Patient Care Coordinator / UR Nurse

Lexington Regional Health Center•Lexington, NE

just now•Onsite

About The Position

Lexington Regional Health Center Title: Patient Care Coordinator Effective Date: September 9, 2020 Supervisor: Director of Transitional Care Department: Nursing FLSA Status: Non-Exempt Principle duties and responsibilities 1. Coordinates the care and discharge planning of hospitalized patients from a multi-disciplinary stand point. 2. Coordinates multi-disciplinary rounding to include: provider rounds, daily huddle, weekly discharge planning meeting, etc. 3. May assist or conduct patient discharges by providing health education management to patients and their support systems, regarding post hospital care and may coordinate needed resources when applicable. 4. Works to provide safe transitions from the hospital to home while ensuring patient safety, patient understanding of their care plan and future plans, along with reducing readmissions. 5. Works collaboratively with all aspects of patient care team to include various healthcare professionals, hospital departments, community resources and the patient. 6. Coordinates and collects quality data including call backs, population health data, swing-bed and Utilization Review. 7. Assists with goals to reduce readmissions, over utilization of Emergency Room. Through chart reviews, process improvements and etc. Such as contacting patients after dismissal to ensure that the plan of care was understood and followed. (Medication reconciliation, future appointments are made and any patient questions are answered.) 8. Attends a participates in Hospital Acquired Condition meeting and Utilization Review Committee. 9. Help assist patients and designated support system on preventive measures, disease management, health care management throughout the health system, etc. 10. Manages and intakes swing bed referrals. Communicates with multidisciplinary team to ensure patient centered holistic care and develop a multidisciplinary plan of care through IDT meetings. Ensure documenting of certification of stay and recertification’s. Complies with all swing-bed rules and regulations. May assist with swing-bed chart reviews, 11. Maintains medical record documentation to accurately reflect care administered and patient's condition. Records all care information concisely, accurately and completely in a timely manner in the appropriate format and on the appropriate forms. 12. Provides holistic support to patients and patient designated support system. 13. Coordinate care and follow through with plan of care to patients enrolled in chronic care management. 14. Consults with Remote Utilization Review for precertification’s, assures medical criteria is met for admission to appropriate service by discussion with providers and reviewing documentation. 15. Assist in Chart Review Audits for Utilizations Review Committee. 16. Rotating for UR call to ensure appropriate UR coverage on weekends. 17. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.) 18. Responsible for safe bagging and disposal of biohazardous waste. 19. Responsible for following safe-injection practices. 20. Responsible for ensuring the environment meets appropriate governing body standards. 21. Ensure patients and visitors follow current infection control guidelines. 22. Responsible for proper collection, storage and labeling of biological specimens. 23. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc.). 24. Communicates all departmental concerns with the Director of Transitional Care and/or Chief Nursing Officer. 25. Regular attendance at the assigned work location is required. 26. Performs all other duties as assigned.

Requirements

Requires knowledge and understanding of nursing theory and practice and the growth and development of a variety of patients in order to meet the patients' health care needs as is typically acquired through the completion of an Associate's or Bachelor's degree in Nursing from an accredited school.
Must hold a current active Nurse license from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act.
Two years nursing experience required.
BLS required within six months of hire and/or orientation.
Ability to maintain strict confidentiality with regard to protected and sensitive information.
Ability to complete reports and correspondence at a professional level.
Ability to immediately respond to common inquires and complaints from patients, employees, and regulatory agencies.
Advanced communication skills to respond to inquiries from Insurance companies and Workman Compensation companies
Ability to effectively communicate with individuals from diverse backgrounds.
Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Nice To Haves

Bachelor's degree preferred.

Responsibilities

Coordinates the care and discharge planning of hospitalized patients from a multi-disciplinary stand point.
Coordinates multi-disciplinary rounding to include: provider rounds, daily huddle, weekly discharge planning meeting, etc.
May assist or conduct patient discharges by providing health education management to patients and their support systems, regarding post hospital care and may coordinate needed resources when applicable.
Works to provide safe transitions from the hospital to home while ensuring patient safety, patient understanding of their care plan and future plans, along with reducing readmissions.
Works collaboratively with all aspects of patient care team to include various healthcare professionals, hospital departments, community resources and the patient.
Coordinates and collects quality data including call backs, population health data, swing-bed and Utilization Review.
Assists with goals to reduce readmissions, over utilization of Emergency Room. Through chart reviews, process improvements and etc. Such as contacting patients after dismissal to ensure that the plan of care was understood and followed. (Medication reconciliation, future appointments are made and any patient questions are answered.)
Attends a participates in Hospital Acquired Condition meeting and Utilization Review Committee.
Help assist patients and designated support system on preventive measures, disease management, health care management throughout the health system, etc.
Manages and intakes swing bed referrals. Communicates with multidisciplinary team to ensure patient centered holistic care and develop a multidisciplinary plan of care through IDT meetings. Ensure documenting of certification of stay and recertification’s. Complies with all swing-bed rules and regulations. May assist with swing-bed chart reviews,
Maintains medical record documentation to accurately reflect care administered and patient's condition. Records all care information concisely, accurately and completely in a timely manner in the appropriate format and on the appropriate forms.
Provides holistic support to patients and patient designated support system.
Coordinate care and follow through with plan of care to patients enrolled in chronic care management.
Consults with Remote Utilization Review for precertification’s, assures medical criteria is met for admission to appropriate service by discussion with providers and reviewing documentation.
Assist in Chart Review Audits for Utilizations Review Committee.
Rotating for UR call to ensure appropriate UR coverage on weekends.
Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
Responsible for safe bagging and disposal of biohazardous waste.
Responsible for following safe-injection practices.
Responsible for ensuring the environment meets appropriate governing body standards.
Ensure patients and visitors follow current infection control guidelines.
Responsible for proper collection, storage and labeling of biological specimens.
Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc.).
Communicates all departmental concerns with the Director of Transitional Care and/or Chief Nursing Officer.
Regular attendance at the assigned work location is required.
Performs all other duties as assigned.