Care Coordination Daytime Supervisor; RN or LCSW

Overview

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well‑being of every person we serve.

Day (United States of America)

FT Days – Cobb Hospital.

The Care Coordination Supervisor assists with coordination of patient care across the continuum during the patient's acute hospitalization. The CC Supervisor supports initial assessments, transitional care planning, patient advocacy, complex issue resolution, and monitoring performance for defined quality outcomes resulting from the care coordination services provided. The CC Supervisor supports the CC Manager or Director and collaborates with all team members to provide an efficient and effective coordination of care.

The CC Supervisor provides expert guidance in the following areas:

• Comprehensive assessment and discharge (transition) planning
• Facilitative collaboration with multidisciplinary care team
• Effective and timely communication with care team and patient/family
• Challenging conversations with patients/families
• Engagement with community agencies to ensure timely transfers and hand‑off of patient care
• Patient/family education and counseling regarding medical recommendations of their conditions
• Advance directives and eligibility processes for private and public, local, state and federal resources
• Community resource information and financial needs assessment for patients in need of assistance for follow‑up care
• Support patient care inclusive of cultural or religious beliefs
• Monitoring and resolving avoidable hospital days
• Continuous performance improvement

• Oversight and guidance of team members
• Implementation of an effective and efficient discharge plan to include Plan A, B, and C
• Effective collaboration with multidisciplinary care team to streamline throughput and timely care delivery
• Engagement with community agencies to ensure timely transfers and hand‑off of patient care
• Provision of education and counseling to patient/family regarding medical recommendations of care
• Responsiveness to referrals from hospital staff, physician offices, community and family to provide resource information
• Financial needs assessment for patients in need of assistance for follow‑up care throughout the continuum

• Coordinate care with CC Manager/Director and other healthcare team leaders
• Oversee daily staffing assignments, evaluating daily work distribution regarding levels and demands of staff
• Coach and mentor team members on general practice
• Manage QA & PI activities
• Provide guidance during new team member orientation and onboarding
• Provide objective input and feedback for yearly performance assessment

• Oversight and guidance of team members: quality of initial care coordination assessments for appropriate discharge planning
• Assessment of insurance and financial ability to participate in community care after discharge
• Identification of issues and barriers related to patients' appropriateness of hospital stay and discharge needs

• Oversight and guidance of team members: initial psychosocial/functional assessment completed and documented in medical record
• Complete chart notes accurately and timely per departmental protocol
• Ensure all records are up‑to‑date and legible
• Track and share avoidable days
• Identify and provide training opportunities and continuous performance improvement for staff

• Builds a culture of trust and engagement as reflected in the Great Place to Work Trust Index Survey at a direct report, workgroup and hospital/entity level
• Holds leaders accountable for behaviors that create trust and engagement
• Performs all duties and responsibilities of the position in a manner that reflects the values of Well Star
• Maintains and strengthens relationships with physicians and assures their involvement in developing systems to assure the growth of the service and the cost‑effective delivery of quality patient care that fosters…