Coordinator Care Job Description
Coordinator Care Duties & Responsibilities
To write an effective coordinator care job description, begin by listing detailed duties, responsibilities and expectations. We have included coordinator care job description templates that you can modify and use.
Sample responsibilities for this position include:
Coordinator Care Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Coordinator Care
List any licenses or certifications required by the position: BLS, CCM, CPR, MSW, BS, CM, MA, ACMA
Education for Coordinator Care
Typically a job would require a certain level of education.
Employers hiring for the coordinator care job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Health, Social Work, Education, Psychology, Nursing, Social Science, Counseling, Management, Substance Abuse, Criminal Justice
Skills for Coordinator Care
Desired skills for coordinator care include:
Desired experience for coordinator care includes:
Coordinator Care Examples
Coordinator Care Job Description
- Perform Interqual Admission Assessments on all new admissions and forward the reviews to insurers as needed
- Communicate in real time with physicians on any patients not meeting criteria and establish a course of action
- Act as liaison to managed care case managers for evaluating medical management of patients, referring questions to Medical Directors and/or payers when appropriate
- Perform daily InterQual reviews on assigned patients and document when InterQual criteria is not met
- Upon receipt of admitting or daily denials from insurers, review the case and provide the insurer with additional clinical information for the insurers' reconsideration
- Complete the clinical record and patient profile in Allscripts or a Steward designated software tool
- Copy the Allscripts clinical information and place in medical record, as appropriate
- Finalize authorization for stay for all covered days prior to case closure
- The RN Care Coordinator provides resource 365 days per year
- Rotation of holidays will be assigned as agreed under the Care Coordinator Model settlement
- Rotation of weekends will be assigned based on each hospitals collective bargaining agreement and practice
- Performs outbound calls to patients to understand their clinical needs and connect them with appropriate
- Russian Speaking Bilingual highly desirable
- Serves as primary patient contact for team related to condition
- Liaison with other partner care coordinator teams across settings
- Utilizes education about managing a specialty condition, including prevention and health maintenance tasks
Coordinator Care Job Description
- Registered Nurse with current licensure preferred
- Ability to create and complete accurate referrals and applications and keep updated on policy or procedural changes
- Review targets for LOS, target outcomes and discharge plans with the providers and family
- Completes all SNF concurrent reviews, updating Authorizations on a timely basis
- Collaborate effectively with the patient’s health care team to establish an optimal discharge plan
- Assure the patient is progressing toward discharge goals and assist to resolve barriers
- Assure appropriate referrals are made to the Health Plan, High Risk Case Manager and/or community-based services
- Engages with patient, family or caregiver either telephonically or on-site weekly and as needed
- Attends the patient/family care conference
- Assess and monitor patient’s continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the OPT
- Important to have a strong attention to detail
- Supports new delegated contract start up to ensure experienced staff work with new contract
- Manage assigned caseload in an efficient and effective manner utilizing time management skills
- Enter timely and accurate documentation into the CM Tool application
- Review with the assigned Clinical Team Manager monthly dashboards, readmission reports, quarterly and other reports as needed to assist with the identification of opportunities for improvement
- Ability to establish a home office work space
Coordinator Care Job Description
- Establishes positive rapport with patients and families
- Utilizes knowledge of legal issues, COBRA regulations and regulatory agency requirements
- Utilizes technological tools (registries, patient lists, care team tab, ) to manage populations
- Ensures care gaps are closed around specialty disease/chronic disease/surgical episodes
- Serves as primary patient contact for team related to condition/surgical episode and facilitates access to services
- Assists in managing transitions of care across care setting, ensuring optimal communication and planning
- Educates about managing a specialty or surgical condition (inclusive of preoperative, perioperative, postoperative and recovery) inclusive of prevention and health maintenance tasks
- Provides patients with education materials and sends letters to primary care physicians, nephrologists, and
- Specialists for new enrollments/appointments
- Facilitate medical, behavioral health and other appointments as applicable for patients
- Graduate of an accredited college or nursing school as an RN or LPN
- Current licensure as an RN or LPN in state of residence
- Working knowledge of Microsoft Office, PowerPoint, Internet, Adobe, and MS Outlook
- Prefer knowledge of Patient Centered Medical Home (PCMH), CPC+, government programs (CMS), accountable care organizations (ACOs), HEDIS, and experience with payer cost sharing initiatives
- Self-motivated and flexible to the changing needs of the program, team and work environment with the ability to self-direct including prioritization of multiple simultaneous tasks
- Ability to interpret and apply guidelines and procedures and maintain quality control standards
Coordinator Care Job Description
- As a client advocate, seek authorization for care management from the recipient of services (or designee)
- Assess, coordinate, and facilitate discharge planning or transition to the appropriate level of care
- Facilitate ICT meetings/discussions
- Work with clients, gathering, compiling and coordinating continuing care information
- Provide AA/NA contacts in clients home area, set up interviews, arrange transportation and contact agencies with regard to clients continuing care plan
- Maintain the continuing care database, with special emphasis on continuous updates of clinical value and work
- Work with the Addiction Technicians and provide back up for that group, when needed, provide the continuing care chart checks for all patients leaving treatment
- Do the follow up phone calls within 5 days of discharge for WI client facility placements for continuing care services
- Member outreach for HEDIS/STAR measures
- Receives referrals from right fax and within the interdisciplinary care team and data enters into CareEnhance Clinical Management Software (CCMS)
- New Mexico Driver's License
- HS/GED diploma and 5+ years of behavioral health work experience
- NM State Driver's License and reliable transportation to work in the community
- Bilingual, English and Spanish, Russian, or Creole
- Associates degree and 3 years of behavioral health work experience
- Assess, plan, implement, coordinate/facilitate, monitor and evaluate options and services to meet an individual’s health needs and assists provider(s) in the ongoing management of the member
Coordinator Care Job Description
- Responsible for follow-up tracking and inputting data of all IPU patients
- Empower patients with knowledge of their own condition to enable sustainable lifestyle change
- Maintain appropriate health record documentation
- Be familiar and comply with local, state, and federal mandates governing privacy and confidentiality, such as the federal Health Insurance Portability and Accountability Act (HIPAA) requirements and state medical records laws
- Provide Spanish interpretation support as needed to our non-bilingual providers within the Institute
- Coordinate the IPU Multidisciplinary team meeting
- Identify appropriate resources and assessment instruments, as needed
- Coordinate the pairing of patients with LC3 students
- Responsible for ensuring that financial authorizations are obtained timely, that PSARR's, TAR's and ARF's are obtained timely and accurately
- Assists in preparation and implementation of a discharge plan for each resident including oversight of process, obtaining needed authorizations, DME's and MD Order
- Bachelor's degree preferred and/or combination related work experience in behavioral health
- Establishes an individualized plan of care (with identified issues, goals, add interventions) based on the results of the assessment, and updating the plan of care as expeditiously as the member’s needs change
- Referral to and involvement of community agencies and organizations as needed to meet identified needs
- Perform care gap analyses as part of ongoing monitoring and follow-up with members including revisions to the plan of care when care gaps between recommended care and actual care received are determined
- Coordination of benefits and referrals
- Evaluate member satisfaction through open communication and monitoring of concerns or issues