Enloe - RN, Care Coordinator

Carenest Health Services•Chico, CA

21h

About The Position

The Care Coordinator coordinates care and services for assigned patients throughout an episode of illness or treatment, collaborating with patients, families, physicians, the patient care team, and payors. The role applies advanced clinical skills and the assessment, planning, intervention, and evaluation principles of the nursing process to facilitate care. It promotes effective resource utilization through current clinical knowledge, awareness of community services, and leadership with the patient care team to achieve optimal clinical and resource outcomes. The Care Coordinator evaluates and analyzes quality and utilization cases, admission and discharge criteria, observation and 1-day stays, readmissions within 30 days, Medicare criteria, and diagnosis-related criteria, and participates in ongoing outlier review. The role may also be assigned to the Emergency Department, coordinating with patients and families, the multidisciplinary team, physicians, and payors to support efficient and cost-effective progress through the emergency episode of care. The Care Coordinator advocates for patients and families, facilitates communication among providers, monitors services rendered, and remains involved until discharge or an appropriate transfer to acute care or an alternate level of care. The role initiates clinical pathways based on admission diagnosis and serves as a resource for utilization management.

Requirements

At least one year of recent Case Management experience in an acute care setting.
Current California licensure.
Current CPR recognition.

Responsibilities

Coordinate care and services for assigned patients throughout an episode of illness or treatment in collaboration with patients, families, physicians, the patient care team, and payors.
Use advanced clinical skills and the nursing process to facilitate assessment, planning, intervention, and evaluation of care.
Promote effective resource utilization using current clinical knowledge and awareness of community services, and provide leadership to the patient care team to achieve optimal clinical and resource outcomes.
Evaluate and analyze quality and utilization cases, admission and discharge criteria, observation and 1-day stays, readmissions within 30 days, Medicare criteria, and diagnosis-related criteria.
Participate in ongoing outlier review.
When assigned to the Emergency Department, coordinate the emergency episode of care with patients and families, the multidisciplinary team, physicians, and payors to support efficient and cost-effective care.
Advocate for patients and families throughout the episode of care.
Remain available to patients and families to facilitate communication among providers and monitor services rendered.
Continue involvement until the patient is discharged or appropriately transferred to acute care or an alternate level of care.
Initiate appropriate clinical pathways based on admission diagnosis and serve as a utilization management resource.