RN Care Coordinator - Full Time at Alleghany Health

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RN Care Coordinator - Full Time

Sparta, North Carolina, United States | Inpatient Nursing Services | Full-time

Apply by: No close date

POSITION SUMMARY: The RN Care Coordinator is responsible for collaboration, development, and implementation of safe and effective patient discharge planning. Works with all appropriate/interdisciplinary members of the health care team, ensuring coordination of patient care through the development and use of clinical protocols and pathways. Ensures that specific patient outcomes are achieved and that variances from established and accepted parameters are evaluated and addressed as necessary. Will ensure appropriate level of care and admission/discharge criteria are met using the measure and monitoring of severity of illness and intensity of service needs through use of INTERQUAL MONITORING CRITERIA. Will perform a wide variety of high-level patient care activities including assessment, screening for appropriateness, protocol and pathway monitoring, and overall development of a care management plan to address continuum of care need(s). Update pathway with team as indicated, coordinate services and discharge planning, and facilitate patient/family teaching, as indicated. Maintains high level knowledge of Revenue Cycle Process(es) as well as, both CMS and commercial insurance concepts, Utilization Management, CAH/other state/federal rules/regulations, as pertinent to patient populations served. Performs chart audits for RAC/MAC/denial reviews as assigned. Responsible for Core Measure abstraction, monitoring, communication(s) to involved parties to ensure optimal best practice approach. Participates in any/all Performance Improvement initiatives as assigned, including HEN initiative(s) (e.g. Reducing Readmissions), and Meaningful Use indicator monitoring. The RN care coordinator will also assist with patient care needs as needed including floor shifts. Assist within the Emergency Department with patient placement, home health/hospice referrals, DME referrals as needed.

PROFESSIONAL REQUIREMENTS:

Education/Experience Requirements: Graduate from an accredited school of nursing. Baccalaureate degree or current enrollment in a program preferred but not required. Three or more years of previous experience in all aspects of medical surgical nursing and a minimum of 2 years supervisory experience preferred. Knowledgeable regarding North Carolina Nurse Practice Act. Case Management experience preferred.
Licensure/Certification Requirements: Current North Carolina Registered Nurse Licensure. Current BCLS certification within one month of hire. ACLS and PALS required within 6 months of hire

Compliance: Alleghany Health is strongly committed to our compliance program. The employee will follow and understand all sections of AH's "Ethics and Compliance Program Manual" as it applies to their position. The employee will follow all compliance performance standards as directed by their Manager, Director, and Compliance Officer. The employee is responsible to detect compliance concerns related to their employment and report any such concerns to their Manager, Director or Compliance Officer

Customer Service- the expectation of every employee within the organization is to uphold the standards outlined in the Customer Service Handbook to include Safety, Trust, Compassion, and Responsiveness.

Apply by: No close date

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Application Form

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Were/Are you a member of the U.S. Armed Forces?

If yes, describe your experience such as branch, rank and type of discharge along with years served.

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Do you have any relatives currently employed by Alleghany Health and its affiliates? *

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If you are under 18 years of age, can you provide required proof of your eligibility to work? *

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If you answered "yes" to the above question and you are not a U.S. citizen, please provide the number of your Resident Alien or Work Authorization Card

Alleghany Health is a smoke-free campus. Will you be able to comply with this policy? *

Have you ever been employed by Alleghany Health? *

If you answered "yes" to the above question what was your hire date and department? Indicate if you had a different name while employed. *

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Do you have an limitations that would affect your ability to perform the essential job functions of your position(s)? *

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Are you charged with an unresolved criminal charge? *

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Have you ever been sanctioned by or excluded from participation in Medicare, Medicaid or any government health program? *

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Will you be willing to take a pre-employment physical? *

Will you be willing to take a drug-screening test? *

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