Healthcare Coordinator
3 weeks ago
Responsibilities
As a Health eCareers team member, you will be responsible for ensuring continuity of care through effective communication and coordination with healthcare teams. Your duties will include:
- Conducting daily pre-admission, admission, and concurrent utilization reviews to determine appropriate levels of care and readiness for discharge.
- Monitoring the progression of discharge plans and facilitating discussions with multidisciplinary teams.
- Educating healthcare team members on utilization and care coordination.
- Collaborating with patients, families, physicians, and staff to provide information regarding discharge plans and transitions.
- Understanding and consistently applying the interpretation and utilization of member healthcare benefits.
- Conducting activities according to regulatory requirements.
Requirements
The ideal candidate will possess a minimum of four years of experience in hospital patient care delivery, or a completion of a Master's degree in case management. A graduate of an accredited school of nursing, and a Registered Nurse License (California) are also required. Additionally, the candidate must have knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPAA, ERISA, EMTALA, and all other applicable federal/state/local laws. Strong communication and customer service skills, problem-solving, critical thinking, and clinical judgment abilities are also essential.
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