Clinical Care Coordinator

POSITION SUMMARY

Reporting to the Manager Care Management the Clinical Care Coordinator assesses develops implements coordinates and monitors care plans for selected population facilitating patient movement throughout the continuum of care to include patient admissions and discharges both within the treatment facility and in the community. Assumes a leadership role within multidisciplinary teams to achieve quality clinical and financial outcomes. 

Principal Duties:

1. Assesses needs of the patient and identifies arranges and coordinates the appropriate care/treatment and discharge plan for patients.

2. Performs a clinical assessment and discharge screening for all of patients in assigned case load.

3. Collaborates as a member of the multidisciplinary team in the development implementation and monitoring of a comprehensive plan of care for assigned patients.

4. Obtains ongoing certification of continued stay for clients as well as organization in collaboration with physicians and support staff.

5. Reviews and monitors assigned cases daily for appropriate admission appropriate use of resources quality of care based on severity of illness/intensity of service indexes and length of stay per diagnosis and/or prognosis.

6. Supports business operations by processing all benefits enrollments applications and recertifications as needed to ensure continual funding.

7. Develops innovative and creative discharge planning activities.

8. Evaluates the appropriateness and quality of care by utilizing clinical pathways and/or protocols.

9. Collaborates in continuous quality improvement initiatives including referral of appropriate cases to Quality Improvement Department.

10. Identifies and supports initiatives to improve the care systems length of stay quality of care and appropriate use of resources.

11. Participates in collaborative clinical pathway development application and revision.

12. Provides ongoing community awareness to services including distributing information to feeder agencies and at public events.

13. Performs departmental administrative duties.

14. Attends management team meetings as required.

15. Completes information for monitoring quarterly and annual utilization review and other reports.

16. Does related work as assigned.

Customer Service:

1. Greets customers in courteous friendly respectful and professional manner at all times including maintaining eye contact when appropriate.

2. Follows communication protocols to both internal and external customers including introducing him/herself with job title and experience asking open ended questions such as How may I be of help to you using the customers name as soon as it is learned.

3. Responds promptly and appropriately to customer questions/concerns/complaints and attempts immediate resolution.

4. Keeps customers information confidential including public places such as elevators or the cafeteria.

5. Provides assistance and offers help immediately including finding someone else to meet the request if unable to do so him/herself. Introduce other staff to customers when a handoff occurs and explain that the person will provide excellent service.

6. Demonstrates commitment to excellent service recovery when a customers expectations have not been met.

Commitment to CoWorkers:

1. Offers assistance to colleagues and other departments when needed.

2. Takes responsibility for solving problems regardless of origin; completes assignments and respects deadlines.

3. Resolves conflict directly with colleagues and seeks assistance from others if the issue cannot be resolved. Refrains from criticism in public.

4. Mindful and respectful of others time and schedules. Attends meetings on time and communicates any absences.

5. Provides coworkers with a status report for continuity of workflow when planning to be out of the office off the unit or away from the department.

Communication Etiquette:

1. Respectful courteous and professional in all forms of communication and follows facilitys service communication protocol in all interactions.

2. Refrains from use of personal cell phone in patient care areas and keeps usage to a minimum at all other times while on duty.

3. Does not text or use email during meetings (except for exigent or emergency situations).

4. Limits use of business cell phone during meetings (remain on vibrate and/or calls go to voicemail).

5. Makes every effort to answer telephone calls within three rings introducing him/herself department and title (if appropriate). Asks permission before placing the caller on hold or using the speakerphone. If caller is transferred gives the caller the extension number of the person he or she is being transferred to. Offers further assistance to the caller upon completing the conversation.

6. Maintains an appropriate voicemail message and when away from the office has an outofoffice email message that is brief current and includes name and department and offers the caller options if possible.

7. Returns email and voicemail messages promptly but no later than within one business day (24 hours).

8. Always mindful of voice and language in public.

Self Management:

1. Reports to work appropriately groomed and in compliance with the Hospitals dress code. Wears identification badge at all times at chest level and facing outwards so identification is clearly visible.

2. Complete all assignments within deadlines or negotiates alternative actions and time frames in order to achieve desired outcomes.

3. Completes mandatory annual education and competency requirements.

4. Follows UM CAP safety infection control and employee health standards.

5. Demonstrates responsibility for personal growth development and professional knowledge and competency.

6. Adhere to all UM CAP and department policies and procedures including Code of Conduct and professional behavior standards. Does not exceed Hospital guidelines in reference to attendance punctuality and use of sick and unplanned absences. Provides notification of absences lateness and vacation requests according to department guidelines. Respects length of time for lunch and break times.

7. Reviews signs and adheres to UM CAP and/or departmental confidentiality statement.

Qualifications :

Licensure/Certification/Registration

Basic Life Support Health Care Provider (BLSHCP)

Education/Knowledge

Attained Level: Bachelors degree in Nursing.

Preferred: Masters Degree in Nursing

Applicable Experience

Experience (years): Required: 1 year
Preferred: 3 or more years
Experience: Requires 1 year of clinical experience providing care and/or care management services to patients in a medical facility
Prefer three years of providing patient care in a medical facility including at least one year in medical case management experience.

Technical/Clinical Skills

Possesses the knowledge and skills necessary to provide ageappropriate care to all patients in assigned case load.

Microsoft Office Suite Skill Level

• Word: Basic
• Excel: Basic
• PowerPoint: Basic 

Basic knowledge and working experience with Medical Terminology

Medical Equipment (list): SMS Cerner

Communication Skills & Abilities

Select highest applicable level: Conflicting Issues; Mediate; Strong Writing Skills

Problem Solving/Analytical Skills & Abilities

Professional

Level of Supervision Required

Works Independently

Contacts Inside & Outside Facility/Corporation 

Within/Outside Company with Tact and Discretion

Business Travel Outside of Region
Once or Twice a Year

Additional Information :

All your information will be kept confidential according to EEO guidelines.

Compensation:

Pay Range: $42.64$64

Other Compensation (if applicable):

Review theUMMS Benefits Guide