PRN Clin Resource Coordinator at HUP

Job Summary

Monitors appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor, with timely coordination of home care, DME, placements, hospice, community resources, transportation, and quality data collection and risk management referral.

Accountabilities

• Utilization management activities: monitor appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor
• Discharge planning activities: timely coordination of home care, DME, placements, hospice, community resources, transportation
• Quality data collection and risk management referral

Works with patient and family

• Assures provision of choice in post hospital setting
• Educates patient / customers regarding scope and limitations of health care / insurance benefits
• Respects each patient’s / customer’s personal dignity, right to privacy and confidentiality
• Communicates expected discharge time frame

Recognizes and provides care based on the unique chronological issues and needs of the older adult

• Interacts with the patient and family in a developmentally appropriate manner

Discharge Planning

• Completes timely and detailed assessment of patient and family social, emotional and/or discharge needs and health care benefits
• Develops and facilitates specific plan to address problems and/or concerns identified by patients, families and health care team
• Identifies and consistently documents delays; elevates issues appropriately
• Effectively communicates discharge plan with patients, families and health care team
• Documents ongoing assessments and plan of care in patient record (Canopy)
• Successfully assists patient in moving to the next level of care with transfers to home, agencies, and facilities and with referral to appropriate community resources
• Participates and drives accountability in daily interdisciplinary meetings

Utilization Management

• Adheres to guidelines to satisfy 3rd party payer requirements
• Edits team in appropriate documentation to reflect Intensity of service (IS) / Severity of Illness (SI) and plan of care
• Proactively addresses level of care issues to ensure appropriate care settings and timely patient flow; elevates issues appropriately
• Enters all review activity in Canopy concurrently
• Accounts for all patient days accurately in Canopy
• Enters review indicating “pending” status of case if outcome not determined and accounts for all cases assigned on a daily basis
• Collections and submits data as indicated
• Completes readmission screen as indicated

Quality Improvement and Risk Management

• Collects and submits data as indicated
• Communicates with service line / clinical effectiveness team members
• Identifies and appropriately communicates risk management issues
• Works with department leadership to develop and implement solutions to issues identified by the Case Management and Accountabilities Social Work Department

New Technology / Computer Systems

• Keeps current with new systems (MedView, On Base, SafetyNet, Sunrise, etc.)
• Incorporates technology into daily assignment (Outlook, Canopy, CERME, ECIN, shared drive, Internet)
• Performs duties in accordance with Penn Medicine and entity values, polices, and procedures

Qualifications

• Education/Experience Req: Bachelor's Degree Nursing X 2+ years Clinical Experience
• PA Licensure RN