Care Coordinator Emergency Room Per Diem Days

Care Coordinator Emergency Room Per Diem Days

The Care Coordinator functions as a liaison between patients, providers, and the healthcare system. Under the direction of the Care Manager and/or MSW, the care coordinator ensures that patients' transition of care needs are effectively organized and completed prior to their discharge.

Care Coordination:

• Assists patients through the healthcare system by operating as a patient advocate and health systems navigator.
• Coordinates continuity of patient care with external healthcare organizations and facilities.
• Makes outpatient follow up appointments as requested.
• Obtains patient choice for post-acute facilities as required by CMS Conditions of Participation.
• Coordinates referrals to post-acute facilities, including home care, DME, SNF, LTACH, Acute Rehabilitation based on patient/family choice.
• Coordinates continuity of patient care with patients and families/caregivers following hospital admission, discharge, and Emergency Department visits.
• Make appointments as requested (e.g. dialysis, outpatient clinics, physician followup)
• Make post-discharge calls as directed to follow up on lab work, clarify instructions, and assure availability of required resources
• Reports care barriers and challenges to appropriate care manager.
• Follow the continuum of patient care for admission to post-discharge.
• Communicates with patients and families with regard to transition plans, as directed by the Care Manager.
• Promotes clear communication amongst interdisciplinary care team members by ensuring awareness regarding patient care plans.
• Assures availability of medications and/or prescriptions prior to patient discharge.
• Participates as a successful team associate supporting data collection, health outcomes reporting, clinical audits, and pragmatic evaluation.
• Coordinates special needs and projects as assigned (e.g. DME closet, distribution of clothing, resource manuals)
• Performs other duties as assigned.

Position Requirements:

• High School Diploma/ GED equivalent required
• College degree or vocational training in health care field preferred.

Qualifications/Experience:

• 1-2 years healthcare facility experience and familiarity preferred.
• A team player that can follow a system and protocol to achieve a common goal
• Highly organized and well developed oral and written communication, problem-solving, and decision-making skills.

Special Skills/Knowledge:

• Current Basic Life Support (BLS) for Health Care Providers from the American Heart Association
• Proficient to expert computer skills utilizing Microsoft Office especially Word and Excel
• Critical thinking
• Resourcefulness
• Bi-lingual Spanish helpful but not required