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Presence Health
Location: Urbana, IL 61801 Document ID: AB216-1MM3 Posted on: 2017-07-2007/20/2017 Job Type: RegularJob Schedule:Full-time
2017-08-19
Care Coordinator - Care Management - Presence Covenant Medical Center
Requisition ID: 34565
Location: Presence Covenant Medical Ctr
Location Address:
1400 West Park Street, Urbana, 117015 61801 United States (US)
Daily Hours: 8
Standard Hours: 40
Employment Status: Full-time
Employment Type: Regular
Shift: Day
FLSA: E
The Care Coordinator performs as an integral part of the interdiciplinary team to effectively ensure optimal outcomes and length of stay efficiency. Identificates of actual or potential quality/risk indicators in compliance with regulations and organizational goals. Provides discharge planning of these patients. Considers payer requirements and responds accordingly to avoid adverse financial consequence.
Conducts admission reviews of patient admission or observation stay to ensure appropriateness of the setting and communicates this to the appropriate physician.
Collaborates with the patient/family, multidisciplinary team including physicians and payers, ensures the patient's progress through the acute episode of care to discharge in an efficient and cost effective manner for assigned case load.
Demonstrates appropiate clinical knowledge to assist physicians in providing complete documentation of severity of illness and intensity of service, assuring criteria for acute care hospitaqlization is met.
Maintains and ensures adherence to clinical guidelines, tools and protocols through collaboration with multidisciplinary team. Tracks variances.
Coordinates to ensure third party payer pre-certification and/or recertifications when required and advises patient and physicians of same. Intervenes to avoid concurrent denial of services by planning care and discharge with the attending physician, Medical Advisor, Care Management Director, and health care team.
Education and/or Experience
High School diploma required. Minimum five years of clinical experience as a Registered nurse required.
Bachelor's degree in Nursing preferred.
Registered Nurse with a current Illinois License required.
Business Unit: Presence Covenant Med Center
COMPANY OVERVIEW:
EOE of Minorities/Females/Vets/Disability