Lead, Care Coordination- Care Management
: Job Details :


Lead, Care Coordination- Care Management

Orlando Health

Location: Orlando,FL, USA

Date: 2024-12-12T20:05:53Z

Job Description:

Position Summary:

Orlando Health Arnold Palmer Hospital for Children

Providing compassionate care to the children, teenagers and young adults of Central Florida for more than 30 years, Orlando Health Arnold Palmer Hospital for Children is located on the downtown Orlando campus and includes 156 licensed beds for specialized care for children as well as the Bert Martins Champions for Children Emergency Department & Trauma Center, offering trauma care for children as the pediatric site of the Orlando Health ORMC Level One Trauma Center. State-of-the-art pediatric services are provided by a comprehensive staff that includes pediatric subspecialty physicians and a nursing team that is Magnet recognized for nursing excellence and high-quality patient care. The hospital also has earned national recognition for 12 consecutive years as a Best Childrens Hospitals by U.S. News & World Report and was included, together with Orlando Health ORMC, in the IBM Watson Health 100 Top Hospitals list for 2021.

Winnie Palmer Hospital for Women and Babies Care Management Department is seeking Lead Care Coordinator. The Lead Care Coodrinator collaborates with the assigned care coordination team to include clinical support, guidance, and educational direction while also identifying patients most likely to benefit from care coordination services to include assessing patients risk factors, the need for care coordination, clinical utilization management, and preventative care services.

Responsibilities:

Essential Functions

Takes the lead in ensuring the continuity and consistency of care across the continuum (inpatient, emergency, and ambulatory care/outpatient) to ensure integrated delivery across all settings to include the facilitation comprehensive discharge planning (in the hospital) and follow-up care (as an outpatient). Develops an effective working relationship with the Licensed Mental Health Counselors/ Social Workers and the UR nurses to engage the patient/family to collaborate, advocate and problem solve, and to support and enhance their functional ability while ensuring an appropriate and timely discharge plan. Assists in collaboration with the assigned team to identify patients most likely to benefit from care coordination services to include assessing the patient's risk factors and needs for care coordination, clinical utilization management services, and preventative services. Serves as mentor to care coordination team through guidance, education, and motivation. Daily monitoring of team performance and progress towards discharge plans and/ or need to alter discharge plan due to change in patient condition / family needs, with a priority placed on those patients at highest risk for complication/ admission/ readmission. Develops collaborative relationships with the site patient care administrators, medical staff leadership, managed care contractors, and community leaders. Ensures all patient care activities support established clinical standards of care and comply with various regulatory agencies and consider age specific, developmental, and cultural needs of the patient population served. Promotes and models appropriate professional behavior as described in the Code of Conduct. Demonstrates a passion forservice excellence and commitment to Patient First goals. Achieves results by developing strategies to manage patient care across the continuum, focusing on high risk, high cost, and problem prone areas to include patient at risk for re-admission. Supports processesfor clinical quality/ cost-improvement initiatives, preventing re-hospitalizations. Builds and maintains effective partnership and relationships with other healthcare teams. Conducts regular guidance and collaboration of team members. Embraces, promotes, and communicates change. Facilitates and supports team member involvement in professional and organizational activities. Demonstrates professional accountability by maintaining proficiency in assigned role. Holdsself and others accountable to Orlando Healths mission, vision, and values. Contributes to problem solving within the team through communication, collaboration, data collection, obtaining consensus, and evaluating outcomes of treatment options to include tracking patient progress towards care plan goals, and revising the care plan as indicated. Advocatesfor patientsin orderto optimize their health care needsincluding but notlimited to safety, physical, legal, and financial well-being. Monitors completion and compliance of discharge assessments. Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards. Maintains compliance with all Orlando Health policies and procedures

Other Related Functions Knowledge of hospital and department policies and procedures as well as knowledge of regulatory requirements relevant to the case management/ care coordination department. Possesses excellent analytical and team building skills, as well as the ability to prioritize and work independently. Ability to compile, analyze, and interpret data to include the advanced application in spreadsheet generation and the use of graphics, database management, and word processing software. Maintains confidentiality of data and information. Provides direct patientinterventions when determined necessary. Maintains level of knowledge of expertise in the leading-edge developments in the field of the profession. Performs other duties as assigned or required.

Qualifications:

Education/Training

Graduate of an approved school of nursing (RN), or a Masters degree in Social Work (MSW), Mental Health (MHC) or Marriage and Family Therapy (MFT) from an accredited program.

Licensure/Certification

Florida RN license required and maintained current if graduated from an approved school of nursing. BLS/Healthcare Provider certification required within 90 days of hire.

Experience

Two (2) years of related healthcare experience and/or supervisory experience in the community with an emphasis on,the population to be served in the assigned area.

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