CommonSpirit Health RN CARE COORDINATOR in Bakersfield, California
Founded by the Sisters of Mercy, Mercy Hospitals have a history of caring for our community that goes back more than 100 years. We provide a broad range of medical and surgical services including minimally invasive and outpatient options. Our family of services includes the area's only inpatient oncology unit, the Orthopedic, Spine, and Hand Center, Family Birth Center, the Lactation Support Center and retail store, and many others. Mercy Hospital Downtown is a 194-bed facility located in downtown Bakersfield. Mercy Hospital Southwest is a 78-bed facility and the only hospital located in the rapidly growing area west of Highway 99. Mercy Hospital is a member of Dignity Health and is a trusted community partner, serving residents of Bakersfield and Kern County with quality, compassionate care since 1910. Learn more at https://www.dignityhealth.org/central-california/locations/mercy-bakersfield .
The incumbent is responsible for assessing, planning, facilitating and advocating for options and services through a continuum of care from admission to discharge for assigned patients. The incumbent performs the above in such a manner as to meet the individuals health needs in order to promote quality and cost-effective outcomes. The positions emphasis will be on care coordination and positive partnerships with nursing, physicians, and other key disciplines in order to pace the care toward optimal outcomes within the appropriate level of care. The incumbent will advocate for the patient and family by identifying and valuing patient choices, spiritual needs, cultural, language and socioeconomic barriers. In addition, the incumbent will protect confidentiality while striving to achieve high levels of patient satisfaction and facilitating patient centered care by supporting effective communication and collaborative relationships within the interdisciplinary team and with patient and family interactions.
The incumbent will consistently apply the utilization review process as required by the Code of Federal Regulations including the use of the Dignity Health designated criteria for primary review. The incumbent will also incorporate into the utilization review process the ability to access and interpret clinical information against the designated review criteria to reach correct admission status determinations. The incumbent will review clinical documentation to assess the accuracy, specificity, and completeness of physician clinical documentation and to identify if clinical findings suggest the presence of other conditions that are not explicitly documented.
Three years nursing experience in an acute hospital setting
Prior Care Coordination experience in a clinical or insurance setting is required
If operational conditions permit, training a candidate without the required experience may be considered
Excellent customer service and presentation skills are a must. Strong interpersonal and written communication skills are essential
Demonstrated ability to apply analytical and problem solving skills
Demonstrated ability to manage multiple tasks or projects effectively Ability to work independently as needed with a high degree of detail orientation
Ability to work efficiently in a fast-paced environment with changing priorities
Fluency in English verbal and written skills
- CM Certification
Connect With Us!
Not ready to apply, or can't find a relevant opportunity?
Join one of our Talent Communities (https://careers-dignityhealth.icims.com/connect?back=intro&in_iframe=1&hashed=-435626305) to learn more about a career at Dignity Health and experience #humankindness.
Job ID 2021-175122
Employment Type Full Time
Department Utilization Review
Hours / Pay Period 80
Facility Mercy Hospital Bakersfield
Standard Hours Rotating Schedule across weekends, Day Shift, 8 a.m. to 4:30 p.m.
Work Schedule 8 Hour
Dignity Health is an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.