Registered Nurse - Unit Clinical Care Coordinator - Full Time

Responsibilities

• PARTNERS WITH PLC AND OTHER CARE COORDINATION ROLES TO FACILITATE PATIENT PROGRESSION OF CARE.
• PROVIDES PLC WITH TIMELY VISIBILITY TO POTENTIAL UNIT TRANSFERS AND DISCHARGES.
• ENSURES CARE LOGISTICS SOFTWARE ACCURATELY REFLECTS UNIT AND PATIENT STATUS, INCLUDING TRANSFERS, DISCHARGES, AND PATIENT LOCATION.
• REVIEWS PHYSICIAN ADMISSION ORDERS AND VALIDATES STATUS AND LEVEL OF CARE; MANAGES OBSERVATION HOURS AND INPATIENT TARGET LOS.
• EVALUATES DISCHARGE NEEDS UPON ADMISSION AND ENSURES A COMPLETE DISCHARGE PLAN; REFERS COMPLEX CASES TO APPROPRIATE ROLES.
• COLLABORATES WITH UNIT STAFF AND SUPPORT TEAMS TO PROGRESS PATIENT CARE TOWARD DISCHARGE AND EXPEDITE UNIT FLOW FOR ADMITS, TRANSFERS, AND DISCHARGES.
• AUDITS AND DOCUMENTS REQUIRED CARE MANAGEMENT FUNCTIONS, INCLUDING DISCHARGE PLANNING ASSESSMENTS AND COORDINATION OF SIMPLE DISCHARGES SUCH AS HOME HEALTH, DME, OR DIALYSIS.
• OVERSEES COMPLETION OF PRE-PROCEDURAL REQUIREMENTS AND COMMUNICATES READINESS OR BARRELS TO THE ORDER ORGANIZER.
• IDENTIFIES OPPORTUNITIES TO TRANSITION TESTING TO OUTPATIENT SETTINGS AND ESCALATES AS APPROPRIATE.
• MANTAINS DAILY COMMUNICATION WITH PHYSICIANS THROUGH SNAP HUDDLES OR EPIC TO ADDRESS PROGRESSION AND DISCHARGE BARRELS.
• MANAGES AND UPDATES CARE ADVANCE IN REAL TIME.
• IDENTIFIES PATIENTS AT RISK FOR READMISSION AND COMMUNICATES FINDINGS TO THE CARE TEAM; VERIFIES COMPLETION OF READMISSION ASSESSMENTS.
• REVIEWS EXPECTED DISCHARGE DATES, TARGET LOS, AND WORKING DRG DAILY; COLLABORATES WITH CDI TEAM FOR DRG UPDATES AND DOCUMENTATION QUERIES.
• ASSIGNS AND RESOLVES DISCHARGE NEEDS AND BARRELS WITH NURSING AND CARE TEAM ROLES; INITIATES INTERVENTIONS AS NEEDED.
• MONITORS PATIENTS IN OBSERVATION OR OUTPATIENT STATUS AND UPDATES STATUS APPROPRIATELY.
• COORDINATES SEQUENCING OF CARE AND INTERVENTIONS WITH PHYSICIANS AND NURSES; ENSURES APPROPRIATE ORDER SETS AND PROTOCOLS ARE INITIATED.
• COLLABORATES WITH PLC, ED, SURGICAL TEAMS, PROVIDERS, AND OTHER DISCIPLINES ON PATIENT PROGRESSION AND CARE COORDINATION.
• WORKS WITH PLC PROGRAM ASSISTANT FOR TRANSPORTATION AND OTHER CARE ARRANGEMENTS.
• COMMUNICATES DISCHARGE GOALS AND PLANS WITH PATIENTS AND FAMILIES IN COLLABORATION WITH PROVIDERS AND CARE TEAM; ADDRESSES CONCERNS AND ARRANGES FAMILY MEETINGS AS NEEDED.
• UPDATES PATIENT STATUS AND PLANNED DISCHARGE TIMES IN CARE LOGISTICS SOFTWARE AND EMR.
• COLLABORATES WITH UTILIZATION REVIEW NURSES ON STATUS CHANGES AND DELIVERS REGULATORY LETTERS WHEN REQUIRED.
• SERVES AS CONSULTANT AND EDUCATOR FOR MEDICAL STAFF REGARDING PATIENT STATUS, PLACEMENT, PAYER REQUIREMENTS, AND RESOURCE UTILIZATION.
• PROACTIVELY IDENTIFIES AND REMOVES BARRIERS TO PATIENT FLOW AT THE UNIT AND SYSTEM LEVEL.
• MEETS DEADLINES AND EXCEEDS FACILITY AND UNIT METRICS THROUGH ADHERENCE TO POLICIES AND STANDARD OPERATING PROCEDURES.

Qualifications

• EXCELLENT WRITTEN/VERBAL COMMUNICATION AND INTERPERSONAL SKILLS WITH ALL LEVELS OF INTERNAL AND EXTERNAL CUSTOMERS, CRITICAL THINKING SKILLS, CREATIVE PROBLEM SOLVING, PROFICIENT ORGANIZATION, AND PLANNING.
• MUST BE SELF-DIRECTED AND CAN TOLERATE FREQUENT INTERRUPTIONS AND A DEMANDING WORKLOAD.
• KNOWLEDGE OF FUNDING, RESOURCES, SERVICES, CLINICAL STANDARDS, AND OUTCOMES IS PREFERRED.
• DEMONSTRATED ABILITY TO BE CREATIVE, INNOVATIVE, AND FLEXIBLE IN RESPONDING TO RAPIDLY CHANGING NEEDS AND PRIORITIES.