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Pediatric Patient Care Coordinator RN - UM, Children's National Medical Center

Location: Washington, District of Columbia;

Job ID : 3463308

Description

The Patient Care Coordinator is responsible for utilization review, discharge planning and transitions in care, in collaboration with MAPMG rounder in acute or alternative settings of care.

Essential Functions:
- Utilization Review. According to department policy, procedure and protocols, consistently apply and verbally communicate approved utilization review criteria and guidelines for services delivered in acute or alternative care settings.
- Eligibility and Benefit Verification. Confirm eligibility status and ensure the appropriate administration of benefits in accordance with department policies and procedures.
- Assessing Right Venue of Care with Hospitalist. Collaboration with Hospitalist to assess the appropriate level of care for patients (i.e., Medical Unit, Surgical Unit, Tele Unit, TCU, ICU) and post- (Home, Continuum or Community-based Services) hospitalization.
- Coordination of Care. Driving patient care plan through assuring daily plan is executed, and management of transitions and post-hospital care.
- Effective Discharge Planning. Prompt, clinically appropriate discharge planning beginning at time of admission.
- Variance Management. Timely steps in identification of delays in throughput, escalation to correct delays, and recording delays to identify patterns and trends that will require corrective actions.
- Quality Screening. Demonstrate competency to assess all aspects of care across the continuum for variations from quality and utilization standards.
- Performs other related duties as directed.
Qualifications: Basic Qualifications:
Experience
- Two (2) years of experience in acute hospital utilization review or equivalent required.
Education
- N/A
License, Certification, Registration
- RN License in jurisdiction where assigned required
- BLS certification required.

Additional Requirements:
- New Hire: Successful completion of PCC Orientation and Assessment of Critical Skills. Passing score on inter-rater reliability.
- Annually: Successful completion of PCC Assessment of Critical Skills. Passing score on inter-rater reliability.
- Ability to effectively communicate.
- Ability to conform to established policies and procedures.
- Ability to analytically problem solve and make decisions.
- Ability to tolerate and cope with ambiguity
- Ability to work as a team member.
- Proficiency in the use of applicable computer software.
- Demonstrated ability to effectively and clearly present information through the written word, to influence or persuade others through oral presentation in positive or negative circumstances, and to listen well.
- Demonstrated ability to write clearly, legibly, and effectively, to present ideas and document activities, to read and interpret written information.

Preferred Qualifications:
- Recent acute care, case management, or home health experience preferred.
- B.S.N. preferred.
This positionwill be trained for CORE and NON CORE coverage. The position will replace the NON CORE PCC (telephonic review/Repatriations) however could be assigned onsite coverage based on the staffing need.

Pediatric PCC with NICU experience required. This position will be to cover Children's National Medical Center. 10 hour shifts.

New Hires are eligible for sign on bonus up to $5,000 dollars.


Primary Location:District of Columbia,Washington DC,Washington Hospital Center 110 Irving St. NW

Scheduled Hours (1-40):40

Shift:Day

Working Days:Monday - Friday with every other weekend

Schedule:Full-time

Job Type:Standard

Employee Status:Regular

Employee Group:UFCW - Local 400

Job Level:Individual Contributor

Job:Nursing Licensed

Public Department Name:Utilization Management

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
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