Case Manager - Critical Need

Patient Care Coordinator

The Patient Care Coordinator is responsible for overseeing the management and coordination of care for the acute inpatient population. The PPC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure continuum of patient care progressions for clinical and cost-effective outcomes. The PCC facilitates and coordinates with community providers and ambulatory case managers to assist with the appropriate level and transition of care for a safe discharge and preventing a re-admission.

Responsibilities:

• Completes an initial face-to-face assessment for every admitted member to identify discharge needs within 24 hours of admission.
• Documents in KPHC and communicates the assessment outcomes to determine the appropriate transition plan with MAPMG physician healthcare team and patient/family. Review and document discharge plan in accordance with KP discharge planning documentation policies, facility policies and regulatory requirements.
• Sends referrals/communicates with in-network vendors for coordination of post-acute levels of care such as Home Health, DME, IV Infusion, SNF Sub-Acute and Acute Rehab.

Requirements:

• Associate Nursing Degree
• 1 year in an acute medical/surgical/ ED or critical care nursing area
• Experience using an electronic medical record system
• Knowledge of health/care reimbursement systems (Medicare Advantage, Commercial payer, Medicaid and CMS regulatory rules)
• Completion of PCC Assessment of Critical Skills

Additional Details:

• Additional Job Details: (No Value)
• Need NUID Only?: No
• Role Type: Please select an option
• Job Type: Nursing
• Shift: 08:30 AM to 05:00 PM
• Shift Notes: Start Time 08:30 to End Time 17:00
• Specialty: RN
• Winter Plan Need: No

Qualification - Assessment:

Must Have:

License & Certifications:

AHA; American Red Cross; Canadian Heart and Stroke; Military Training Network only. Online cards not acceptable. ***Expiration date on the card is the date that is to be honored. No grace period through end of the month if card has exact date of expiration noted*** *** MAUI Health System (MHS) *** - All specialities. AHA only Front and Back signed.