RN Patient Care Coordinator - Hospice

Hutchinson Regional Medical Center, Inc.•Hospice & HomeCare of Reno County, KS

22h

About The Position

The RN Patient Care Coordinator oversees referral processing, including information visits and patient evaluations as indicated, identifying insurance coverage, and planning and coordinating admissions and resumptions of care. The coordinator assists the Clinical Director with daily clinical management of the agency, including staffing and productivity management, to support quality patient care. The role also supports data abstraction, evaluation, and submission of data and reports, and performance improvement. These activities help ensure compliance with organizational and program policies and procedures, payer requirements, safety and health standards, Joint Commission standards, and state and federal regulations. The coordinator is expected to provide outstanding customer service and maintain respectful relationships with others. The position involves coordinating referral and intake processes; assessing patients and collaborating with patients, families, physicians, referral sources, and other disciplines; managing clinical schedules and assignments; supervising specified field services; participating in call coverage; and contributing to quality, risk, accreditation, and performance improvement work. The coordinator must hold a current Kansas RN license, obtain BLS within three months of hire, and have a valid Kansas driver’s license and required auto insurance.

Requirements

Graduate of an accredited school of nursing.
Several years of clinical experience.
Current licensure as an RN in the State of Kansas.
BLS certification is required within three months of hire.
Valid Kansas State Driver’s License.
Auto insurance equal to or greater than Kansas insurance requirements.
Knowledge of MS Office software.
Keyboarding skills.
Demonstrated ability to communicate effectively.
Multitasking and prioritization skills.
Ability to apply advanced nursing principles.
Demonstrated integrity and willingness to do the right thing.
Ability to role model, inspire, and motivate others in support of the healthcare system’s philosophy, mission, vision, goals, and values.
Compassion, empathy, and strong customer-service orientation.
Ability to manage conflict, consider other points of view, offer alternative solutions, and manage customer expectations.
Ownership of situations, projects, and issues; ability to work autonomously and adapt to changing projects, priorities, and workloads.
Ability to collaborate with a diverse population and provide positive, proactive service to internal and external customers.
Strong communication and presentation skills, with ability to influence and lead teams to decisions.
Ability to think strategically and lead day-to-day processes.
Ability to manage complex projects and provide coaching and leadership.
Ability to lead or facilitate process improvement.

Nice To Haves

Clinical skills.
Knowledge of the Home Health OASIS Data Set.
Knowledge of Home Health Joint Commission standards.
BSN.
Previous Hospice and/or Home Health experience.
Certification as a Hospice and Palliative Care Nurse.
Previous analyst or performance improvement experience.

Responsibilities

Complete intake and referral processes and staffing assignments as needed to respond to patient needs promptly and maximize staffing utilization.
Delegate duties to intake department staff to complete patient and quality requirements.
Evaluate facility and non-facility patients referred for agency services.
Collaborate with facility discharge-planning personnel, utilization review departments, and insurance case managers to facilitate safe, early discharge.
Consult with physicians, nurses, social workers, discharge planners, and other disciplines to establish coordinated plans of care.
Interview patients and their families or caregivers about the home situation, current needs, and relevant psychosocial factors.
Receive physician orders and triage patient phone calls; arrange patient visits as indicated and collaborate on care needs and plan revisions.
Manage clinical staff schedules and assign patient visits to support patient care and positive outcomes.
Manage the private duty program and other agency ad hoc programs as indicated.
Supervise clinical care provided by agency field Home Health Aides and homemakers.
Complete supervision of HHA services according to agency policy.
Establish and maintain positive working relationships with patients, family members, coworkers, physicians, and referral sources.
Complete timely and accurate documentation according to agency policy.
Participate in call coverage according to agency policy.
Assist with data abstraction, evaluation, and submission under CMS, payer, and vendor requirements, including concurrent and retrospective medical-record review such as OASIS, HIS, and MACRA.
Review patient records for quality and risk measures and monitor compliance with CMS guidelines, Conditions of Participation, Joint Commission standards, and vendor requirements.
Report evaluation findings to the Quality/Risk Committee and participate in developing and updating the Performance Improvement Plan.
Report PDSAs and data trends to the Quality/Risk Committee and assigned Hutchinson Regional Healthcare System Performance Improvement Teams.
Report required data to licensing boards, CMS, and appropriate committees in accordance with regulations, conditions of participation, and agency policies.
Facilitate or participate in multidisciplinary workgroups to improve outcomes.
Facilitate the agency accreditation process with agency peers and leadership.
Focus on providing quality, cost-effective, and safe services to patients.
Follow HIPAA privacy and security regulations regarding protected health information.