Care Coordinator II - CareVio - Rotating Position Job at Christiana Care Health Systems
PRIMARY FUNCTION:
- Serves as mentor and preceptor to care management staff while coordinating the utilization of healthcare resources, including transition planning, while facilitating the achievement of clinical, quality, financial and member satisfaction goals across identified risk populations.
- THIS POSITION WILL ROTATE BETWEEN PRIMARY CARE PRACTICE - CONCORD, LANTANA SQUARE, AND WILMINGTON FAMILY MEDICINE. ONE DAY PER MONTH THE CARE COORDINATOR WILL TRAVEL TO THE WEST GROVE SITE FOR MEETING PURPOSES.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Perform ongoing telephonic and/or embedded case management activities of assessment, problem identification, planning, implementation, coordination, monitoring, and evaluation of members. Stratifies and/or validates member level of risk during each transition process and interaction with the member.
- Collaborates with members, caregivers and members of the multi-disciplinary care team to develop a member centered plan of care to meet identified member care goals and outcomes
- Develop, implement, evaluate and revise case management care plans according to case management eligibility criteria, contractual guidelines and members physical and psychological needs throughout the continuum of care
- Identifies system issues that serve as barriers to care. Participates in development and implementation of strategies to remove barriers and promote resolution through coordination of a problem solving process
- Promote member wellness and autonomy through advocacy, communication, education, and identification and referral to community resources or other case management programs such as disease management programs
- Collaborate with healthcare professionals throughout the care continuum to facilitate the transition of the member/beneficiary to the appropriate level of care.
- Demonstrates knowledge of utilization management and care coordination processes and current standards of care as a foundation for transition planning, complex case management and disease management activities
- Confers with Medical Directors regarding complex cases requiring physician input regarding the treatment plan or physician to treating physician collaboration
- Serves as preceptor to all new orientees
- Receives Super-user training on a variety of programs, IT software, educational presentations and work with staff in a Super-user capacity to ensure staff compliance
- Actively participates in a defined departmental committee.
- Mentor staff in various aspect of training related to the principles of practice and care coordination in adherence set forth by the Commission for Case Management
- Performs assigned work safely, adhering to established departmental safety rules and practices. Reports to supervisor, in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, members and visitors
- Performs all other related duties as assigned by Manager/Director
EDUCATION AND EXPERIENCE REQUIREMENTS:
- Graduate of an acredited school of nursing; BSN within 3 years of hire
- Active Clinical RN License required; Master's degree preferred;
- Minimum of 1 -2 years of clinical experience in acute care.
- Case Management or utilization management experience desirable.
- Case Management Certification required within 18 months of hire.
EEO Statement: Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
UPDATE: ChristianaCare is committed to prioritizing the health and safety of our patients and caregivers. As we continue to meet the needs of our caregivers and our community through the COVID-19 pandemic, our commitment to health and safety requires that we take new steps to ensure a safe environment for medical care for our patients and a workplace that avoids preventable harm for our caregivers. For this reason, vaccination for COVID-19 is required for all caregivers at ChristianaCare and is considered a safety standard that is job-related and consistent with business necessity for all caregivers.
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