Coord RN Care Inpt PRN 2nd 3rd - St. Elizabeth Healthcare
Edgewood, KY
About the Job
Job Description
On a concurrent basis the Care Coordinator (CC) utilizes appropriate/standardized criteria to determine the optimal level of care required for the patient and alternate care delivery options.
| * | 25% |
Identifies (internal and external) variances/obstacles to efficient or timely care and positive patient outcomes and intervenes with the healthcare team to overcome or eliminate these when possible. | * | 25% |
Interacts with or provides information for third party payers/review agencies to coordinate certification requirements, LOS treatment planning and other benefit utilization issues. An established procedure is utilized to resolve denial of care, conflicts over care, service or payment.
| * | 20% |
Document patient medical necessity criteria and discharge planning activities according to departmental policies.
| * | 15% |
Qualifications
Education, Credentials, Licenses: Graduate of an accredited baccalaureate school of nursing or related field. Licensed as an RN to practice nursing in the state where work is being performed. Meets contact hour requirements for licensure, including all state required courses. | |
Specialized Knowledge: Knowledge of state and federal regulatory issues, payor strategies, payment methodologies, benefit plan designs and limitations. Working knowledge of SEHC policies and procedures. Good organization, critical thinking, problem solving, and communication skills. Excellent human relations skills and team leadership abilities. |
If, for any reason, you are having difficulties applying, please contact our recruitment team at recruiting@stelizabeth.com