Job DescriptionUnder general direction, the Clinical Care Coordinator/Case Manager's role is to coordinate interdisciplinary care planning to achieve timely and safe discharge and/or to coordinate access and utilization management, proactive patient management, care facilitation and treatment planning functions. The Clinical Care Coordinator/Care Manager coordinates care along with unit staff (Nursing, Providers, Consulting Services, Social Work) and providers caring for the patient at discharge to assist in facilitating a patient focused plan of care aimed at ensuring a safe transition from hospital to home for adult acute care patients.
Essential functions include, but are not limited to:
- Identify patient discharge needs and potential barriers
- Assists with closing gaps in medical care upon discharge by utilizing community resources
- Communication with in-network PCP offices to ensure a transition of care to the community setting
- Identify resources for patient self-management planning and discharge
- Assist in developing and implementing care plans for medically complex patients
- Prepares patient for discharge by referring for home care services (skilled nursing, PT, OT, SLP) and DME
- Complete the Patient Review Instrument
- Other duties as assigned
Salary Range:$77,220.15- $93,600
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations
Job Requirements- Fulfilled the educational requirements to be a licensed RN in NYS; BSN preferred. 3-5 years professional nursing experience. Progressive clinical experience including community health, care management, and/or disease management is preferred.
- Experience working as a member of a multi-disciplinary team is required. Experience in data analysis and chronic illness management preferred.
- Current and valid license to practice as an RN in New York State required. PRI certification preferred but not required.
