Patient Care Coordinator

The Patient Care Coordinator plays a key role as a member of the interdisciplinary care team, focusing on enhancing clinical outcomes, improving patient satisfaction, and managing the cost of care. The Care Coordinator is responsible for integrating and coordinating utilization management, care facilitation, and discharge planning functions. By effectively managing a designated caseload, the Care Coordinator ensures that patient needs are met, length of stay is optimized, and resources are used efficiently.

• Care Team Participation:
  Work as part of the interdisciplinary care team to improve clinical outcomes, patient satisfaction, and efficient care delivery.
• Utilization Management:
  Coordinate utilization management efforts to ensure that care is appropriate, timely, and cost-effective.
• Care Facilitation:
  Manage the facilitation of care across various settings and ensure continuity of services for patients.
• Discharge Planning:
  Develop and implement discharge plans in collaboration with other healthcare providers to ensure smooth transitions of care.
• Caseload Management:
  Accountable for a designated patient caseload, planning care to meet individual patient needs and promoting effective use of resources.
• Length of Stay Management:
  Monitor and manage the length of stay for patients, ensuring that care is delivered efficiently and without unnecessary delays.
• Patient and Family Support:
  Provide support and education to patients and their families regarding care plans, discharge instructions, and resources available to them.
• Collaboration:
  
  Communicate with payers to ensure timely and accurate information regarding patient care and treatment plans.

• Registered Nurse (RN) License with a valid, active license in the state of employment.
• Proven experience in care coordination or case management.
• Strong understanding of utilization management, discharge planning, and patient care facilitation.
• Excellent communication skills, both written and verbal, to collaborate effectively with interdisciplinary teams, patients, and families.
• Knowledge of healthcare payer systems and insurance processes.
• Ability to manage and prioritize a caseload effectively.
• Ability to make decisions based on clinical judgment, patient needs, and organizational goals.
• Must have at least 2 years of recent experience in the specialty within the past 2 years.

• Certifications in Care Coordination or Case Management (e.g., CCM, ACM).
• Previous experience working in a hospital or clinical setting.
• Familiarity with electronic health record (EHR) systems and case management software.

• Certified Case Manager (CCM) or Accredited Case Manager (ACM) certification (preferred).