Care Coordinator RN

CommonSpirit HealthLincoln, NE
Onsite

About The Position

As a Case Manager, you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. The purpose of the Case Manager position is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. Collaborates with and supports the Care Coordination team, including, but not limited to the RNCC and Social Worker. Manage timely post-acute care referrals, to assist with length of stay management and mitigation of denials. Communicate and collaborate with interdisciplinary teams, patients, and family to facilitate care progression. Ensure post-acute follow-up appointments for identified patients to assist with readmission prevention and ensuring continuity of care. Deliver required patient notifications and letters, and obtain patient or family signatures on required documentation as needed to meet regulatory compliance. Manage transportation referrals as requested.

Requirements

  • Graduate of an accredited Nursing program.
  • RN License valid in the state of Nebraska.
  • Basic Life Support - American Heart Association.

Nice To Haves

  • Three to five years clinical experience in clinical practice area to which assigned.

Responsibilities

  • Support the physician and interdisciplinary team in facilitating patient care.
  • Enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors.
  • Integrate and coordinate utilization management, care facilitation and discharge planning functions.
  • Collaborate with and support the Care Coordination team, including, but not limited to the RNCC and Social Worker.
  • Manage timely post-acute care referrals to assist with length of stay management and mitigation of denials.
  • Communicate and collaborate with interdisciplinary teams, patients, and family to facilitate care progression.
  • Ensure post-acute follow-up appointments for identified patients to assist with readmission prevention and ensuring continuity of care.
  • Deliver required patient notifications and letters, and obtain patient or family signatures on required documentation as needed to meet regulatory compliance.
  • Manage transportation referrals as requested.
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