Catholic Health Initiatives RN Care Coordinator- Care Coordination in DES MOINES, Iowa

RN Care Coordinator- Care Coordination

Description

Develops,

coordinates and oversees the implementation of patient specific plan of

care. Works collaboratively with physicians,

staff, and other health care professionals/agencies to negotiate care

coordination across the health care continuum for disease specific

populations. Communicates feedback about

progress towards client goals with appropriate individual/groups at specific

intervals. Collaborates with other

services and disciplines, and when appropriate, the client’s medical physician

and/or related health care professionals/agencies to enhance a holistic

approach to patient care. Ensures

safety, best practice, and high quality standards of care are maintained across

the continuum. Is accountable for Care Management

evaluation including: data capture and analysis, outcome achievement, and

fiscal responsibility in an effort to improve service, quality and cost provided

to the clients served.

ESSENTIAL FUNCTIONS :

  • Completes a comprehensive assessment of the

client’s holistic health status and needs to include clinical condition,

support systems and resources, client/family knowledge, perception and

adjustment towards disease process, and community resources.

  • Screens patients/clients for identified and

potential needs. Makes referral to

appropriate multi-disciplinary services.

  • Documents case management plan to include:

assessment, client/family participation and understanding, consult referrals

and discharge plan of care.

  • Educates staff, clients/families, and medical

community on care coordination and regulatory issues that impact care and

outcomes.

  • Documents

clearly and timely in the Electronic Health Record and other required systems

to insure effective communications along the continuum.

  • Collaborates

with Utilization Management staff regarding payer information, level of care

and status determinations for patients.

  • Understands

and self manages to support facility/CIN level success goals; including

improvements in quality, cost of care and member experience for the

facility/CIN’s population.

  • Identifies

opportunities for improvement (at individual, facility/CIN levels and actively

works with healthcare and facility/CIN team to correct or improve results.

  • Develops and utilizes tools available to

effectively evaluate, summarize and communicate patient’s progress toward

outcomes to members of the healthcare team and patient and family.

  • Has a working knowledge of financial and

reimbursement processes Medicare DRG payment, Case Rates, Managed Care Risk

Contracting, etc.

  • Coordinates and conducts patient care rounds and

family conferences.

  • Collaborates with Unit Director in

strategies/tactics to achieve unit based goals such as quality, financial, and

safety indicators.

  • Demonstrates a wide theory/research base that

supports sound clinical and psychological orientation. Specific knowledge regarding pathophysiology,

natural history of disease processes, and impact on functional ability and

level of care.

  • Serves as a professional role model/mentor and

change agent to develop and assist others.

  • Other

duties as assigned by CIN Director/Care Management/Social Services Manager.

Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

  • Possession

of a current or compact state license as a Registered Nurse issued/defined by

the State of Iowa

  • Three years RN or Care Coordination experience, required.

  • Bachelor’s degree in nursing or actively pursuing

(at least six credits per year). A Bachelor’s degree in a related field

is also acceptable. .

  • Proof of completionof Mandatory Reporter abuse training specific to population served within three(3) months of hire.

Job RN

Primary Location IOWA-DES MOINES-MERCY MEDICAL CENTER

Daily Schedule Days

Scheduled Hours per 2-week Pay Period 80

Weekends Required Occasional

Req ID: 2018-R0157911

We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.