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Patient Care Coordinator

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Patient Care Coordinator at ScionHealth summary:

As a Patient Care Coordinator, I facilitate and coordinate patient care by collaborating with interdisciplinary teams to optimize treatment while ensuring compliance with external review agencies. I conduct comprehensive assessments and discharge planning, and serve as a patient advocate to promote continuity of care and satisfaction. With expertise in case management and resource utilization, I am dedicated to delivering a high-quality and empathetic experience for every patient and their families.

Description

At Scion It Starts With Me.

Our commitment is to deliver excellence and an empathetic human experience to every patient, every family member, every employee, every time. We do this through our Core Values which help in guiding our work every day.

Job Summary: The Case Manager II coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.

Essential Functions:

Care Coordination

Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.
Monitors all areas of patients' stay for effective care coordination and efficient care facilitation.
Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care.
Appropriately refers high risk patients who would benefit from additional support.
Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient's and family's ability to make informed decisions.
Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.
Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post hospital needs. Collaborates with clinical staff in the development and execution of the plan of care, and achievement of goals.
Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients' care throughout the care continuum.

Discharge Planning

Conducts comprehensive, ongoing assessment of patients to provide timely and safe discharge planning.
Provide comprehensive discharge planning for each patient. Utilizes critical thinking to develop and execute effective discharge planning.
Coordinates and communicates with patient/family efficiently and effectively.

Utilization Management

Conducts medical necessity review for appropriate utilization of services from admission through discharge.
Promotes effective and efficient utilization of clinical resources.
Conducts timely and accurate clinical reviews, care collaboration and coordination of continued stay authorization with payor.

Qualifications

Education :

Graduate of an accredited program required:

RN, BSN preferred

Master of Social Work with licensure as required by state regulations;

Bachelor of Social Work with licensure as required by state regulations

Licenses/Certification :

Healthcare professional licensure required as Registered Nurse or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.
Certification in Case Management preferred.

Experience :

Two years of experience in healthcare setting preferred.
Prefer prior experience in case management, utilization review, or discharge planning.

Knowledge/Skills/Abilities/Expectations:

Knowledge of government and non-government payor practices, regulations, standards and reimbursement.
Knowledge of Medicare benefits and insurance processes and contracts.
Knowledge of accreditation standards and compliance requirements.

Keywords:

Patient Care Coordinator, Case Management, Healthcare, Care Coordination, Discharge Planning, Utilization Management, Patient Advocacy, Interdisciplinary Team, Care Continuum, Healthcare Compliance

Average salary estimate

$70000 / YEARLY (est.)

min

max

$60000K

$80000K

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What You Should Know About Patient Care Coordinator, ScionHealth

As a Patient Care Coordinator at ScionHealth, you'll embark on a rewarding journey of enhancing patient care while collaborating with multidisciplinary teams. In this pivotal role based in Georgetown, TX, your primary mission will be to coordinate and facilitate exceptional patient care, ensuring smooth transitions throughout the healthcare landscape. You'll engage with the Interdisciplinary Care Transitions (ICT) team and provide comprehensive assessments while serving as a patient advocate, promoting satisfaction and continuity of care. Alongside your colleagues, you'll monitor patient experiences, optimize resource utilization, and ensure compliance with external review agencies. Your role is not just a job; it's about making a difference in the lives of patients and their families. With a focus on effective communication, you'll help guide families through the complexities of healthcare decisions and discharge planning. Join us at ScionHealth, where our belief in delivering excellence and empathy drives everything we do. You will find that your expertise can transform patient experiences and that every day is an opportunity to enact meaningful change. Here, we emphasize professional growth, continuous learning, and compassionate service to foster a supportive environment for all staff and patients alike. If you are committed to creating an empathetic human experience and thrive in a collaborative setting, the Patient Care Coordinator position at ScionHealth might be the perfect fit for you.

Frequently Asked Questions (FAQs) for Patient Care Coordinator Role at ScionHealth

What are the main responsibilities of a Patient Care Coordinator at ScionHealth?

As a Patient Care Coordinator at ScionHealth, your main responsibilities will include coordinating clinical and psycho-social activities with the interdisciplinary care team, monitoring patient stays, conducting comprehensive assessments for discharge planning, and ensuring compliance with healthcare regulations. You will also act as a patient advocate, helping to communicate critical information to patients and their families, and facilitating the best care transitions throughout their healthcare journey.