., case manager for pediatrics patients should have pediatric nursing experience.)Supervisory Experience is PreferredCase Management experience is PreferredRequired SkillsRequires critical thinking skills, decisive judgment and the ability to work with minimal supervision.Maria Parham Health is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, genetic information, gender, gender identity, national origin, race, religion, sexual orientation, or veteran status.Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

Keywords: Maria Parham Health, Durham , Coord - Case Mgmt PRN, Other , Henderson, North Carolina

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