What are the responsibilities and job description for the Care Coordinator - Discharge Planning & Utilization Review position at CentraState Healthcare System?
Overview
Facilitates patient care from pre-admission to discharge by managing, coordinating, and monitoring resources to achieve optimal financial outcomes, resource utilization and quality service.
Responsibilities
- Provides education to the patient/family regarding the disease processes and planned treatment/intervention as it relates to discharge plans.
- Reviews hospital records to determine medical necessity for admission and continued stay according to specific criteria and regulations.
- Utilizes effective communication strategy with patients, family, physicians, nurses, staff members and other professionals to achieve desirable or acceptable patient outcomes and a perception of satisfaction from the individuals involved.
- Plans, organizes and prioritizes work to obtain the greatest impact on clinical, financial and service outcomes.
- Facilitates post-hospitalization discharge needs of the high risk patient. Coordinates services in conjunction with social worker.
- Demonstrates ability to accomplish quality of care and length of stay goals.
- Maintains communications with all relevant services to ensure quality care and timely discharge planning.
- Flags and refers quality issues, suggests solutions and facilitates implementation of selected solutions.
- Actively seeks innovative methods for improving service in the area of case management. Participates in RAC audit steering committees and post-acute tracking.
- Provides guidance and direction in discharge planning to social workers.
- Collects and documents accurate data within established time frame.
- Billing certifications needed for one day stay admissions, level of care changes and denied day are faxed to the billing department within 3 days of patient's discharge.
- Assesses and identifies patients requiring Case Management intervention in the Emergency Department.
- Collaborates with other team members to assure appropriate bed assignment and admission through application of Interqual criteria.
- Develops an initial discharge plan for selected patients in both Emergency Department admitted patients and observation patients.
- Offers alternative care settings when criteria indicates a need or additional clinical documentation is required.
- Participates in performance improvement activities in Emergency Department in an effort to provide optimal outcomes and patient and staff satisfaction.
- Serves as a resource to the Emergency Department and hospital as it relates to System/community resources and nursing care facilities for OBS, ED, and admitted patients.
- Works with Emergency Department and attending physician to facilitate use of admission order sets.
Qualifications
- BSN or Bachelor’s Degree in related field.
- Minimum two years of acute care clinical hospital experience.
- RN license required/NJ.
- Knowledge of utilization, quality improvement, case management or discharge planning.
- Computer literacy preferred.
- Strong professional, organizational, and interpersonal skills to effectively relate with all members of the healthcare team.
About Us
CentraState Healthcare System, a partner of Atlantic Health System, is a fully accredited, not-for-profit, community-based health system that provides comprehensive health services in the central New Jersey region. In addition to offering a full range of leading-edge diagnostic and treatment options, CentraState serves as a valuable health partner focused on the latest ways to prevent disease, promote healthy behaviors, and help people of all ages live life well. Based in Freehold, CentraState is comprised of a 284-bed acute-care hospital, a vibrant health and wellness campus, two award-winning senior living communities, a charitable foundation, and convenient satellite health pavilions offering primary care and specialty physician practices, along with access to outpatient services, such as lab and physical therapy. The system also offers a family medicine residency and geriatric fellowship training program in affiliation with Rutgers Robert Wood Johnson Medical School. Among its many honors and accreditations, CentraState is one of less than two percent of hospitals nationwide to earn Magnet® designation for nursing excellence four times and was designated a Great Place to Work-Certified™ Company by Great Place to Work® for the fourth consecutive year.
When you bring your talent to CentraState, you are joining a trailblazing healthcare facility, committed to providing high-quality, patient-focused care. Join us in making incredible strides in health care, and making a difference in our community. We believe in enriching the lives of our employees through work/life balance initiatives, tuition assistance, career advancement opportunities and much more.
Find out why our employees love their jobs and being part of the CentraState family!
What We Offer:
- Highly competitive compensation
- Excellent benefits package and rewards program
- 403(b) retirement plan with company match
- 401(a) retirement plan with employer contribution
- Life Insurance
- Tuition Reimbursement Program
- Growth Opportunity and Workforce Development Initiatives
- Continuing Education / Onsite Training
- A warm, welcoming company culture based upon mutual respect and a collaborative goal of providing excellent patient care
- Concierge Services with Work & Family Benefits
- Magnet recognized healthcare facility
