The Care Navigation Nurse Coordinator promotes quality patient care, ongoing clinical problem solving and customer support for Fresenius Health Partners (FHP) Care Navigation population by providing guidance, support, care coordination, education.
The RN Unit Care Coordinator is responsible for supervising, implementing, coordinating, and managing patient care through interpersonal contact with patients, families, nursing staff, and others on his/her respective unit in accordance with all applicable laws, regulations, and standards.
This RN is involved with throughput activities, including, but not limited to, completion of PRIs; facilitation of discharge planning by interfacing with IDT members; initial and concurrent clinical reviews for health plans; identification and escalation of complex discharge issues; identification, intervention and escalation of non-medically necessary admissions or continued stay; oversight of patient's discharge appeal process; and identification and tracking of avoidable days.
In this role, you will perform concurrent review on all patients and share all problematic cases with the supervisor and physician advisor. Determines and makes appropriate referrals concerning alternate level of care.
In this role, you will Assess patient condition, in conjunction with clinic staff, such as the discovery of unreported medical or social conditions or changes at home that may lead to adverse outcomes and ensures that these are referred to appropriate sources for attention.
In this role, you will be responsible for identification, intervention and escalation of non-medically necessary admissions or continued stay; oversight of patient's discharge appeal process; and identification and tracking of avoidable days.
In this role, the selected candidate will articulate findings and provide recommendations to stakeholders to improve outcomes and cost efficiency of care; provide case management to review changes in medication and treatment plan and document interventions and recommendations with medical record.
The Care Coordinator is responsible for coordinating care and providing guidance to primarily low-risk patients; develop effective interpersonal relationships with patients and works collaboratively with the interdisciplinary care team to improve health outcomes.
The care coordinator is responsible for engaging high risk clients as identified by the health care payer. He/She will provide support, triage, and case management services in an effort to positively impact level of care need for the client both on the medical and behavioral health side.
In this role, the successful candidate will consult with supervising physicians in accordance with the practice's policies and medical standards to assure standards of medical care and patient satisfaction.
In this role, you will be overseeing the provision of services to the child and family by Intensive In-Home workers, Skill Builders, Respite Care workers, Crisis Response workers, and a Family Support worker.