Care Coordinator, PACE

McGregor Foundation • Warrensville Heights, OH

1d

About The Position

McGregor PACE (Program of All-Inclusive Care for the Elderly) is a community service program that provides in-home healthcare services to the elderly as an alternative to nursing home placement, allowing seniors to remain at home.

We are looking for a Care Coordinator who will be responsible for coordinating the integration and provision of services for McGregor PACE participants across the continuum by all members of the healthcare team. Coordinates inpatient hospital, skilled nursing home, and ambulatory surgery care and models and promotes collaboration and communication among members of the healthcare team to achieve optimal clinical and resource outcomes. 

Requirements

• Certified Case Manager (CCM)
• Advanced communication and interpersonal skills with the ability to negotiate and establish effective working relationships with members of the healthcare team, including but not limited to medical staff, patients and families, and clinical personnel. and outside agencies.
• Demonstrates critical thinking ability and analysis of the utilization management process. Utilization management or case management experience preferred.
• Knowledge and proficiency in computer usage, data gathering and analysis; statistical application.
• Must be able to organize multiple tasks and prioritize caseload appropriately to meet the needs of the patients and organization.
• Minimum of two (2) years of experience in a healthcare setting; prior experience in a self-directed position.
• Basic proficiency in Windows, Excel, and Word required, presentation applications desirable.
• Familiar with Epic, Clinisync preferred.

Responsibilities

• Concurrently, the Care Transition Coordinator utilizes appropriate/standardized criteria to determine the level of care required for the patient and alternate care delivery options.
• Coordinates with the clinical team daily regarding the status of each McGregor PACE inpatient (Hosp & SNF) stay.
• Coordinates hospital discharge planning with Care Coordinators, physician hospitalists, and specialists, with chart documentation.
• Arranges hospital discharges to home or nursing home, coordinates with McGregor PACE contracted nursing homes, home care, and transportation.
• Updates McGregor PACE staff daily regarding inpatient status at Morning Report.
• Maintains inpatient logs for utilization review.
• Responsible for skilled and short-term respite nursing home/assisted living management, including facilitation of staff communication, documentation, and reporting, troubleshoots financial or contractual concerns between NH, homes, and McGregor PACE.
• Assists in the procurement of services and serves as the patient/family advocate.
• Organizes, prioritizes, and maintains high team standards by addressing coordination issues within the functioning of the healthcare team.
• Understands organizational structure and resources; interacts with the healthcare team and links patients to needed services.
• Issue inpatient and outpatient authorizations and other duties as assigned.

Benefits

• Health Insurance
• HSA
• Dental
• Vision
• 403b Matching Retirement Plan
• Employer Paid Life Insurance
• Voluntary Life Coverage
• Short- and Long-Term Disability
• Critical Illness & Accident Coverage
• PTO
• Sick Time
• 6 Paid Holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed