About this opportunity
Community Hospital of the Monterey Peninsula (CHOMP) lists this Surgical Clinical Care Coordinator (Surgical C3) - Care Navigation opportunity in monterey, California. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Position Summary
The Surgical Clinical Care Coordinator is the gatekeeper of Surgical Services, providing the Hub early visibility of admissions to enable proactive bed planning, ensuring every admission is appropriately statused, and preventing avoidable admissions.
Key Responsibilities
Acts as a spoke of the Hub by partnering with other Care Coordinators to facilitate each patient’s care
Works proactively with surgical staff, PACU charge nurse, and surgeons to identify potential admissions, and communicates admissions and patient needs to the Hub
Reviews future OR schedule and validates accuracy of patient status (inpatient, outpatient, observation)
Verifies pre-authorization/pre-certification is obtained on each patient when required
Identifies inpatient Medicare/Medicaid procedures and ensures order, OR schedule, and other applicable systems reflect inpatient status
For planned admissions, anticipates discharge needs and begin discharge planning if possible
Evaluates and manages appropriate patient admissions
Collaborates with Surgical staff to identify variations between planned and final surgery and updates accordingly (status, LOS, diagnosis, delays, etc.)
Considers alternatives to admission for patients who do not meet criteria for admission
Ensures documentation of admission orders per policy
Discusses and advises physicians regarding patient admission status determination and those that do not meet admission order criteria (inpatient vs. observation vs. discharge)
Partners with PACU staff to facilitate patient flow out of the PACU
Serves as a consultant and educator with surgical staff regarding patient status, bed placement, payor requirements, and utilization of resources.
Identifies and initiates discharge planning for skilled needs.
Experience
5 years current acute care hospital experience preferred.
Broad clinical expertise to evaluate patient diagnosis and treatment plan and outcomes utilizing established criteria.
Effective communication, customer and public relations skills.
Ability to work as an integral member of the interdisciplinary assessment team.
Strong organization skills.
Knowledge of financial reimbursement, state, federal and commercial insurance requirements preferred.
Knowledge of community resources preferred.
Acute hospital case management experience preferred.
Utilization Management experience preferred
Surgical Services experience preferred
Education
Bachelor’s degree in nursing preferred.
Must pass orientation and initial competency assessment prior to independent assignment of patients requiring the applicable skill, and must complete and pass all annual competencies.
Licensure/Certifications
State of California RN license required. American Heart Association Healthcare Provider BLS required.
Equal Opportunity Employer
Equal Opportunity Employer
Assigned Work Hours:
Part Time, 0.7 FTE
M-F
5-6 hour shifts
variable day shift
no weekends, no holidays
Position Type:
Regular
Pay Range (based on years of applicable experience):
$73.13
to
$97.81
The hours employees work determine when a shift differential is paid.
Hourly Evening Shift Differential: $5.50
Hourly Night Shift Differential: $8.00
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.