Care Coordinator

Patient Care CoordinatorThis position supports Mercy's philosophy of patient centered care acting as an advocate to patients and their families. The Patient Care Coordinator works specifically with patients experiencing complex disease processes needing multiple sources of health care support. The Patient Care Coordinator provides clinically based holistic care coordination and discharge planning in the inpatient and outpatient setting.Job Duties:Complex care review of patient statusDevelops an understanding of referral sources for assigned caseloadCollaborates with other programs and departmentsAssists in the teaching needs for patient and families as neededAbility to work with a variety of personalities character or abilityServes as a liaison between physicians and departments to ensure timely and quality care deliveryConducts peer to peer reviews with third party payors when necessary to ensure reimbursementFollows Mercy's safety guidelines carries out job-specific safety duties and responsibilities and promptly reports any unsafe conditions situations incidents and injuriesDepartment Specific Duties:Care CoordinationCommunicates daily with physicians and clinical staff regarding the plan of care and progress towards goalsCo-facilitates care conferences on assigned unitEnsures appropriate admission status has been documented applying InterQual Criteria and communicates effectively with physicians per Utilization Review processApplies InterQual criteria for continued stay review to effectively manage length of stay and communicate effectively with commercial insurance reviewersProvides clinical data/information to contracted third party payers while patient is hospitalized to ensure continued reimbursement and to avoid reimbursement delaysCompletes case management assessment of patients and support systems in order to facilitate the most appropriate and timely transition planSeeks patients eligible for admission to the Transitional Care Unit and other appropriate referral organizationsKnowledge Skills and Abilities:Sound background in complex nursing principles and procedures and demonstrated ability to provide safe and effective nursing careAbility to communicate well orally and in writing via phone email and face to face establish rapport with clients/patientsSelf-starter able to initiate and direct own activities in an organized manner and make decisions within the framework of the responsibility and authority of the jobKnowledge of utilization management process discharge planning and managed care processes is a plusProfessional Experience:Previous nursing experience required case management experience preferredWorking knowledge of healthcare insurance Medicare and Medicaid is preferredEducation:A baccalaureate degree in nursing current certification in patient population or relevant experience in lieu of a degree requiredLicensure Certification Registration:Basic Life Support (BLS) in accordance with the American Heart Association requiredCurrent RN license to practice as a Registered Nurse in the state of Iowa requiredIowa Dependent Adult Abuse/Iowa Child Abuse Mandatory Reporter training required. Employee must submit certification of completed training to Human Resources prior to start or transfer date.Pay Rate Type: HourlyMercy is an independent community-based organization supporting the Cedar Rapids area for over 120 years. Mercy is an equal-opportunity employer. We value diversity equity and inclusion and therefore evaluate qualified applicants without regard to race color ethnicity ancestry sex sexual orientation gender identity marital status civil union status parental status religion national origin age disability veteran status and other legally protected characteristics.