Care Coordinator - Case Management - Salary

In an environment of continuous quality improvement, the Care Coordinator is responsible for facilitating patient-centered care coordination and the provision of high-quality patient care within fiscally expedient time frames in a healthcare setting. Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times.

Job Functions:

1. Performs patient assessment to identify pertinent patient problems/needs by direct interaction with the patient and by screening/reviewing of the patient's medical records to develop patient plan of care.
2. Collaborates with the multidisciplinary care management team regarding the individualization of the patient care plan by identifying care gaps using risk stratification in order to promote efficient use of hospital resources, facilitate timely transitions, and promote quality patient care.
3. Collects and records all clinical data, based on predetermined quality and outcome indicators developed by the medical staff, and Directors.
4. Coordinates continuity of patient care with external healthcare organizations and facilities.
5. Evaluates clinical care, utilization of resources, and development of standardized work.
6. Assumes all other duties and responsibilities as necessary.
7. Determines appropriateness of admission and severity of illness compared to pre-established criteria standards utilized by all third-party payers.
8. Assumes all other duties and responsibilities as necessary.

Minimum Education/Experience Required:

• Bachelor’s Degree in Nursing preferred.
• Minimum of one year of experience in care management or clinical setting required.
• Licensed in the State of Ohio as a Registered Nurse with a nursing degree.
• Must have clinical (medical) background and understanding of treatment modalities.
• Must be knowledgeable in allied health sciences, appropriate levels of care and the health care delivery system.
• BLS certification required.
• Maintains compliance in RQI required.

Special Knowledge, Skills, Training:

• Must have an understanding of Medicare criteria and standards, including diagnostic related groups, ICD-10-CM coding.
• Strong communication skills with ability to discuss patients' clinical courses with physicians at the physician level.
• Verbal and written communication skills, especially ability to provide constructive feedback.
• Problem solving, critical thinking skills.
• Ability to work independently and take initiative.
• Adapts well to change.

Compensation Details:  Education, experience, and tenure may be considered along with internal equity when job offers are extended.
 

Benefits:  Memorial Health System is proud to offer an affordable, comprehensive benefit package to all full time and flex time employees.  To learn more about the many benefits we offer, please visit our website at www.mhsystem.org/benefits.

Bonus Eligibility:  Available to qualifying full or flex time employees. Eligibility will be determined upon offer.

Memorial Health System is an equal opportunity provider and employer.

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at https://www.ocio.usda.gov/document/ad-3027, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, S.W., Stop 9410, Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov.

* Memorial Health System is a federal drug-free workplace.  This policy prohibits marijuana use by employees.