Case Coordinator Nurse – Case Management
The Case Coordinator Nurse has advocacy & education, facilitation, transition & financial management, outcomes & psychosocial management in order to promote quality, safe and timely transition through the healthcare system. Has a supervision and guidance from the Senior Case Coordinator, the case coordinator will coordinate appropriate providers and access appropriate services to progress the patient’s episode of care in a timely manner.
Education / Qualification Required:
BS Degree in Nursing
Master of Science in Nursing Preferred
Minimum Four (4) years of experience as a Staff Nurse in Case Management
Experience as a Case Coordinator Nurse practice inpatient and outpatient areas.
Senior Charge Nurse experience as per Professional Qualification Requirement with experience in Case Management.
Experience of leading change and championing evidence-based practice.
Valid and in a good Standing License in current country of practice
Job Duties and Responsibilities:
Develop patient care plans to include correct Level of care placement- Utilization Management
Care Facilitation along the Continuum of Care, monitoring against Clinical Pathway, and facilitation of transition plans
Proactive Discharge Planning
Facilitation of accurate medical documentation and health insurance documentation
Facilitation of Resource Utilization- ensuring the available funding meets the clinical needs
Links the physician staff with finances.
Proactively identifies and resolves variances to clinical pathway and obstacles to discharge.
Completes Case Management and quality screening for assigned patients (once deemed competent)
Early assessment and intervention (once deemed competent) to address psychosocial needs including patient, family and community and collaborates with Social Workers as appropriate
Communicate closely with Utilization & financial managers regarding insurance and other financial issues to ensure appropriate reimbursement for services (once deemed competent)
Participates in Quality Assurance programs within the clinical care setting.