Transitional Care Coordinator vacancy at The Aroostook Medical Center in Brewer

The Aroostook Medical Center is employing Transitional Care Coordinator on Tue, 19 Nov 2013 21:52:13 GMT. This position is an EMHS position with primary location at Inland Hospital JOB SUMMARY: Responsible for assessment and management of Beacon Health LLC Contracted Organization Members admitted to acute and sub acute care facilities, with the objective of ensuring appropriate discharge planning as well as appropriate allocation of medical resources to assure a smooth transition of care to an...

Transitional Care Coordinator

Location: Brewer, Maine

Description: The Aroostook Medical Center is employing Transitional Care Coordinator right now, this vacancy will be delegated in Maine. More complete informations about this vacancy opportunity please give attention to these descriptions. This position is an EMHS position with primary location at Inland Hospital

JOB SUMMARY:
Responsible for assessment and management of Beacon Health L! LC Contracted Organization Members admitted to acute and sub acute care facilities, with the objective of ensuring appropriate discharge planning as well as appropriate allocation of medical resources to assure a smooth transition of care to an alternate setting.

Reports to the Regional Manager of Care Coordination.

PRIMARY RESPONSIBILITIES:

• 1. Performs onsite assessment and review of admitted Members to assure that appropriate discharge plans are in place to allow Member’s care to continue in the appropriate alternate setting: Home, Home with Home Health, SNF, etc.
• 2. Explores and coordinates appropriate alternatives to acute care and communicates recommendations to attending physician, Members/authorized representatives, facility staff and The Organization Medical Director to facilitate appropriate and timely action.
• 3. Actively interacts with hospital, SNF, NH staff as well as Members and/or Authorized Representat! ives throughout the discharge planning process to explain bene! fits, assist with discharge planning, notify of denial of coverage with explanation of appeals rights and explore appropriate alternative options.
• 4. Identifies and communicates potential discharge delays and available discharge options to the attending physician, and works in collaboration with the attending physician, facility discharge planning staff, outpatient resources, Member, family, Primary Care Physician and other appropriate parties to develop and implement the optimal plan of care.
• 5. Utilizes knowledge of community resources and alternate funding arrangements available to Members when services are not covered under the Members benefit program. Educates member/member’s family regarding alternative assistance including contact information.
• 6. Involves appropriate staff in discharge planning to assure coordination of follow-up after discharge.
• 7. Develops relationships with facility social workers and community resources as we! ll as to assure maximizing the effective management of catastrophic and chronic cases.
• 8. Identifies and reports appropriately all situations which might expose the organization to legal liability and/or which are indicative of potential quality of care issues.
• 9. Maintains the confidentiality of all Member information in a manner consistent with HIPAA standards.
• 10. Actively involves with Beacon Health LLC Regional Director of Care Coordination and

the Medical Director to maximize management opportunities in specific cases.

• 11. Participates in the development or revision of programs to reduce re-admissions for Members with acute and chronic conditions and assists with decreasing inpatient length of stays.
• 12. Identifies opportunities for change in processes and assists MM leadership with implementation of same.
• 13. Identifies reporting opportunities and assists in the implementation and/or upgrade of! reporting.
• 14. Streamlines workflow processes and coordinates! with all segments of Beacon Health LLC Services to assure coordinated care without redundancy.
• 15. Actively manages requests for admissions to acute inpatient rehabilitation, Long Term Acute Care (LTAC) facilities and Skilled Nursing Facilities. Includes completion of pre-certification and notification to Member/Provider within regulatory time frames.

16. Performs related and unrelated duties as assigned.

• Denotes essential job functions.

REQUIREMENTS:
Minimum five years acute care nursing experience, with minimum two years in an acute care hospital setting, to include intensive, critical care or Emergency Department experience required.

Combination of adult and pediatric experience preferred.

Case management, Utilization Management and/or discharge planning experience required, as is knowledge of basic concepts and principles of managed care.

Demonstrates strong clinical assessment skill! s and excellent communication, organization and time management skills.

Demonstrates customer focused interpersonal skills to interact in an effective manner with physicians, the interdisciplinary health care team, community agencies, Members and families.

Demonstrates the ability to function independently and effectively in a rapidly changing environment, as well as the ability to influence and negotiate individual and group decision-making processes.

Demonstrates general computer knowledge, with proven keyboarding proficiency

EDUCATION and

TRAINING:
Registered Nurse with current Maine license required

WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in a clinical setting. Requires valid Maine driver's license and a willingness to travel using company or personal vehicle.
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If you were eligible to this vacancy, please send us your resume, with salary requirements and ! a resume to The Aroostook Medical Center.

Interested on this vacancy, just click on the Apply button, you will be redirected to the official website

This vacancy will be started on: Tue, 19 Nov 2013 21:52:13 GMT

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