Summit Medical Group is seeking an RN Inpatient Care Coordinator to join their team. This is a Full time opportunity.
Responsibilities: (List does not include all duties assigned)
Provide transition of care services post inpatient hospitalization or emergency room visit.
Complete follow up calls as needed for a minimum of 30 days after inpatient hospitalization.
Initiate and maintain communication with multi-disciplinary healthcare team to develop, implement, and evaluate a transition plan of care for SMG patients.
Assess complexity of care needs and potential/actual issues.
Arrange post-discharge referrals to Care Management RN or SW to assist with chronic disease management or community resource need.
Facilitate closing gaps in care.
Assist patient in scheduling hospital follow up, emergency room and other medical appointments.
Conduct medication reconciliation within 30 days of inpatient hospital discharge.
Submit CPT code 1111F for Medicare Advantage patients within 30 days of hospital discharge.
Educate patients on appropriate use of the emergency room, primary care, specialist, and urgent care.
Facilitate patient understanding of the physician’s treatment plan, including but not limited to medication adherence, preventive care, and self-management skills.
Facilitate the sharing of medical information across the continuum of care.
Document transition of care encounters and other clinical correspondence in electronic medical record (EMR).
Act as an advocate for an individual's health care needs by identifying and communicating potential needs to the patient’s provider.
Collaborate with skilled nursing facilities to identify inpatient or discharge status as well as confirm SMG patient status.
Collaborate with home health agencies to ensure ongoing care, support, and education.
Maintain security and privacy of patients by keeping patient care information confidential.
Participate in required training and attend team, departmental, and organizational meetings.
Monitor and improve quality of services provided to patients/caregivers through ongoing participation in team and departmental quality improvement activities.
Update job knowledge by participating in educational opportunities that support the advancement of Care Coordination including care transitions.
Participate in the orientation and training of new staff as needed.
RN Inpatient Care Coordinator job description is not designed to cover or contain a comprehensive list of activities, duties, or responsibilities that are required of the employee for this position. To deliver exceptional customer experience and consistently meet the needs of SMG, additional duties responsibilities may change at any time.
Maintains strictest confidentiality both internally and externally
Adheres to expectations of the established corporate compliance plan.
Actively participates in site-level Quality Improvement Activities. Each employee will contribute to the continual evaluation site performance as well as the implementation and measurement of improvement activities that increase the quality of care provided to patients.
Performs related work as assigned.
Education
Qualifications
Registered Nurse - Graduated from a board approved nursing program and maintains and unencumbered license to practice in the state where employed.
Experience
Minimum 2 years of experience in clinical experience with preference for those that have worked in a Primary Care setting.
Certification/License
Valid State of Tennessee Registered Nurse License
Valid Driver's License
Overview
Summit Medical Group is East Tennessee’s largest primary care organization with more than 415 providers at 87 practice locations in 19 counties. Summit also consists of four diagnostic centers, mobile diagnostic services, eight physical therapy centers, four express clinics, central laboratory, and sleep services center. Summit provides healthcare services to more than 370,000 patients, averaging over one million encounters annually. For more information, visit www.summitmedical.com
In addition to our commitment to the health of our community, our organization is also committed to the health of our employees through our employee Wellness Program. Employees receive a discounted monthly insurance premium if they actively participate in the wellness program. Pre-employment drug testing will occur prior to starting work and only candidates who pass the drug test will be considered eligible for employment.
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Medical Practices
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