CARE MANAGEMENT COORDINATOR RN FT DAY

TriHealth

  • USA
  • Permanent
  • Full-time
  • 13 days ago
Job Description:Job Overview:The Care Management Coordinator is responsible for overseeing the processes and documentation that occur as evidence based practice is applied at the bedside. Directs and or completes all functions of the government and commercial utilization management process. Assesses and coordinates implementation of the discharge plan. Collaborates with the multidisciplinary team to assure effective, efficient, appropriate care in order to optimize the health status and assure a smooth transition between levels of care for patients served. Performs utilization review for patients served. Requires weekend, holiday, and off site commitment, with the exception of Hospice of Cincinnati.Job Requirements:Associate's Degree or Diploma in Nursing
Hires into position (internal and external) required to obtain BSN within 5 years of hire
Registered Nurse
Excellent communication skills
Ability to negotiate
Problem solve
Establish effective working relationship with members of the healthcare team and external customers Knowledge & experience in computer key boarding
Professional organization membership preferred
3-4 years experience Clinical in NursingJob Responsibilities:Using current practice guidelines, assesses all patients, evaluating progress toward clinical goals and next level of care. Reassesses as clinical condition changes.Complete initial utilization review using Interqual criteria. Take follow up action to resolve the situation when criteria are not met by implementing and documenting according to the Utilization Review plan.Coordinate the development of a comprehensive plan of care through patient/family involvement in an interdisciplinary team process. Ensure the patient's health care goals are met related to evidenced based quality care.Ensure that all commercial and government payment requirements are met for continued stay reviews, and other conditions of participation. Ensure that CMS requirements are met for patient status.Other Job-Related Information:The TriHealth Nursing Vision, Mission, and Philosophy speaks to professional development, collaboration, and our nursing culture. To achieve excellence in nursing care, TriHealth encourages: pursuit of improved knowledge through continuing education classes, formal education leading to advanced degrees, and the attainment of specialty certification; nurse membership in local, regional, and national nursing organizations related to the appropriate nurse specialty; involvement in activities that better the health of our community; nursing research activities and use of evidence-based practice, and all nurses to foster, support, and personally model collaborative relationships amongst nurses, physicians, and other caregivers for the betterment of patient care.Working Conditions:Climbing - Rarely
Concentrating - Consistently
Continous Learning - Consistently
Hearing: Conversation - Consistently
Hearing: Other Sounds - Consistently
Interpersonal Communication - Consistently
Kneeling - Occasionally
Lifting
10 Lbs - Frequently
Lifting 50+ Lbs - Occasionally
Lifting
50 Lbs - Frequently
Pulling - Frequently
Pushing - Frequently
Reaching - Occasionally
Reading - Consistently
Sitting - Frequently
Standing - Frequently
Stooping - Occasionally
Talking - Consistently
Thinking/Reasoning - Consistently
Use of Hands - Consistently
Color Vision - Consistently
Visual Acuity: Far - Consistently
Visual Acuity: Near - Consistently
Walking - FrequentlyTriHealth SERVE Standards and ALWAYS Behaviors
At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:Serve: ALWAYS…
  • Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
  • Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
  • Refrain from using cell phones for personal reasons in public spaces or patient care areas
Excel: ALWAYS…
  • Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
  • Offer patients and guests priority when waiting (lines, elevators)
  • Work on improving quality, safety, and service
Respect: ALWAYS…
  • Respect cultural and spiritual differences and honor individual preferences.
  • Respect everyone's opinion and contribution, regardless of title/role.
  • Speak positively about my team members and other departments in front of patients and guests.
Value: ALWAYS…
  • Value the time of others by striving to be on time, prepared and actively participating.
  • Pick up trash, ensuring the physical environment is clean and safe.
  • Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
Engage: ALWAYS…
  • Acknowledge wins and frequently thank team members and others for contributions.
  • Show courtesy and compassion with customers, team members and the community
About Us:Careers at TriHealth are diverse. From clinical to administrative, sales to service, our team members contribute skills that are as varied as the services we offer and the people we serve. As an employer, TriHealth demonstrates the organization's values by offering comprehensive benefits packages, competitive wages, and milestone recognition.Explore our career options to help you determine the type of job best for you as well as help narrow your search within our website. We look forward to you joining the TriHealth family!About the Team:Nurses are at the heart of patient care, and we are proud to have such amazing nurses here at TriHealth. As the region's leading health system, we are focused on consistency in the patient experience and standardizing nursing care across the system with proven best practices. We aim to continue leading research supporting the evolution of nursing care, especially as TriHealth works to adapt the population health model system-wide.In order to lead these changes, TriHealth must invest in our nurses, which is why we provide multiple opportunities for nurses to achieve their professional development goals through tuition reimbursement programs, specialty certifications and several other continuing education opportunities. Our registered nurses support TriHealth in many different aspects of nursing, including patient care, care coordination, education and management.If you're interested in joining our world-class nursing team, you can see all current nursing opportunities here on TriHealth.com.I am honored to lead our TriHealth nursing team, and welcome you to join us!

TriHealth