RN Readmission Prevention Coordinator

Chesapeake Regional Healthcare • Chesapeake, VA

38d • Onsite

About The Position

The RN, Readmission Prevention Coordinator, in collaboration with the CMO, Quality, and Director of Case Management, will implement Chesapeake Regional Medical Center's Readmission Reduction Program. This program targets patients readmitted within 30 days of discharge who fall into priority diagnostic groups identified by CMS. Transitional management will be provided to the highest-risk patients for readmissions, with strategies tailored to their level of risk. This role involves a collaborative process to assess, plan, implement, facilitate, and monitor patients along their clinical pathways. The RN, Readmission Prevention Coordinator works closely with navigators, physicians, case management, and coding and billing departments, monitoring and evaluating the services provided to patients.

Requirements

• Bachelor’s Degree in Nursing from an accredited program.
• Five (5) years nursing experience required (preferably related to diagnostic groups such as Cardiac, Neuro, and Respiratory).
• Current RN License.

Nice To Haves

• Prior navigator experience preferred.

Responsibilities

• Attend required hospital-wide orientations, meetings, and in-services.
• Demonstrate a commitment to flexible work scheduling when necessary to ensure patient care.
• Communicate pertinent clinical information to appropriate members of the health care team regarding patient/family desired outcomes and treatment choices.
• Establishes and maintains positive relationships with community and referring physicians.
• Develops and maintains ongoing communication among patient/family providers and site of care to assure continuity and coordination of care.
• Works collaboratively with Chesapeake Regional Healthcare departments to meet the goals and objectives of the program and the health system.
• Documents all activities and decisions related to patient care in compliance with state and national regulatory standards.
• Gathers quality and performance improvement data for the program steering committee.
• Participates in strategic planning.
• Participates in providing education and support to patient/families through support groups, educational information, individual teaching, education programs, and community outreach.
• Responsible for the development, implementation, and maintenance of the Readmission Reduction program.
• Collaborates to reduce readmission rates as it relates to the CMS targeted diagnosis.
• Communicates with all providers and care team if a high-risk readmitted patient arrives at the hospital (ED or other) in an effort to avoid the preventable readmission (i.e., evaluate until admitting practitioner sees patient, provide outpatient options, etc.).
• Maintains current information on community resources, third-party payors, and the managed care environment.
• Knowledgeable of changing rules and regulations, policies, and procedures as they pertain to the Readmission Reduction Program.
• Identifies needs affecting the service of the readmission program, implements corrective action, and evaluates the effectiveness of the corrective action.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level