Coordinates the integration of social services/case management functions into the patient care, discharge, and home planning processes; coordinates with external service organizations, agencies and healthcare facilities.
Responsibilities
- Acts as a liaison between patient/family and healthcare personnel to ensure necessary care is provided.
- Effectively and efficiently manages patients throughout the continuum of care.
- Performs utilization review to ensure admissions for appropriateness of care and medical necessity.
- Coordinates and oversees the care and services of patients to achieve desired clinical and resource outcome.
- Coordinates with physicians on patient's progress and discharge needs.
- Works with discharge planners and assists in the coordination of support services.
- Provides education and support to patients and families related to their medical condition, treatments and the importance of following the continuing treatment plan.
- Serves as an advocate for patients in dealing with healthcare providers, insurance plans, and community resources.
- Performs all other duties as assigned.
Qualifications
- Experience in public health nursing, acute care, case management and/or in-home health care.
- Knowledge of disease management strategies.
- Knowledge of nursing processes, care management, and continuity of care.
- Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; and develops alternative solutions.
- Ability to maintain strict protocols of all confidential or sensitive information.
- Computer proficiency and working knowledge of Microsoft Office Suite.
- Strong verbal, written and interpersonal communication skills.
Education:
High school diploma or GED is required
Experience:
Three (3) years of nursing experience is required.
Licenses/ Certifications:
Active LVN certification required.
Active CPR/BLS required.