The Care Coordination Nurse is responsible for ensuring the provision of quality patient care in the appropriate setting through care coordination, case management, utilization management of inpatient admissions, and transitions of care to different levels of care. In collaboration with the attending practitioner, the family and other members of the health care team, coordinates the individualized plan of care and communicates the plan to appropriate stakeholders. The Care Coordination Nurse ensures that high quality care is provided as efficiently and cost effectively as possible. The nurse facilitates continuity of care by coordinating transition to post-discharge care.
We are hiring RN Care Coordinators for case management positions within Partners for Kids and Nationwide Children's Hospital. All RN Care Coordinators participate in a 30 day orientation period at our offsite location, 525 E Mound St. Columbus, OH 43205. Here they learn the essentials of the work and documentation of case management. During the orientation process it will be determined by the leadership team, the care coordination team and the RN Care Coordinator where the best fit for his/her permanent location and team will be. We have RN Care Coordinators in multi-disciplinary teams located at our 525 E Mound offsite location and imbedded in our specialty clinics at the main hospital. Specialties include gastroenterology, endocrinology, cerebral palsy and physical medicine. Wherever our RN Care Coordinators are located they do the same work, helping children and their families access the best possible care.
The Care Coordination Nurse implements and supports the philosophy, mission, values, standards, policies and procedures of Nationwide Children's Hospital and the Patient Care Services Division.
1. The Care Coordinator Nurse performs case management core functions which include: A. screening and identification of patients B. establishment of an effective relationship with patient/family C. assessment of patient/family strengths and needs D. development of a family-centered plan of care around discharge planning E. procurement and coordination of services
2. Facilitates the patient/family's ability to assume responsibility for managing their own health care when appropriate by: A. promoting return of the patient/family to the highest level of wellness possible B. ensuring that the right services are delivered at the right site by the right provider at the right time for the right cost C. assisting in the acquisition or verification of financial/payer/insurance information when appropriate
3. Collaborates with the Utilization Review Specialist RN regarding medical necessity of inpatient admission, appropriate patient class and duration of hospitalization.
4. In collaboration with the practitioner, facilitates and coordinates quality patient care in a timely and cost-effective manner while promoting multidisciplinary collaboration between all members of the health care team. Collaborates with appropriate medical/nursing personnel to influence appropriate progression of care and timely, safe patient discharge.
5. Facilitates multi-disciplinary patient progression rounds. Focuses practitioner, nurse and other health care team members on progress toward discharge including needed tests and procedures, family education and family and patient readiness for discharge.
6. In collaboration with the team, identifies barriers to a timely, safe discharge and develops a plan to address. Monitors progress of the plan. Escalated discharge barriers that team cannot address to appropriate next level.
7. Works in collaboration with the patient, family and health care team to secure and coordinate services and equipment needed to manage the special health care needs of the patient post discharge.
8. Assures that the family has choice in the selection of home care vendors.
9. Maintains accurate documentation of all patient/family encounters and documents appropriately in the medical record and the case management system.
10. Provides information and resources to patient, family and post hospital providers that will help the patient maintain his/her optimal level of health post discharge.
11. Demonstrates knowledge of growth and development in their individualized discharge planning.
12. Analyzes clinical trends and data to identify patterns for continuous quality improvement studies and/or research development.
13. Maintains knowledge of current concepts, research needs and research strategies related to case management, utilization review and discharge planning.
14. Maintains knowledge of The Joint Commission, Medicare/ Medicaid and other regulatory standards and requirements.
15. Participates in the development of guidelines and clinical/social/financial outcome indicators for given population.
16. Identifies need for, plans, and/or provides continuing education regarding patient progression and effective skills and strategies to help patients and families achieve self- management.
17. Demonstrates accountability for identifying own learning needs and seeks sources of information.
18. Assists in educating others regarding the role of care coordination/ case management
19. Participates in ongoing education related to information technology requirements for the department. Demonstrates competency in PC and mainframe computer applications and software needed to perform job functions.
20. Provides after-hour services as assigned through on-call availability.
Internal Number: 2019-15489
About Nationwide Children's Hospital
The moment you walk through our doors, you can feel it. When you meet one of our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it, too. Welcome to Nationwide Children’s Hospital, where Passion Meets Purpose.
Here, Everyone Matters. We’re 12,000 strong. And it takes every single one of us to improve the lives of the kids we care for, and the kids from around the world we’ll never even meet. Kids who are living healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere.
Ask anyone with a Nationwide Children’s badge what they do for a living. They’ll tell you it’s More Than a Job. It’s a calling. It’s a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere.
Nationwide Children’s Hospital. A Place to Be Proud.