Clinical Coordinator (Pediatrics/Picu) - Inpatient Care Management

12/7/2023 - REVISED Weekend

SUMMARY:

We are currently seeking a full time Clinical Coordinator to join our Inpatient Care Management team.  This will be working Days and Every Other Weekend, 8 hour shift length (10 shifts per pay period).  NOTE:  Current weekend assignment is every 8 weeks however is subject to change based on staffing needs and may require Every Other Weekend coverage

--The current need is for a Clinical Coordinator for the Inpatient Pediatric Unit and Pediatric Intensive Care Unit however this position may be floated to other units based on staffing needs. Note, this role will not be doing any Utilization Review.

The Clinical Coordinator is responsible for facilitating and coordinating the care delivered to an assigned group of patients through multidisciplinary and patient/family collaboration to ensure quality and cost effective outcomes are delivered ensuring appropriate use of resources. Coordination involves assessment, planning, support, and evaluation of patient care and related outcomes. Activities to be performed are patient/family interviews, clinical resource management, utilization management and coordination of transition planning.

The Clinical Coordinator is an active contributor in the development of systems to improve the care coordination of assigned patient populations. 

This role encompasses coordination of utilization management and transition planning team members assigned to the unit/service line/clinic. 

Care management establishes a system of care across the continuum of care to ensure seamless transition to the right service, right providers and the right time and encourages patients and families to manage their own health. Such care is facilitated by a Clinical Coordinator. 

RESPONSIBILITIES:

• Provides Care Coordination for patients, physicians and care providers
  • Plan, implement and evaluate transition functions and activities for a caseload of patients across the continuum care
  • Contribute to the development and implementation of individualized patient care plans that meet patient population goals/standards
  • Ensure implementation of the treatment plan for achievement of clinical outcomes consistent with the needs and preferences of the patient and family
  • Communicate with patients families and the health care team to ensure seamless transitions between levels of care
  • Enable efficient movement of patients through the care process by reducing delays and ensuring appropriate resource utilization. Involve patients and families in the discharge, transition processes
• Provide services to streamline plans of care, reduce hospital readmissions, ease the transition to long term services and supports, and interrupt patterns of frequent hospital emergency department use
• Facilitate implementation of best practice standards
• Maintain plan of care across continuum of care
• Responsible for a caseload of patients
• Incorporate utilization review activates concurrently across the continuum of care
• Actively track outcomes and participate in quality activities specific to patient population/departments served
• Provide information/education to healthcare providers to support changes for care delivery to patients and patient populations that meet quality, cost, and service goals
• Delegate tasks as appropriate to other members of the health care team
• Promote effective working relations and works effectively as part of a department/unit team inter and intra-departmentally to facilitate the department's/unit's ability to meet its goals and objectives
• Identify and address potential legal and ethical issues around Care Management/care coordination
• Demonstrate understanding of reimbursement mechanisms and the impact of length of stay on quality, financial and satisfaction outcomes
• Coordinate with payer case management to ensure coordinator effective approach to help patient meet goals 
• Help to evaluate effectiveness of interventions related to cost and length of stay goals
• Demonstrate respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment
• Demonstrate understanding of diversity issues related to patient care
• Understand and meet the requirements of the Corporate Compliance Program; complies with the standards set by department policy, The Joint Commission and other regulatory agencies governing activities within the department 100% of the time
• Understand and meet the requirements for health care home certification
• Make field visits to patients homes

Minimum Qualifications:

• Bachelors degree in Nursing required
• Must have worked as a professional nurse for the past three to five years 
• Must have experience in acute care and/ or ambulatory care 
• Must have demonstrated professional leadership (i.e., charge, team leader, preceptor, committee chair, etc.) 
• Current Minnesota RN licensure

Preferred Qualifications:

• Case management certification
• 2 years of case management experience
• Discharge planning experience in an acute care or nursing home setting