Job Summary

Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.

Essential Functions
Care Coordination

Assist in coordinating clinical and/or psycho-social activities with the Interdisciplinary Team and PhysiciansAssists with effective care coordination and efficient care facilitationRemains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of careAppropriately refers high risk patients who would benefit from additional supportServes as a patient advocateKnowledgeable of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population servedParticipates in interdisciplinary patient care rounds and/or conferencesCollaborates with clinical staff in the execution of the plan of care, and achievement of goals

Knowledge/Skills/Abilities/Expectations

Knowledge of government and non-government payor practices, regulations, standards and reimbursementKnowledge of Medicare benefits and insurance processes and contractsKnowledge of accreditation standards and compliance requirementsMust read, write and speak fluent EnglishBasic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet softwareExcellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customersDemonstrates good interpersonal skills when working or interacting with patients, their families and other staff membersMust have regular attendanceApproximate percent of time required to travel\: 0%.Performs other related duties as assigned

Job Summary

Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.

Essential Functions
Care Coordination

Assist in coordinating clinical and/or psycho-social activities with the Interdisciplinary Team and PhysiciansAssists with effective care coordination and efficient care facilitationRemains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of careAppropriately refers high risk patients who would benefit from additional supportServes as a patient advocateKnowledgeable of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population servedParticipates in interdisciplinary patient care rounds and/or conferencesCollaborates with clinical staff in the execution of the plan of care, and achievement of goals

Knowledge/Skills/Abilities/Expectations

Knowledge of government and non-government payor practices, regulations, standards and reimbursementKnowledge of Medicare benefits and insurance processes and contractsKnowledge of accreditation standards and compliance requirementsMust read, write and speak fluent EnglishBasic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet softwareExcellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customersDemonstrates good interpersonal skills when working or interacting with patients, their families and other staff membersMust have regular attendanceApproximate percent of time required to travel\: 0%.Performs other related duties as assigned

Education

Graduate of an accredited program required\: LPN/LVN or RNMaster of Social Work with licensure as required by state regulations; or Bachelor of Social Work with licensure as required by state regulations

Licenses/Certification

Healthcare professional licensure required as LPN/LVN, Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations

Experience

One year of experience in healthcare settingExperience in case management, utilization review, or discharge planning a plus

Education

Graduate of an accredited program required\: LPN/LVN or RNMaster of Social Work with licensure as required by state regulations; or Bachelor of Social Work with licensure as required by state regulations

Licenses/Certification

Healthcare professional licensure required as LPN/LVN, Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations

Experience

One year of experience in healthcare settingExperience in case management, utilization review, or discharge planning a plus