Care Coordinator Emergency Room Per Diem Days

If you are interested apply online and send your resume to yadeleon@mlkch.org

POSITION SUMMARY

The Care Coordinator functions as a liaison between patients, providers, and the healthcare system. Under the direction of the Care Manager and/or MSW, the care coordinator ensures that patients’ transition of care needs are effectively organized and completed prior to their discharge.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Care Coordination:

• Assists patients through the healthcare system by operating as a patient advocate and health systems navigator.
• Coordinates continuity of patient care with external healthcare organizations and facilities.
  • Makes outpatient follow up appointments as requested.
  • Obtains patient choice for post-acute facilities as required by CMS Conditions of Participation.
  • Coordinates referrals to post-acute facilities, including home care, DME, SNF, LTACH, Acute Rehabilitation based on patient/family choice.
• Coordinates continuity of patient care with patients and families/caregivers following hospital admission, discharge, and Emergency Department visits
  • Make appointments as requested (e.g. dialysis, outpatient clinics, physician followup)
  • Make post-discharge calls as directed to follow up on lab work, clarify instructions, and assure availability of required resources
• Reports care barriers and challenges to appropriate care manager.
• Follow the continuum of patient care for admission to post-discharge.
• Communicates with patients and families with regard to transition plans, as directed by the Care Manager..
• Promotes clear communication amongst interdisciplinary care team members by ensuring awareness regarding patient care plans.
• Assures availability of medications and/or prescriptions prior to patient discharge.
• Participates as a successful team associate supporting data collection, health outcomes reporting, clinical audits, and pragmatic evaluation.
• Coordinates special needs and projects as assigned (e.g. DME closet, distribution of clothing, resource manuals)
• Performs other duties as assigned.