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Care Coordinator Utilization Review RN PRN Days
at Trinity Healthcare
Department:50001_77500 Case Management
Expected Weekly Hours:0
Position Purpose:The Care Coordinator, in collaboration with other healthcare professionals, is responsible for implementing an interdisciplinary process for evaluating the options and services required to meet an individual’s health care needs from admission to the acute care setting through return to the community for a specific caseload of patients. The care coordinator is also responsible for conducting initial and concurrent chart reviews on Federal and self payers for the purpose of utilization review as well as identifying patients requiring case management follow-up. This includes a biopsychosocial assessment of the patients, their response to treatment, identifying and alerting the physicians of possible actions to reduce delays associated with extended stays. The care coordinator enhances cost-effective use of resources by identifying and initiating discharge planning to accomplish the timely transition of patients to a post-hospital setting. The care coordinator must have in-depth knowledge of system and community resources and referral agencies. The care coordinator is responsible for communicating with external agencies to provide referral information for a smooth transition from hospital to the post-hospital setting. This includes communication with other healthcare agencies and payer sources. This position will also assure proper identification of principal and secondary diagnosis in collaboration with the treating physician.
Job Description Details:
Licensure/Certification/Registration: Current GA RN license. BLS required – must be obtained within initial 90-days of employment.
Education: Must be a graduate of an accredited school of nursing, BSN recommended.
Experience: Must have a minimum of 2 years experience in nursing, preferably in a hospital setting and a minimum of 1 year in case management, utilization management, or discharge planning preferred for RN. Certification in case management preferred.
Special Qualifications: Excellent communication, interpersonal, and critical thinking skills.
Degree of Supervision Required: Indirect and periodic supervision. Must be capable of working independently
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation. It serves people and communities in 22 states from coast to coast with 93 hospitals, and 120 continuing care locations — including home care, hospice, PACE and senior living facilities - that provide nearly 2.5 million visits annually.
Trinity Health employs more than 120,000 colleagues, including 5,300 employed physicians. Committed to those who are poor and underserved in its communities, we are known for our focus on the country's aging population. As a single, unified ministry, Trinity Health is the innovator of Senior Emergency Departments, the largest not-for-profit provider of home health care services — ranked by number of visits — in the nation, as well as the nation’s leading provider of PACE (Program of All Inclusive Care for the Elderly) based on the number of available programs.