Care Coordinator RN

Company: WellStar Health System
Location: Marietta
Posted on: March 19, 2023

Job Description:

Responsibilities **Sign On Bonus and/or Relocation may be available to qualified candidates** The Care Coordinator RN is responsible for coordination of care across the continuum during the patient's acute, -chronic and long-term stages of illness for a defined patient population. Will assist and support the Social Work team -members with medical management expertise and critical thinking based on DRGs and chronic condition -management. Will assist with complex conversations with physician that is beyond the scope of the social worker -colleague.

• This includes utilization management, transitional care planning, psychosocial and functional status assessment, -patient advocacy, education for the patient's/family, and monitoring quality indicators to demonstrate outcomes -resulting from the service provided.
  • Collaborates with all team members to provide a comprehensive assessment of -the patient's medical care needs, psychosocial needs, home and living situation, social determinants needs, plan of -care in collaboration with the physician and other care team members, goals/outcome attainment and continued care -needs. -
    • Must work in close collaboration with UM Nurses. -Review targets for LOS, target outcomes and discharge plans with the providers and family -Collaborate effectively with the patient's health care team to establish an optimal discharge plan. -Assure the patient is progressing toward discharge goals and assist to resolve barriers -Attends the patient/family care conference and IDRs. -Assess and monitor patient's continued appropriateness for IP care and tracks avoidable days. Qualifications undefined

Keywords: WellStar Health System, Marietta , Care Coordinator RN, Other , Marietta, Georgia