Care Coordination Lead KHC

Wellstar Health System•Marietta, GA

1d•Onsite

About The Position

The Care Coordination Team Lead (CC TL) is responsible for the development and mentoring of a care coordination team. The CC TL's function is to support the care coordinators and leadership team during the patient's acute hospitalization or in the ambulatory case management program, working with acute, chronic and long-term stages of illness for a defined patient population. The role includes critical patient assessment, transitional care planning, discharge planning, physical and psychosocial assessment, patient advocacy, education of the patient/family, and monitoring quality indicators to demonstrate outcomes for the team resulting from the service provided. The CC TL collaborates with the interdisciplinary care team to provide a comprehensive assessment of the patient's plan of care, goal/outcome fulfillment, and continued care needs. The CC TL provides hands-on support to the team in their assigned area and is the first point of contact for team members. The CC TL may have responsibility for training new hires, overseeing floor/area workflow, and facilitating coverage for staff schedules. Additionally, the CC TL may be required to work on process improvement projects with leaders, as well as, pulling data and metrics based on the team's performance to update dashboards and visual management lanes in the department.

Requirements

Bachelors Nursing or Masters Social Work-Preferred
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
BSN-currently licensed as a Registered Nurse in the State of Georgia or hold a privilege to practice in the State of Georgia under the Enhanced Nurse Licensure Compact (eNLC). Upon Hire Required or MSW, currently licensed as a Social Worker in the State of Georgia. Upon Hire Required
Minimum 3 years recent Care Coordination experience in a hospital setting.
Strong assessment skills.
Strong interpersonal skills.
Excellent verbal and written communication skills.
Competency and confidence with crucial conversations in high stress environment.
Ability to organize and guide care coordination team functions, effectively coach, and lead change, perform critical analysis, promote patient/family autonomy and plan/organize efforts effectively for the continuum of care.

Nice To Haves

ACM or CCM upon hire or within 1 Year Preferred
Exposure to multiple medical populations Preferred

Responsibilities

Oversight, coach, and mentor team utilizing evidence-based care coordination principles.
Promotes a healthy work environment.
Assist with department schedules and coverage plans (as required).
Participate in the interviewing process with departmental leadership of potential team members.
Provide precepting and education during the orientation process ensuring that new team members understand the care coordination functions and identifies any additional training needs.
Provide feedback to assist in completing yearly performance evaluations for team.
Assist in quality/safety and performance improvement activities for the team.
Assist with ongoing training of new initiatives for the department along with departmental leadership.
Help facilitate indigent patient contracts.
Initiates assessment for necessity and appropriateness of health services by the application of established screening criteria. Factors assessed include support system, psychological, functional, socioeconomic, and cultural needs.
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.
Implements discharge planning and provides resource information in a timely and efficient manner.
Identifies and documents barriers for timely disposition.
Collaborates with the interdisciplinary care team in developing an appropriate transitional care plan.
Provides education/counseling to patient/family in understanding, accepting, and following medical recommendations of his/her conditions.
Understands eligibility processes and criteria for Local, State and Federal resources.
Responds to referrals from hospital staff, physician offices, community, and family to provide resource information, and education when requested.
Performs 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.
Helps promote respect of cultural, ethnic, or religious beliefs to assist Care Coordinators develop an appropriate/comprehensive transitional plan to the next level of care.
Effectively escalate issues to payers and other team members to help resolve delays in discharge related to post-acute authorizations.
Engage patient, family and/or team members in discharge planning in those events where payor denial is received.
Record all assessments completed in the medical record.
Document chart notes accurately and timely per departmental protocol in EPIC.
Monitor for compliance of departmental documentation standard work.
Performs other duties as assigned.
Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Benefits

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.
Nationally ranked and locally recognized for our high-quality care and inclusive culture, Wellstar is one of Georgia’s largest and most integrated healthcare systems.
Every day, 24,000+ of us work together to provide personalized care for patients at every age and stage of life – and our team members are the foundation of that care.
We serve with compassion
We pursue excellence
We honor every voice
Culture of Excellence
FORTUNE “100 Best Companies to Work For” list
Seramount 100 Best Companies list
Great Place to Work.