Nurse Care Coordinator

Position: Nurse Care Coordinator - Full Time - Days
* Is familiar with, and follows, nursing protocols and standards of care.
* Uses current knowledge in nursing practice based on standards and research literature.
* Able to competently perform technical skills independently.
* Is accountable to learn new skills and equipment within areas' specifications and time frame.
* Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals.
* Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
* Communicates effectively to solve problems at the personal and unit level.
* Is approachable and professional in working with other health professionals, ancillary staff, patients and family.
* Takes pride in the unit by active participation in restocking and maintaining a clean environment.
* Maintains a professional appearance, behavior, and work environment.
* Maintains competence in area of experience.
* Participates in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.
* Acts professionally responsible for human and other resources.
* Charges accurately for use of supplies and equipment according to policy.
* Knowledgeable of length of stay goals for each DRG and communicates with the provider.
* Partners with post-acute care providers to decrease readmissions.
* Has knowledge of “Severity of Illness/Intensity of Service” criteria and collaborates with UR nurse regarding the appropriateness of admission, continued stay, and level of care.
* Performs concurrent reviews for patients with commercial payers (Acute Rehab only).
* Collaborates with physician, interdisciplinary team and patient/family to develop comprehensive, proactive discharge plans for all complex patients and oversees and ensures the development of discharge plans for all patients.
* Establishes effective relationships with patient/family to set reasonable goals and expectations for acute care, and to facilitate a safe and satisfactory transition to home or alternative post-acute facilities.
* Accurately documents in the medical record, and/or electronic system and completes forms in accordance with documentation policies.
* Tracks and communicates pertinent results (i.e., diagnostics and consulting physician recommendations) in timely manner to physician(s) to expedite medical decision making.
* Actively participates in interdisciplinary rounds and targets actionable issues affecting patient care and clinical progression.
* Facilitates timely referrals to care team (i.e.: Social Work, Rehab, Wound Care, Diabetes Clinic, Palliative Care, etc.).
* Coordinates interdisciplinary team actions to support the discharge plan, i.e.; consulting physician address needed medications, facility arrangements, physician approvals and orders for discharge Direct Medical Education (DME) orders.
* Participates and/or facilitates patient/family conferences to address clinical management issues and discharge plan.
* Teaches patient/family regarding complex diseases and/or discharge instructions.
* Bachelors of Science in Nursing (BSN) from an accredited college of nursing required, or obtained within 5 years from date of hire for nurses with an Associate Degree in Nursing (ADN).
* Successful completion of annual mandatory education requirements.
* Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers.
* Ability to multi-task and prioritize work assignments.
* Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.
* Ability to think critically and problem solve.
* Excellent negotiation skills, with the ability to address complex issues with physicians and staff across multiple departments.
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