Patient Care Coordinator (RN) - Med Surg Neuro (Days)

Patient Care Coordinator

The Patient Care Coordinator (PCC) is a Registered Nurse with a bachelor's degree in nursing who educate their patients about their health conditions and develop a care plan to address their specific discharge needs. They also facilitate communication between patients, families, caregivers, social service organizations and healthcare providers. The PCC works with healthcare team members to coordinate care and manage resources with a focus on returning home with necessary resources to ascertain quality, patient safety, and desired outcomes are achieved. The PCC partners with the unit teammates and leaders to facilitate effective flow and capacity evidenced by decrease LOS, and decrease readmission.

Required Knowledge & Skills

Education: Bachelor's Degree

Experience: Two years of related experience. Requires working knowledge of specialized practices, equipment, and procedures.

Licenses and Certifications

*GEORGIA REGISTERED NURSE LICENSE OR MULTISTATE NURSING LICENSE

*HEALTHCARE PROVIDER (CPR)

Qualifications

*Bachelor's in nursing required.

*Two years' experience in acute health care setting including involvement in direct patient care.

*Ability to identify improvement in clinical operations and implement change and willingness to challenge established way of doing things in a constructive way.

*Exemplifies a strong, positive attitude toward internal and external customers, patients, families and care team enhancing service excellence and overall improvement.

*Excellent communication skills with ability to form relationships quickly

*Adept at using technology as a tool to support real-time education at the point of care.

*Uses continuum of care resources and consistently collaborates with families caregivers to expedite discharge plan as appropriate.

*Experience with Core Measures, programs related to Hospital Acquired Conditions, Wound and Ostomy care, and Value Based Purchasing desired but not required.

Functions

Area of Responsibilities

*ACCOUNTABILITY: Assesses, plans, implements, and directs patient care coordination to promote and achieve optimal outcomes and effective discharge plan over the care continuum.

*CLINICIAN AND OUTCOMES MANAGER: Performs comprehensive and ongoing assessment of patient and or caregiver needs in order to plan care to optimize outcomes. Plans, coordinates care to improve patient satisfaction, decrease readmission rates, improve patient outcomes, decrease errors and near misses and be proactive in avoidance of hospital acquired conditions such as CLABSI, CAUTI, HAPI, injury from falls or other events. Utilizes appropriate care coordination resources, tools and metrics and evidence-based information to continually improve care and outcomes.

*LEADERSHIP: Develops and implements care plans using knowledge, resources, skills, and leadership to create change necessary to improve patient outcomes, quality, return to sender or discharge home and decrease costs of healthcare. Serves as a leader in care coordination, patient and family engagement, to maximize resources and ensure provision of patient centered, evidence based care. Provides leadership in implementation and evaluation of professional standards and policies that impact patient care.

*EDUCATOR: Teaches, coaches, and mentors' staff, patients and families related to discharge on admission, discharge home, resources available for home, provision of quality care and improved outcomes. Provides directly or through delegation patient education to promote optimal outcomes.

*PATIENT AND CARE TEAM ADVOCATE: Adept at ensuring that patients, families and caregivers are well informed and included in care coordination. Promotes an environment where interdisciplinary collaboration is highly functional and embraced. Partners with unit leaders and team to accomplish common goals.

Compliance Statement

Employee performs within the prescribed limits of Tanner Health System's Ethics and Compliance program. Is responsible to detect, observe, and report compliance variances to their immediate supervisor, the Compliance Officer, or the Hotline.

Required Knowledge & Skills

Education: Bachelor's Degree

Experience: Two years of related experience. Requires working knowledge of specialized practices, equipment, and procedures.

Licenses and Certifications

*GEORGIA REGISTERED NURSE LICENSE OR MULTISTATE NURSING LICENSE

*HEALTHCARE PROVIDER (CPR)

Supervision

*Responsible for directing, collaborating, and coordinating continuum of care services and discharge plan to promote improved outcomes evidenced by decrease LOS, decrease readmission, improved quality outcomes including increased patient and family experience.

Qualifications

*Bachelor's in nursing required.

*Two years' experience in acute health care setting including involvement in direct patient care.

*Ability to identify improvement in clinical operations and implement change and willingness to challenge established way of doing things in a constructive way.

*Exemplifies a strong, positive attitude toward internal and external customers, patients, families and care team enhancing service excellence and overall improvement.

*Excellent communication skills with ability to form relationships quickly

*Adept at using technology as a tool to support real-time education at the point of care.

*Uses continuum of care resources and consistently collaborates with families caregivers to expedite discharge plan as appropriate.

*Experience with Core Measures, programs related to Hospital Acquired Conditions, Wound and Ostomy care, and Value Based Purchasing desired but not required.

Definitions

The Patient Care Coordinator (PCC) is a Registered Nurse with a bachelor's degree in nursing who educate their patients about their health conditions and develop a care plan to address their specific discharge needs. They also facilitate communication between patients, families, caregivers, social service organizations and healthcare providers. The PCC works with healthcare team members to coordinate care and manage resources with a focus on returning home with necessary resources to ascertain quality, patient safety, and desired outcomes are achieved. The PCC partners with the unit teammates and leaders to facilitate effective flow and capacity evidenced by decrease LOS, and decrease readmission

Position Responsibilities

Contact with Others: Requires frequent contact with many persons at different levels inside and outside of the organization to carry out organization policies and programs and obtain willing acceptance, consent, or action.

Effect of Error: Probable errors not easily detected and may adversely affect external as well as internal relationships and may result in major expenditures for equipment, materials, or procedures detrimental to the patient's welfare or the organization's interest. Work is subject to general review only and requires considerable accuracy and responsibility. Continually works with reports, records, plans, and programs of a major functional area of the organization where integrity is required to safeguard the organization's position. Duties may involve the preparation of data on which the administration bases important decisions and are highly confidential.

People Management Responsibilities

Supervisory Responsibility: Has limited supervision over a large section of employees (15 up), i.e. assigns and directs their work; instructs new employees and corrects results, may discuss with supervisor, but has no authority over job content or personnel. Team governance where the Members evaluate, interview, and recommend personnel actions.

Work Environment/Physical Effort

Mental Demands: Work involves a variety of complex problems to be solved under general organization policies. Ingenuity and judgment are required to review facts, plan work, estimate costs, and deal with factors not easily evaluated, interpret results, draw conclusions, and take or recommend action. Solutions to problems often require coordination with other departments.

Working Conditions: Considerable - (About 75% of the day) Involved in exposure to dirt, odors, noise, or some work is performed with exposure to temperature/weather extremes/occupational risk and probability of coming into contact with blood borne pathogens, other potentially infectious diseases, or biomedical/bio-hazardous materials.

Working Conditions Aspects for Immunizations

Performs tasks involving contact with blood, blood-contaminated body fluids, other body fluids, or sharps (needles): Yes

Directly works with Patients less than 12 months of age: No

Physical Aspects

Bending: Frequent = 34% - 66% of the time

Typing: Frequent = 34% - 66% of the time

Manual Dexterity -- picking, pinching with fingers etc.: Frequent = 34% - 66% of the time

Feeling (Touch) -- determining temperature, texture, by touching: Frequent = 34% - 66% of the time

Hearing: Constant = 67% - 100% of the time.