CARE COORDINATOR PRN
Department: University Hospitals
Full/Part Time/PRN: PRN
Experience and Education
Implements clinical pathways including educational needs of patients/families, monitoring and updating for deviation from plan.
Partners with community liaisons to proactively manage care transitions assuring seamless transitions between care settings and communications with ongoing providers.
Collaborates with Social Work, Utilization Review, Clinical Documentation Specialists, and others as necessary to maximize financial/care resources for patient and family.
Coordinates care with care team to maximize patient throughput and minimize length of stay.
Rounds on patients daily to monitor & assure effective patient/family preparation for discharge assuring completion of learning/discharge objectives prior to time of planned discharge.
Communicates effectively with other health care providers, patients, families, other hospital personnel and visitors. Demonstrates effective communication with adolescents, adults and older adults.
Act as a liaison with various departments and ancillary services to ensure all pending orders and results are received in a timely manner.
Ensures follow up appointments are scheduled prior to patient discharge. Responsible for ensuring that discharge instructions related to care coordination needs are documented in discharge instructions and that those elements are understood by patient and family/caregiver.
Collaborates with physicians, unit manager, unit staff, and interdisciplinary team to ensure safe and timely discharge.
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