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DC Patient Care Coordinator FT Washington DC, DC

The Patient Care Coordinator is responsible for utilization review, discharge planning & transitions in care, in collaboration w/ MAPMG rounder in acute or alternative settings of care.

Essential Functions:
- Utilization Review.According to department policy, procedure & protocols, consistently apply & verbally communicate approved utilization review criteria & guidelines for services delivered in acute or alternative care settings.
- Eligibility & Benefit Verification.Confirm eligibility status & ensure the appropriate administration of benefits in accordance w/ department policies & procedures.
- Assessing Right Venue of Care w/ Hospitalist.Collaboration w/ Hospitalist to assess the appropriate level of care for patients (i.e., Medical Unit, Surgical Unit, Tele Unit, TCU, ICU) & post-(Home, Continuum or Community-based Services) hospitalization.
- Coordination of Care.Driving patient care plan through assuring daily plan is executed & management of transitions & post-hospital care.
- Effective Discharge Planning.Prompt, clinically appropriate discharge planning beginning at time of admission.
- Variance Management.Timely steps in identification of delays in throughout, escalation to correct delays & recording delays to identify patterns & trends that will require corrective actions.
- Quality Screening.Demonstrate competency to assess all aspects of care across the continuum for variations from quality & utilization standards.
- Performs other related duties as directed.


Qualifications:

Schedule Details:
- This position has a rotating schedule to include nights, weekends and holidays.
- 40 hours/week with every other Saturday or Sunday and evenings included.

Basic Qualifications:
- 2 years of experience in acute hospital utilization review or equivalent required.
- RN License in jurisdiction where assigned required.
- CPR certification required.
- New Hire:
-Successful completion of PCC Orientation & Assessment of Critical Skills.
- Passing score on inter-rater reliability.
- Annually:
-Successful completion of PCC Assessment of Critical Skills.
-Passing score on inter-rater reliability.
- Ability to effectively communicate.
- Ability to conform to established policies & procedures.
- Ability to analytically problem solve & make decisions.
- Ability to tolerate & cope w/ ambiguity.
- Ability to work as a team member.
- Proficiency in the use of applicable computer software.
- Demonstrated ability to effectively & clearly present information through the written word, to influence or persuade others through oral presentation in positive or negative circumstances & to listen well.
- Demonstrated ability to write clearly, legibly & effectively, to present ideas & document activities, to read & interpret written information.

Preferred Qualifications:
- Recent acute care, case management, or home health experience preferred.
- BSN preferred.

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