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| Job Title: | DC Patient Care Coordinator OC |
| Job Ref No: | 934519082 |
| City: | Silver Spring |
| Job Description: |
The Patient Care Coordinator is responsible for utilization review, discharge planning & transitions in care, in collaboration w/ MAPMG rounder in acute or alternative settings of care. Essential Functions: - Utilization Review. According to department policy, procedure & protocols, consistently apply & verbally communicate approved utilization review criteria & guidelines for services delivered in acute or alternative care settings. - Eligibility & Benefit Verification. Confirm eligibility status & ensure the appropriate administration of benefits in accordance w/ department policies & procedures. - Assessing Right Venue of Care w/ Hospitalist. Collaboration w/ Hospitalist to assess the appropriate level of care for patients (i.e., Medical Unit, Surgical Unit, Tele Unit, TCU, ICU) & post-(Home, Continuum or Community-based Services) hospitalization. - Coordination of Care. Driving patient care plan through assuring daily plan is executed & management of transitions & post-hospital care. - Effective Discharge Planning. Prompt, clinically appropriate discharge planning beginning at time of admission. - Variance Management. Timely steps in identification of delays in throughout, escalation to correct delays & recording delays to identify patterns & trends that will require corrective actions. - Quality Screening. Demonstrate competency to assess all aspects of care across the continuum for variations from quality & utilization standards. - Performs other related duties as directed. Qualifications: Schedule Details: - This position has a rotating schedule to include weekends and holidays. Basic Qualifications: - 2 years of experience in acute hospital utilization review or equivalent required. - RN License in jurisdiction where assigned required. - CPR certification required. - New Hire: -Successful completion of PCC Orientation & Assessment of Critical Skills. - Passing score on inter-rater reliability. - Annually: -Successful completion of PCC Assessment of Critical Skills. -Passing score on inter-rater reliability. - Ability to effectively communicate. - Ability to conform to established policies & procedures. - Ability to analytically problem solve & make decisions. - Ability to tolerate & cope w/ ambiguity. - Ability to work as a team member. - Proficiency in the use of applicable computer software. - Demonstrated ability to effectively & clearly present information through the written word, to influence or persuade others through oral presentation in positive or negative circumstances & to listen well. - Demonstrated ability to write clearly, legibly & effectively, to present ideas & document activities, to read & interpret written information. Preferred Qualifications: - Recent acute care, case management, or home health experience preferred. - BSN preferred. |
| Employer: |
Kaiser Permanente. |
| Post Date: | 05/20/2012 |
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