RN Lead Care Coordinator Full Time Days

Position Summary

At Baptist Health, our mission is to improve the health and quality of life for the individuals and communities we serve.

Baptist Health Princeton Hospital offers great NEW competitive pay and benefits!

• Medical, Dental, Vision
• 403(b) Retirement Savings Plan w/matching
• Health Savings Account (HSA)
• Flexible Spending Account (FSA)
• Paid Time Off (up to 5 weeks to start)
• Life Insurance
• Extended Leave Plan (ELP)
• Family Care (childcare, elder care, pet care)
• Educational Benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt

ALL benefits start on day one!

 

Position Summary

Collaborates with the assigned care coordination team to include clinical support, guidance, and educational direction while also identifying patients most likely to benefit from care coordination services to include assessing patients' risk factors, the need for care coordination, clinical utilization management, and preventative care services.

Responsibilities

Essential Functions

• Takes the lead in ensuring the continuity and consistency of care across the continuum (inpatient, emergency, and ambulatory care/outpatient) to ensure integrated delivery across all settings to include the facilitation comprehensive discharge planning (in the hospital) and follow-up care (as an outpatient).
• Develops an effective working relationship with the Licensed Mental Health Counselors/ Social Workers and the UR nurses to engage the patient/family to collaborate, advocate and problem solve, and to support and enhance their functional ability while ensuring an appropriate and timely discharge plan.
• Assists in collaboration with the assigned team to identify patients most likely to benefit from care coordination services to include assessing the patient's risk factors and needs for care coordination, clinical utilization management services, and preventative services.
• Serves as mentor to care coordination team through guidance, education, and motivation.
• Daily monitoring of team performance and progress towards discharge plans and/ or need to alter discharge plan due to change in patient condition / family needs, with a priority placed on those patients at highest risk for complication/ admission/ readmission.
• Develops collaborative relationships with the site patient care administrators, medical staff leadership, managed care contractors, and community leaders.
• Ensures all patient care activities support established clinical standards of care and comply with various regulatory agencies and consider age specific, developmental, and cultural needs of the patient population served.
• Promotes and models appropriate professional behavior as described in the Code of Conduct.
• Demonstrates a passion for service excellence and commitment to “Patient First” goals.
• Achieves results by developing strategies to manage patient care across the continuum, focusing on high risk, high cost, and problem prone areas to include patient at risk for re-admission.
• Supports processes for clinical quality/ cost-improvement initiatives, preventing re-hospitalizations.
• Builds and maintains effective partnership and relationships with other healthcare teams.
• Conducts regular guidance and collaboration of team members.
• Embraces, promotes, and communicates change.
• Facilitates and supports team member involvement in professional and organizational activities.
• Demonstrates professional accountability by maintaining proficiency in assigned role.
• Holds self and others accountable to Orlando Health’s mission, vision, and values.
• Contributes to problem solving within the team through communication, collaboration, data collection, obtaining consensus, and evaluating outcomes of treatment options to include tracking patient progress towards care plan goals, and revising the care plan as indicated.
• Advocates for patients in order to optimize their health care needs including but not limited to safety, physical, legal, and financial well-being.
• Monitors completion and compliance of discharge assessments.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
• Takes the lead in ensuring the continuity and consistency of care across the continuum (inpatient, emergency, and ambulatory care/outpatient) to ensure integrated delivery across all settings to include the facilitation comprehensive discharge planning (in the hospital) and follow-up care (as an outpatient).
• Develops an effective working relationship with the Licensed Mental Health Counselors/ Social Workers and the UR nurses to engage the patient/family to collaborate, advocate and problem solve, and to support and enhance their functional ability while ensuring an appropriate and timely discharge plan.
• Assists in collaboration with the assigned team to identify patients most likely to benefit from care coordination services to include assessing the patient's risk factors and needs for care coordination, clinical utilization management services, and preventative services.
• Serves as mentor to care coordination team through guidance, education, and motivation.
• Daily monitoring of team performance and progress towards discharge plans and/ or need to alter discharge plan due to change in patient condition / family needs, with a priority placed on those patients at highest risk for complication/ admission/ readmission.
• Develops collaborative relationships with the site patient care administrators, medical staff leadership, managed care contractors, and community leaders.
• Ensures all patient care activities support established clinical standards of care and comply with various regulatory agencies and consider age specific, developmental, and cultural needs of the patient population served.
• Promotes and models appropriate professional behavior as described in the Code of Conduct.
• Demonstrates a passion for service excellence and commitment to “Patient First” goals.
• Achieves results by developing strategies to manage patient care across the continuum, focusing on high risk, high cost, and problem prone areas to include patient at risk for re-admission.
• Supports processes for clinical quality/ cost-improvement initiatives, preventing re-hospitalizations.
• Builds and maintains effective partnership and relationships with other healthcare teams.
• Conducts regular guidance and collaboration of team members.
• Embraces, promotes, and communicates change.
• Facilitates and supports team member involvement in professional and organizational activities.
• Demonstrates professional accountability by maintaining proficiency in assigned role.
• Holds self and others accountable to Orlando Health’s mission, vision, and values.
• Contributes to problem solving within the team through communication, collaboration, data collection, obtaining consensus, and evaluating outcomes of treatment options to include tracking patient progress towards care plan goals, and revising the care plan as indicated.
• Advocates for patients in order to optimize their health care needs including but not limited to safety, physical, legal, and financial well-being.
• Monitors completion and compliance of discharge assessments.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards.
• Maintains compliance with all Orlando Health policies and procedures.

 

Other Related Functions

• Knowledge of hospital and department policies and procedures as well as knowledge of regulatory requirements relevant to the case management/ care coordination department.
• Possesses excellent analytical and team building skills, as well as the ability to prioritize and work independently.
• Ability to compile, analyze, and interpret data to include the advanced application in spreadsheet generation and the use of graphics, database management, and word processing software.
• Maintains confidentiality of data and information.
• Provides direct patient interventions when determined necessary.
• Maintains level of knowledge of expertise in the leading-edge developments in the field of the profession.
• Performs other duties as assigned or required.

Qualifications

Education/Training

• Graduate of an approved school of nursing (RN). required or
• Masters in Social Work (MSW), Mental Health (MHC) or Marriage and Family Therapy (MFT) from an accredited program. required

 

Licensure/Certification

• Alabama RN license required and maintained current if graduated from an approved school of nursing. required

 

Experience

• 2 Years Related healthcare experience and/or supervisory experience in the community with an emphasis on the population to be served in the assigned area. required