Weekend RN Care Coordinator, Part Time

About the position

The Care Coordinator is responsible for the achievement of optimal health for the patient, access to care and appropriate utilization of resources. The patient's plan of care will be balanced with their right to self-determination and patient/caregiver choice. The Care Coordinator, with respect to payer requirements, will ensure timely notification and communication of pertinent clinical data to support admission, clinical condition, continued stay and authorization of post-acute services.

Responsibilities

• Assess patients for clinical, psychosocial, financial and operational factors that may affect the progression of care.
• Collaborate with clinical team to reduce inpatient length of stay and reduce readmissions across the organization.
• Perform and document appropriate admission and continued stay reviews using current InterQual/Milliman Care Guidelines criteria on assigned patients.
• Develop an effective transition plan based on the health care team's assessment, patient choice and available resources.
• Actively participate in CTR rounds; interpret, and integrate the patient's story into the overall multidisciplinary plan of care.
• Develop and implement corrective action plans for resolution of complex problematic issues and elevate to management as necessary.
• Document appropriately per care coordination policy.
• Collaborate with Physician Advisor for complex issues related to the medical plan of care.
• Actively participate in clinical performance improvement activities as assigned.
• Remain current on clinical practice and protocols impacting clinical reimbursement.

Requirements

• Graduate of an approved registered nursing program with current RN license in the State of Maryland.
• Three years of experience in an acute care hospital.
• Experience in case management and/or utilization management preferred.
• Demonstrated excellent verbal and written communication, interpersonal and organizational skills required.
• Ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age specific needs.

Benefits

• Pay Range: $40.61- $60.96
• Review the 2024-2025 UMMS Benefits Guide