Posted in Other 30+ days ago.
Location: Boston, Massachusetts
GENERAL SUMMARY / OVERVIEW STATEMENT
At Brigham Health, we place great value on being a diverse and inclusive community. Brigham Health and the Department of Nursing are dedicated to diversity, equity and inclusion as we aim to reflect the diversity of the patients in our local community. We have a dedicated focus on equity. Thus, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum or human diversity: race, gender, sexual orientation, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.
The RN Care Coordinator (RNCC) manages a caseload of patients and is responsible for ensuring care that supports desired clinical and financial outcomes. Has the skills and knowledge specific to the unique needs of assigned patients. Coordinating the care prescribed by an interdisciplinary team, the RNCC utilizes patient assessment, care guidelines, protocols, payer regulations and response to therapies to assess the episode of illness from pre admission to post discharge. Participates in the ongoing evaluation of practice patterns and systems and supports efforts to improve quality, cost and satisfaction outcomes. Mobilizes resources to maximize efficiency of care delivery.
PRINCIPAL DUTIES AND RESPONSIBILITIES
A. Care Facilitation
Coordinates and insures implementation of the plan of care, utilizing case management principles.
Coordinates and executes the discharge planning process for patients, ensuring each patient has a discharge plan.
Collaborates with appropriate individuals, departments, and payers to insure appropriateness of admission, continued days of stay, and reimbursement.
Qualifications
Graduate of an approved school of nursing with current registration in Massachusetts. Bachelor of Science Degree in Nursing is required for external applicants.
Knowledge and skills to differentiate levels of care required.
Five years of previous acute care experience in related clinical specialty preferred.
Two or more years' experience with hospital utilization review and medical criteria sets preferred.
Five years of experience with discharge planning, knowledge of community resources and patient education principles preferred as a case manager.
Certification in case management preferred.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
Skills and Abilities
Previous experience in a hospital or health care setting; bilingual (English/Spanish) preferred; strong clinical assessment skills; excellent interpersonal skills including ability to work collaboratively and cooperatively within a team and with internal and external customers; strong organizational skill and ability to set priorities; ability to compile data from concurrent and retrospective medical record review to determine clinical appropriateness, able to demonstrate the ability to meet a patient's needs based on their clinical diagnosis, level of care and discharge plan; ability to negotiate several aspects of care coordination simultaneously; excellent written and verbal communication skills
WORKING CONDITIONS
Works in a busy and at times stressful hospital and office environment. Must be flexible and able to work well independently
SUPERVISORY RESPONSIBILITY
None
FISCAL RESPONSIBILITY
None
Brigham and Women's Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability.
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