RN Care Coordinator – Care Management – FT Days *$5,000 Hiring Incentive*

Primary Purpose

Establishes and maintains an efficient, cost effective care management process by determining patient financial and medical eligibility, medical necessity, and by developing, implementing and monitoring individual patient plans of care and communicating these plans to patients, families, and Parkland staff to ensure quality patient care throughout the healthcare continuum and compliance with program/Parkland policies and procedures. Responsible for the maintaining the knowledge and skill set related to utilization review, care coordination, performance improvement and professional licensure and certification.

Benefits

• Medical – Active Day 1 of hire
• Dental
• Vision
• Life Insurance
• Disability Insurance
• Pension Plan
• Flexible Spending Accounts
• Paid Personal Leave
• Tuition Reimbursement
• Employee Health Center
• Parkland Center of Nursing Excellence
• SPARKS Peer Support Network
• And more!

MINIMUM SPECIFICATIONS

Education: Must be a graduate of an accredited school of Nursing.

Experience: Must have two (2) years of hospital or community based patient care nursing, preferably in assigned clinical area. Prefer case management, utilization review, and/or discharge planning experience.
Certification/Registration/Licensure

• Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license.
• Must have current healthcare provider CPR course completion card from one of the following: – American Heart Association – American Red Cross – Military Training Network
• Care Management and Utilization Management Services Only
• Preferred Healthcare provider CPR course completion card.

Skills Or Special Abilities

• Provides care to assigned patient population in accordance with the current State of Texas Nursing Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards.
• Must be able to communicate and collaborate effectively with a diverse group of patients, families and healthcare staff.
• Must be able to demonstrate a working knowledge of specific patient populations, and be able to demonstrate knowledge of disease processes affecting this group.
• Must be able to demonstrate a working knowledge of PC operations and the ability to use word processing software in a Windows environment.
• Must be able to demonstrate a working knowledge of the laws and regulations governing Medicare, Medicaid and community-based funding sources.
• Must be self-directed and capable of priority setting and problem-solving.
• Must be able to demonstrate patient-centered/patient-valued behaviors.

Responsibilities

• Conducts assessment of patients on assigned Care Coordination team to develop a case management plan of care. Gathers information from patient, physicians, other pertinent members of the healthcare team. Determines funding sources for patients and potential eligibility if appropriate. Plans and develops specific objectives, goals and actions designed to meet the patient’s needs as identified through the assessment process. Utilizes hospital approved review criteria to ensure appropriate bed status. Identifies at-risk populations using approved screening tool and follows established reporting procedures. Ensures appropriate admission status is documented.
• Collaborates with all members of the multidisciplinary team and the patient to implement the plan of care. Monitors the patient¿s progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective. Communicates all financial counseling as appropriate. Addresses and resolves system barriers impeding diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles to discharge. Ensures/maintains plan consensus from patient/family, physician, and payer. Serves as the ¿brokering¿ agent as patient advocate to secure coverage for needed community services. Mobilizes resources and coordinates the effort to the health care team to achieve a positive patient transition to appropriate next level of care.
• Communicates plan of care to patient and their family providing updates and reassesses the plan of care to determine effectiveness. Completes appropriate coordinator management documentation. Evaluates the plan of care at appropriate intervals to determine effectiveness in meeting outcomes and goals. Works with nursing and other disciplines to ensure that discharge needs, including teaching, are met.