Coordinator Patient Care - Case Management

SUMMARY:

Assists case managers in post discharge provision of care which optimizes post- acute resources to reduce readmissions and provide safe/timely discharges to patient’s next level of care.

ESSENTIAL FUNCTIONS:

Identify and discuss patient discharges with case management team daily and coordinate follow up appointments, outpatient appointments and/or durable medical equipment (DME) needs. e.

Coordinate patient’s transportation to next level of care using the most appropriate and cost effective options available. Collaborate with case management coordinators house wide to ensure support/assistance for all case managers and their assigned patient caseloads.

Ensure timely delivery of the Important Message from Medicare (IMM,) to ensure regulatory compliance, to patients on assigned units upon discharge.

Collaborate with admitting and utilization teams on delivery of the Medicare Observation Notice (MOON) and the Important Message from Medicare (IMM), as needed upon admission and for all condition code 44 regulatory occurrences.

Participate in creation of standard work for redundant or regulatory processes. Track and manage DME loan closets to ensure safe and timely discharges, with appropriate durable medical equipment (DME) on high volume days and weekends. Upon request of case managers, meet with patients to review post- acute preferences, document appropriately in EPIC and submit choices to selected providers. 

Operates a personal computer, calculator, FAX machine, copy machine or related office machinery in performing assigned duties.

Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff.

Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication. 

Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.

Performs related duties as assigned.

MINIMUM QUALIFICATIONS:

EDUCATION:  Associates degree or health care related certification preferred.

EXPERIENCE:  Two (2) years of related healthcare experience preferred. Quality metrics and data analysis experience preferred.

LICENSURE OR CERTIFICATION: None

KNOWLEDGE, SKILLS AND ABILITIES: 

·         Ability to critically analyze data reports and develop appropriate action plans

·         Knowledge of patient care protocols and practices.

·         Knowledge of general patient care practice, methods and regulations.

·         Knowledge of patient privacy regulations.

·         Skill in attending to patients with care and attention to needs.

·         Skill in assisting with more complex patient care programs.

·         Ability to complete routine reports and correspondence.

·         Ability to listen and accurately interpret others’ communication or instructions to take appropriate action.

·         Ability to speak effectively in front of doctors, nurses, staff and the general public.

·         Ability to add, subtract, multiply, and divide using whole numbers, common fractions, and decimals.

·         Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.

·         Demonstrated skill in the use of computer applications and Microsoft Office products and in creating databases and spreadsheets.

·         Ability to deal with problems involving a few concrete variables in standardized situations.