Sep 18, 2020
Memorial Health System
Marietta, OH 45750, USA
In an environment of continuous quality improvement, the Care Coordinator is responsible for facilitating patient-centered care coordination and the provision of high quality patient care within fiscally expedient time frames in a healthcare setting. Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times.
Bachelor's Degree in Nursing preferred
Minimum of one year of experience in care management or clinical setting required
Licensed in the State of Ohio as a Registered Nurse with a nursing degree
Must have clinical (medical) background and understanding of treatment modalities
Must be knowledgeable in allied health sciences, appropriate levels of care and the health care delivery system
Must have an understanding of Medicare criteria and standards, including diagnostic related groups, ICD-10-CM coding
Strong communication skills with ability to discuss patients' clinical courses with physicians at the physician level
Verbal and written communication skills, especially ability to provide constructive feedback
Problem solving, critical thinking skills
Ability to work independently and take initiative
Adapts well to change
Additional Requirements for Clinic Operations: Licensed in the State of Ohio and West Virginia as a Registered Nurse with a nursing degree
1. Performs patient assessment to identify pertinent patient problems/needs by direct interaction with the patient and by screening/reviewing of the patient's medical records to develop patient plan of care.
2. Collaborates with the multidisciplinary care management team regarding the individualization of the patient care plan by identifying care gaps using risk stratification in order to promote efficient use of hospital resources, facilitate timely transitions, and promote quality patient care.
3. Collects and records all clinical data, based on predetermined quality and outcome indicators developed by the Medical staff, Directors, Patient-Centered Medical Home, and Medical Neighborhood initiatives.
4. Coordinates continuity of patient care with external healthcare organizations and facilities, including the process of hospital admission and discharge and referrals from the primary care provider to a specialty care provider.
5. Evaluates clinical care, utilization of resources, and development of standardized work.
6. Assumes all other duties and responsibilities as necessary.
1. Determines appropriateness of admission and severity of illness compared to pre-established criteria standards utilized by all third party payers.
1. Facilitates health and disease patient education, including leading group office visits, supporting patient self-management of disease and behavior modification interventions.