Nurse Coordinator RN

Job Overview

This position provides comprehensive care coordination for patients as assigned, including initiation and coordination of incoming and outgoing transfers for higher level of care. This position requires securing physician specialist acceptance, clinical assessment, triage for appropriate level of care and arrangement of appropriate transport resource. This position includes oversight and assistance of activities, including but not limited to, patient registration, bed placement requests, insurance authorizations and arranging patient transportation. Coordinates patient placement among multiple network facilities for admissions and transfers. Coordinates safe patient transfers according to established operational processes and guidelines in place for all service lines at each facility.

Qualifications

• Requires an active BSN RN license in state of practice, temporary RN license in state of practice, or compact RN licensure for current state of practice
• Critical Care Experience (ALS/PALS/BLS), requires knowledge typically achieved with three years of experience in the care of the population served, as well as experience in clinical care operations, case management and/or patient throughput
• Must have a working knowledge of hospital operations, medical/nursing staff procedures, hospital and community resources
• Must demonstrate critical thinking, conflict resolution, time management, and problem-solving skill
• Requires excellent communication skills and an ability to interact well across departments, facilities and organizations
• Excellent organizational and human relations are required to maintain good rapport and effective working relationships with internal and external customers

Scheduling Requirements

• Provide 10 shifts of availability per calendar quarter submitted in the scheduling portal by the 15th of the previous month
• Must work 6 of the 10 shifts submitted
• 12 hour shifts

Essential Functions

• Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes. Assesses patient admissions and continued stay, utilizing standard criteria.
• Facilitates patient throughput to a final destination facility with an ongoing focus on quality and efficiency
• Coordinates patient placement among multiple outreach and network facilities for admissions and transfers. Coordinates safe patient transfers according to established operational processes and guidelines in place for all service lines at each facility. Alerts staff at appropriate entity/agency of incoming/outgoing patients, scheduling bed/services, performs clinical and financial screening of referred patients and coordinates transportation. Serves as a liaison with other departments, leaders and presiding physicians regarding process improvement opportunities for patient flow, patient transfers and efficacy of communication process.
• Manages individual patients across the healthcare continuum to achieve the optimal clinical, financial, operational and satisfaction outcomes. Serves as a liaison for the continuum of care including preadmission, hospitalization, depending on work assignment.
• Maintains process for assessing current referral patterns for selected target areas by identifying physician referral patterns, health related community events, established physician practices and major gatekeepers in outreach and network communities. Establishes and promotes collaborative relationships with physicians, payers and other members of the healthcare team, including non-RWJBH entities. Seeks opportunities to increase the growth of business within the assigned communities, identifying and cultivating potential referral sources relevant to the population served.
• Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. Provides outcome data with targeted audiences including physicians, medical case managers, rehabilitation professionals, insurance adjustors and industrial representatives.
• Serves as a resource to other staff members and promotes a collegiality between staff physicians and leaders. Participates in interdisciplinary healthcare teams to facilitate the integration of managed care concepts within the daily practice standards. Acts as a consultant within the organization and in the community.
• May supervise staff depending on work assignment.
• Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks and participating in professional societies.