RN - Care Coordinator

Care CoordinatorThe Care Coordinator is responsible for coordinating the care and services for assigned patients during an episode of illness or treatment. This role involves collaboration with the patient, family, physician, patient care team, and payors. The Care Coordinator utilizes advanced clinical skills to facilitate the provision of care. This includes the assessment, planning, intervention, and evaluation principles of the nursing process. The Care Coordinator promotes and evaluates the effective utilization of resources. This is achieved through current clinical knowledge and awareness of community services. The role assumes a leadership position with the patient care team to achieve optimal clinical and resource outcomes. The Care Coordinator evaluates and analyzes quality and utilization cases. This includes admission and discharge criteria, observation stays, and readmissions within 30 days. Participation in outlier reviews is expected on an ongoing basis. In addition, the Care Coordinator may be assigned to an Emergency Department. Collaboration with the patient and family, as well as a multidisciplinary team, is essential. This includes physicians and payors to ensure the patient's progress during the emergency episode of care. The goal is to provide care in an efficient and cost-effective manner for the assigned caseload. Advocacy for the patient and family is crucial throughout the entire episode of care. The Care Coordinator maintains availability to the patient and family as a resource. This facilitates communication among providers and monitors services rendered. Involvement continues until the patient is discharged or appropriately transferred. Initiation of appropriate clinical pathways based on admission diagnosis is required. The Care Coordinator also serves as a resource person for utilization management purposes.