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Per Diem RN, Care Transitions Coordinator

Company: Holy Name
Location: Teaneck
Posted on: March 19, 2023

Job Description:

Requirements:Education: Registered Nurse licensed in State of New Jersey, BSN required.Skills: Analytical and problem solving along with excellent verbal and written communication skills.Experience:3-5 years experience in an acute care setting required. Disease Management and Discharge planning experience preferred.Certification: CCM preferred.Essential Functions of the Job:1. Identify complex and or high risk patients, develop and maintain an ongoing worklist to appropriately follow up patient's healthcare needs in an acute and post acute setting.2. Serve as the point of contact, advocate and resource for patients, care team, family/caregiver(s), insurance payers and community resources. Provide Education and Counseling as needed.3. Documents and updates all interventions according to hospital policy and CMS conditions of participation.4. Refer appropriate patients to Financial Counselor5. Attends length of stay (LOS) meetings, daily discharge rounds and interdisciplinary rounds to report acuity levels of patients and determine outliers for care and timely discharges. Works with physicians and unit interdisciplinary team6. Maintains up to date knowledge of third party payor requirements and criteria for different levels of care.7. Maintains a knowledge of the resources available in the community for patients and their families. Demonstrates flexibility and creativity in identifying resources to meet patient and family needs.8. Maintains knowledge of guidelines and protocols for a dedicated population in order to standardize care.9. Maintains and updates Transfer database for statistical analysis of data10. Collaborates with medical, nursing and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting.11. Modification of plan of care, as necessary, to meet the ongoing needs of the patient12. Communicate relevant information to third party payors and the care team.13. Completion of all required documentation in patient records14. Issues Notices of Non-Coverage per hospital policy.15. Refers appropriate cases for social work intervention based on department criteria16, Knowledgeable about Indigent Medication Programs17. Verifies patient demographics and insurance information is correct18. Expedites execution of plan of care for patients in Observation units.19. Arranges transportation for patients slated for discharge.20. Uphold compliance of regulatory standards for Observation patients including CMS requirement for Code 44.21. Utilizes "Patient Choice" list for support services post discharge and documents.Initiates home care referrals for HNMC VNS, orders durable medical equipment and arranges ambulance transportation as needed for patients prior to discharge or transfer to another facility.22.Participates as an active, informative and cooperative team member of the health care staff by attending discharge rounds for case finding/follow up and participating in the discharge plan while acting as an advocate for the patient. Arranges family meetings to assist in discharge planning as indicated.23. Other duties as assignedEqual Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Keywords: Holy Name, Paterson , Per Diem RN, Care Transitions Coordinator, Other , Teaneck, New Jersey

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