Lead Registered Nurse (RN) or Social Worker Care Coordinator - Care Management (Days)

Lead Care Coordinator

Being a part of Tanner Health System is more than a job, it is a promise we make to treat every patient with exceptional service every time they walk through our doors. Service excellence is the foundation of our organizational culture and the expectations we all set for each other, our patients, physicians and our community. All employees agree to abide by a set of service standards. These standards are the promise we make to provide the best care possible, and represent our beliefs, values and who we strive to become. We each commit to making Tanner Health System a great place for our employees to work, for patients to receive care and for physicians to practice medicine.

Functions and Areas of Responsibilities:

• Job Knowledge: Provides care coordination of given population of patients using knowledge regarding care transitions, disease process, nursing process, utilization management, and best practice standards. Also, shows understanding related to patient benefits, patient assistance programs, community resources as related to continuum of care. Development of transitional plan using assessment, planning, implementation, coordination, monitoring, and evaluation. Aggregates and analyzes data related to care transitions. Knowledge of the policies, procedures, and protocols for the department and hospital. Is considered subject matter expert, and able to train and mentor new staff members and support ongoing team education. Performs routine audits to help identify opportunities for performance improvement.
• Communication: Supports Care Management team during CPR rounds and assist with escalations. Communicates concisely with the care team to develop a comprehensive plan for care transition. Communicates effectively to the family, patient, physician, and members of the team any change in the transitional plan. Has ongoing communication with the team member managing utilization regarding the patient's clinical course and transitional plan. Communicates effectively with external customers that may include Tanner Medical Group physicians and staff, community physicians, nursing facilities, DME vendors, LTAC companies, hospice companies, and other acute care facilities, etc. Communicates post-discharge with patient support to facilitate ability for care to be maintained at a lower level of care. Assistance with progression of care for throughput of complex patients. Assist Care Coordination Manager with facilitating orientation pathway for new hires.
• Leadership Skills: Takes an active role in the department, demonstrating good citizenship and customer service. Actively participates in special projects when requested. Takes responsibility for personal professional development. Demonstrates responsible behavior when dealing with private health information and sensitive patient family issues, showing professionalism. Acts as a hospital liaison to outside agencies, families, and members of the community. Serve as back up for creation of staff assignments and flexing for needs based on acuity and census. Act as first level of support for service recovery and conflict resolution related to case management processes.
• Judgement and Decision Making: Identifies, initiates, and facilitates an appropriate transitional plan after assessing the patient's needs and desires, benefits, support, health care status, and other factors. Has ongoing communication with the physician and other health care team members to facilitate the most appropriate plan for the patient. Demonstrates good judgement when dealing with complex family dynamics and difficult patient situations. Demonstrates insight and judgement regarding appropriate discharge destination.
• Professional Qualities: Complies with corporate facility professional requirements, personal standards, and policies at all times. Demonstrates Tanner values including customer service, lifetime learning, teamwork, integrity, quality focus, respect, and caring. Maintains professional competence through participation in continuing education and other learning experience.

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: Associate Degree or 2 years of college coursework

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

Qualifications:

Current Georgia RN license. BSN MSN preferred.

A minimum of two (2) years clinical experience required, medical surgical experience preferred.

Certification or Accreditation in Case Management within 18 months of hire.

Demonstrated professionalism, integrity, and ethical behavior.

Demonstrated ability to organize, prioritize, and make appropriate decisions following organizational and departmental policies and procedures with minimal supervision.

Demonstrated interpersonal skills. Excellent verbal and written communication skills.

Demonstrated ability to analyze and organize information and data.

Knowledge of utilization review guidelines, case management principles, and regulatory and accreditation standards.

Demonstrated initiative, critical thinking, and problem solving skills.

Ability to function within a synergistic team concept.