Care Coordinator - Onsite, Evergreen Park, IL Hybrid - RN​/PT​/OT​/ST

Overview

Opportunities at Care Transitions
, part of the Optum family of businesses. We combine the talents of our dedicated staff and leading-edge technology to deliver compassionate care to seniors nationwide. With millions of lives touched, we are innovating the way health care is provided from hospital to home so seniors can lead more fulfilling lives. A career with us means making an impact in the lives of those we serve, including vulnerable populations who benefit from care that is more efficient, more effective and more human.

Our environment empowers our team members to elevate our interactions with each other and the experiences we deliver to our patients, giving them more days n our team, it is your chance to improve the lives of millions as you discover the meaning behind Caring. Connecting. Growing together.

The Care Coordinator, Onsite plays an integral role in optimizing patients  recovery journeys. The Care Coordinator completes weekly functional assessments and engages the post-acute care (PAC) inter-disciplinary care team to coordinate discharge planning to support the members PAC journey. The position engages patients and families to share information and facilitate informed decisions. By serving as the link between patients and the appropriate health care personnel, the Care Coordinator is responsible for ensuring efficient, smooth, and prompt transitions of care.

• By serving as the link between patients and the appropriate health care personnel, the Care Coordinator is responsible for ensuring efficient, smooth, and prompt transitions of care
• Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. Collaborate effectively on discharge goals and assist in resolving barriers
• Collaborate effectively with members health care teams with individualized communication and participation in interdisciplinary team meetings
• Review target outcomes and discharge plans with providers and families
• Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays
• Assess and monitor patients  continued appropriateness for SNF setting (as indicated) according to CMS criteria
• Complete all SNF continued stay reviews, updating authorizations on a timely basis
• When Care Transitions is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forwarded to licensed physicians for review and issuance of the NOMNC when appropriate
• Complete cross-training and maintain knowledge of multiple contracts/clients to support coverage needs across the business
• Manage assigned caseload efficiently and effectively utilizing time management skills
• Enter timely and accurate documentation into Coordinate
• Adhere to organizational and departmental policies and procedures
• Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws
• Hold patients  protected health information confidential as required by applicable laws, regulations, or agency/institution procedures
• Keep current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies, and benefits)
• Adhere to all local, state, and federal regulatory policies and procedures
• Attend H&C Transitions meetings as requested
• Promote a positive attitude and work environment
• Perform other duties and responsibilities as required, assigned, or requested

• Active, unrestricted registered clinical license required in state of hire - Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist
• 5+ years of clinical experience
• Ability to support specific location(s) for on-site facility needs within 30-mile maximum radius of home location based on manager discretion
• Reside within or near the county listed on the job description
• Driver s License and access to reliable transportation

• Experience working with the geriatric population
• Familiarity with care management, utilization/resource management processes and disease management programs
• Patient education background, rehabilitation, and/or home health nursing experience
• Proficient with Microsoft Office applications including Outlook, Excel and Power Point
• Proven detail-oriented
• Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously
• Proven team player
• Proven exceptional verbal and written interpersonal and communication skills
• Proven solid problem solving, conflict resolution, and negotiating skills
• Proven independent problem identification/resolution and decision-making skills

• Dedicated, distraction-free space in home for home office
• Access to high-speed internet from home (Broadband Cable, DSL, Fiber)
• Ability to manipulate laptop computer (or similar hardware) between office and…