Registered Nurse (RN) - Clinical Coordinator Home Health

Department:

39104 IL Home Health Divisional - Pre Billing Center

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Mon - Fri 830a-5p with possible alternating weekends and 2 holidays.

REGISTERED NURSE - HOME HEALTH CLINICAL COORDINATOR

LOCATION: PRIMARILY REMOTE

HOURS: DAYS WITH ROTATION TO WEEKEND AND EARLY EVENINGS

Major Responsibilities:

• ONGOING: Practices MVP. Demonstrates Advocate Health Care’s leadership competencies. Encourages and sets expectations for staff to do the same.
• ONGOING: Contributes “best thinking” to the organization, share experiences, education and insight with peers, associates and home care leadership. Question/challenge the status-quo and suggest better ways of doing things.
• ONGOING: Practices and creates an environment that supports and sustains effective communication with internal and external customers. Develops and sustains relationships that enhances effective coordination of care and increases referral base.
• Internal department Care & Treatment Coordination
  •     1)Serves as clinical coordinator for field clinical staff, home care liaisons, physicians, admissions and reimbursements.
  •     2)Serves as internal point person for new home care referrals, and changes or updates to existing treatment plans.
  •     3)Assesses and determines new patient care requirements with home care liaisons prior to discharge from hospital as appropriate.
  •     4)With home care team, determines most effective method to achieve patient treatment goals.
  •     5)Obtains verbal orders from physicians when required for initial care or changes to care.
  •     6)Communicates treatment orders and patient assessment information to field nurse assigned to case before SOC.
  •     7)Triages office calls to assure resolution..
  •     8)Collaborates with Clinical Manager regarding treatment provision and changes to plan of care.
  •     9)Participates in multi-disciplinary patient care conferences as needed.
• Staff & Patient Care Management
  •     1)Determines nursing care needs for individual patients, then assigns and schedules appropriately skilled field nursing staff to meet those care needs.
  •     2)Coordinates services and communicates authorizations and treatment protocols to subcontracted agency staff for both nursing and ancillary therapy needs as needed.
  •     3)Provides feedback to nursing supervisors regarding field staff performance to be used when conducting performance evaluations.
  •     4)Participates in “Manager On Call” rotation.
• Reimbursement & Case Management
  •     1)May provide case updates to external case managers –verbal or written reports, documentation copies, etc. as needed.
  •     2)Assesses new patients for qualifying criteria -financial, appropriateness of care, patient safety. Assists admissions personnel and managers with alternatives when patients do not appropriately qualify.
  •     3)May review and develop POT with field nurse and monitors tickler file to insure timely return from physician in concert with the Clinical Manager.
• Other Duties as assigned.

Licensure:

• Nurse, Registered (RN)

Education/Experience Required:

• • Registered Nurse • 3 years combined adult med./surg. experience • 2 years homecare experience as a RN. • Some introduction to intake coordination or care coordination with a homecare company preferred.

Knowledge, Skills & Abilities Required:

• • Exceptional interpersonal skills--able to work well with diverse personality types in a fast paced environment --internal & external customers. • Strong knowledge of home care services • Good working knowledge of home care insurance benefits –Medicare (Part A & Part B), Medicaid, Managed Care
• • Illinois RN License • CPR Accredited

Physical Requirements and Working Conditions: