About this opportunity
Corewell Health lists this RN Care Coordinator PRN opportunity in wayne, Michigan. Review the employer’s description below for duties, qualifications and application requirements.
Job description
On-site
nWayne, MI
nPart time
nR
nAbout the Department
nCoordinates the care for groups of patients as it relates to disease management, resource utilization, access, discharge planning, quality, service and efficiently across the continuum. This is an interventional role maintaining a patient centered focus.
nAbout Wayne Hospital
nRecognized by the US News & World Report as a high-performing facility in congestive heart failure, chronic obstructive pulmonary disease, kidney failure, and maternal services. It has been serving the community since 1957 and has a long-standing partnership with Detroit Metropolitan Wayne County Airport and the Centers for Disease Control and Prevention to help handle a variety of health and communicable disease concerns.
nScope of work
nUnder general direction, integrates cost, quality and utilization to facilitate the admission, continued stay and discharge of the patient. Reviews and evaluates appropriateness of admission or continued stay based on medical necessity. The overall goal of the position is to enhance the quality of patient care and engagement, to promote continuity of care and cost effectiveness through the integration and functions of utilization management, and/or care coordination, discharge planning, and appropriate care transitions. Has accountability for the care coordination and discharge planning of all hospitalized patients.
nnnIdentifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning).
n
nnResponsible for managing a case load of patients that includes facilitating utilization management, and/or care coordination during the patient’s stay, planning and expediting plans for safe and effective discharge and transition to the appropriate level of care and setting needed after hospitalization. Coordinating care by considering all patient’s needs.
n
nnUses critical thinking and effective judgment to determine alternative courses of care. Judiciously uses tools designed to expedite care while being cost effective. Actively participates in readmission initiatives and strategies to maximize patient flow and appropriate resource utilization. Works collaboratively on processes to provide effective transition for patients utilizing hospital outpatient, observation or inpatient services.
n
nnMay review cases for medical necessity, uses InterQual and/or other UR/UM Committee-approved medical necessity screening criteria, when appropriate. Works collaboratively with departmental, revenue cycle, and clinical appeals staff, physicians, and payers to obtain authorization for care and appropriate reimbursement. Determines and assures appropriate status and level of care. Uses defined resources to guide decisions, including Medical Director Care Management, Physician Advisors, and management staff.
n
nnRoutinely communicates with payers, patients/family caregivers, physicians, the interdisciplinary team, post-acute and community-based care providers to facilitate coordination of care and to enhance a seamless transition from hospital setting to the appropriate alternative level of care.
n
nnSeeks out information and resources to apply creative problem solving for complex discharge/transition planning, quality of care, and utilization management issues. Provides notification and communication to patients/families regarding coverage for hospital and post-acute services, in accordance with CMS regulations.
n
nnDocuments utilization reviews, utilization management actions, care management assessment(s), care plan, discharge plan, and interventions, according to policies, procedures, and regulatory, contractual, and legal requirements. Acts proactively to see that hospital resources are utilized appropriately.
n
nnWorks collaboratively with other departments to define areas of hospital inefficiency and participates in improvement projects.
n
n nThis document represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described.
nQualifications
nnnRequired Bachelor's Degree Graduate of an accredited school of nursing.
n
nnPreferred Will consider non-BSN RN if actively pursuing a bachelor’s degree in nursing with completion within 2 years of hire.
n
nn2 years of relevant experience Minimum two years’ experience in the acute care setting. Required
n
nn3 years of relevant experience Three to five years’ experience in care management, utilization review, home care and/or discharge planning. Preferred
n
nnRegistered Nurse (RN) - State of Michigan License Upon Hire required
n
nnBasic Life Support (BLS) - AHA American Heart Association preferred or
n
nnBasic Life Support (BLS) - ARC American Red Cross preferred
n
n nHow Corewell Health cares for you
nnnComprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here ( .
n
nnOn-demand pay program powered by Payactiv
n
nnDiscounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
n
nnOptional identity theft protection, home and auto insurance
n
nnTraditional and Roth retirement options with service contribution and match savings
n
nnEligibility for benefits is determined by employment type and status
n
n nPrimary Location
nSITE - Wayne Hospital - 33155 Annapolis - Wayne
nDepartment Name
nCare Management - Wayne Hosp
nEmployment Type
nPart time
nShift
nVariable (United States of America)
nWeekly Scheduled Hours
n8
nHours of Work
n8
nDays Worked
n1
nWeekend Frequency
nVariable weekends
nCURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
nCorewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
nCorewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
nAn interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
nYou may request assistance in completing the application process by calling .
nPeople are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.
Worksite address
wayne, MI, 48184, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.