Care Coordinator PT​/PD- BH

Job Description

We are searching for a Care Coordinator – someone utilizing a collaborative approach to assess, plan, implement, monitor and evaluate the options and services required to meet an individual's health needs. This role provides comprehensive on‑going case management services to patients by coordinating and managing care of patients to meet multiple service needs across the continuum of care. The Care Coordinator will partner with the physician to establish care and allocate resources associated with the patient's risk assessment and assist the patient/family in coping with illness by optimizing the patient's/family's self‑care abilities and supporting their consumer rights.

• Bachelor’s degree in nursing or an associate's in nursing with enrollment in a BSN program
• Current RN Licensure by the Texas Board of Nurses or Nursing licensure compact
• BLS from AHA
• 3 years of nursing experience in an acute care setting
• Experience in community health, complex pediatric patient care, home care, case management, managed care, or utilization review highly preferred

• Skill and proficiency in applying highly technical principles, concepts and techniques central to the nursing profession in the care coordination process and including all patients and specifically those identified with complex medical conditions
• Ability to comprehensively assess member/family medical needs, formulate a plan to help the member/family to meet those needs and provide ongoing evaluation and monitoring, education to members, families, providers and staff
• Customer service skills, advanced communication and interpersonal skills with all levels of internal and external customers including medical staff, patients and families, clinical personnel, support and technical staff, outside agencies, and members of the community

• Assesses, develops, implements and monitors a comprehensive plan of care through an interdisciplinary team process in conjunction with the patient/family in internal and external settings
• Reviews clinical documentation and collaborates with medical and nursing staff to ensure smooth facilitation of level of care and patient placement
• Identifies actual and potential problems and discusses with the multidisciplinary team to facilitate interventions to mitigate barriers to successfully implementing plan of care
• Serves as content expert related to level of care and maintains open communication with the care team to support appropriate utilization of resources
• Appropriately screens patients for level of care and ensures clinical information in the medical record accurately reflects the level of care requested
• Coordinates timely transition of information to unit Care Coordinator to support effective revenue cycle process
• Completes visits with patient across the continuum of care as indicated
• Participates in the orientation and training of new department members
• Identifies and monitors quality improvement opportunities along the continuum of care
• Identifies and reports quality of care, safety and quality of services issues and refers to appropriate Quality Management staff
• Solves problems, identifies appropriate resources, adapts to ongoing change, and handles conflict management with a professional and supportive attitude
• Uses positive and effective interpersonal skills when dealing with patients/families, visitors, peers, and other health care team members

All successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.

Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children’s without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.