Patient Care Coordinator RN

About This Role

This full-time Patient Care Coordinator RN position supports patient-centered care by advocating for patients and their families, especially those with complex disease processes requiring multiple healthcare supports. The role involves providing clinically based holistic care coordination and discharge planning in both inpatient and outpatient settings.

Responsibilities

• Conduct complex care review of patient status
• Develop an understanding of referral sources for assigned caseload
• Collaborate with other programs and departments
• Assist in teaching needs for patients and families as needed
• Serve as a liaison between physicians and departments to ensure timely and quality care delivery
• Conduct peer-to-peer reviews with third-party payors when necessary to ensure reimbursement
• Follow Mercy's safety guidelines, carry out job-specific safety duties and responsibilities, and promptly report any unsafe conditions, situations, incidents, and injuries
• Communicate daily with physicians and clinical staff regarding the plan of care and progress towards goals
• Co-facilitate care conferences on assigned unit
• Ensure appropriate admission status has been documented applying Inter Qual Criteria and communicate effectively with physicians per Utilization Review process
• Apply Inter Qual criteria for continued stay review to effectively manage length of stay and communicate effectively with commercial insurance reviewers
• Provide clinical data/information to contracted third-party payers while the patient is hospitalized to ensure continued reimbursement and to avoid reimbursement delays
• Complete case management assessment of patients and support systems in order to facilitate the most appropriate and timely transition plan
• Seek patients eligible for admission to the Transitional Care Unit and other appropriate referral organizations

Requirements

• Sound background in complex nursing principles and procedures and demonstrated ability to provide safe and effective nursing care
• Ability to communicate well orally and in writing; via phone, email, and face-to-face; establish rapport with clients/patients
• Self-starter; able to initiate and direct own activities in an organized manner and make decisions within the framework of the responsibility and authority of the job
• Previous nursing experience required
• Baccalaureate degree in nursing, current certification in patient population, or relevant experience in lieu of a degree required
• Basic Life Support (BLS) in accordance with the American Heart Association required
• Current RN license to practice as a Registered Nurse in the state of Iowa required
• Iowa Dependent Adult Abuse/Iowa Child Abuse Mandatory Reporter training required

Nice to have:

• Knowledge of utilization management process, discharge planning, and managed care processes
• Case management experience
• Working knowledge of healthcare insurance, Medicare, and Medicaid

Important Details

• Work Shift: Day
• Scheduled Weekly Hours: 40

About the Company

Mercy is an independent, community-based organization supporting the Cedar Rapids area for over 120 years.