Registered Nurse (RN)-Acute Care - Care Coordination Team Lead - FT Days
Wellstar Health System
Summary
The Care Coordination Team Lead (CC TL) is responsible for development and mentoring of a care coordination team. The CC TL's function is to support the care coordinators and leadership team during the patient's acute hospitalization or in the ambulatory case management program, working with acute, chronic and long-term stages of illness for a defined patient population.
Job description
Core Responsibilities and Essential Functions
- Initiates assessment for necessity and appropriateness of health services by the application of established screening criteria.
- Assesses insurance and coverage issues such as managed care, PPO, HMO, and the identification of preferred providers.
- Identifies issues relating to patient type and/or appropriateness of admission and collaborates with physician/physician advisor for resolution.
- Implements discharge planning and provides resource information in a timely and efficient manner.
- Identifies and documents barriers for timely disposition.
- Collaborates with the interdisciplinary care team in developing an appropriate transitional care plan.
- Provides education/counseling to patient/family in understanding, accepting, and following medical recommendations of his/her conditions.
- Understands eligibility processes and criteria for Local, State and Federal resources.
- Responds to referrals from hospital staff, physician offices, community, and family to provide resource information, and education when requested.
- Performs financial needs assessment for patients in need of assistance for follow-up care throughout the continuum.
- Provides follow-up for patients needing post-discharge assistance.
- Helps promote respect of cultural, ethnic, or religious beliefs to assist Care Coordinators develop an appropriate/comprehensive transitional plan to the next level of care.
- Effectively escalate issues to payers and other team members to help resolve delays in discharge related to post-acute authorizations.
- Engage patient, family and/or team members in discharge planning in those events where payor denial is received.
- Record all assessments completed in the medical record.
- Document chart notes accurately and timely per departmental protocol in EPIC.
- Monitor for compliance of departmental documentation standard work.
Team Lead Responsibilities
- Oversight, coach, and mentor team utilizing evidence-based care coordination principles.
- Promotes a healthy work environment.
- Assist with department schedules and coverage plans (as required).
- Participate in the interviewing process with departmental leadership of potential team members.
- Provide precepting and education during the orientation process ensuring that new team members understand the care coordination functions and identifies any additional training needs.
- Provide feedback to assist in completing yearly performance evaluations for team.
- Assist in quality/safety and performance improvement activities for the team.
- Assist with ongoing training of new initiatives for the department along with departmental leadership.
- Help facilitate indigent patient contracts.
Requirements
- Minimum 3 years recent Care Coordination experience in a hospital setting
- Exposure to multiple medical populations preferred
- Strong interpersonal skills
- Excellent verbal and written communication skills
- Competency and confidence with crucial conversations in high stress environment
- Ability to organize and guide care coordination team functions
- Effectively coach and lead change
- Perform critical analysis
- Promote patient/family autonomy
- Plan/organize efforts effectively for the continuum of care
- BLS - Basic Life Support Upon Hire Required
- RN - Reg Nurse (Single State) Upon Hire Required
- RN-COMPACT - RN - Multi-state Compact Upon Hire Required
- LCSW - Lic Clinical Social Worker GA Upon Hire Required
- LMSW - Lic Master Social Worker GA Upon Hire Required
- MSW - Master Social Worker Upon Hire Required
Benefits
- Relocation assistance
Company overview
Wellstar Health System is one of Georgia's largest and most comprehensive integrated healthcare systems, founded in 1993 and headquartered in Marietta, Georgia. As a non-profit health system, Wellstar operates with a mission to enhance the health and well-being of every person it serves through its PeopleCare approach. The system employs approximately 29,469 to 33,000 team members across multiple hospitals, health parks, medical offices, outpatient centers, pediatric centers, nursing facilities, and hospice and home care services. Wellstar is nationally recognized for operating Georgia's largest integrated trauma network and features the second-largest Emergency Department in the United States. The organization provides more than $1 billion annually in charity care and community programs, demonstrating its commitment to community health. Wellstar has earned numerous accolades including recognition on Fortune's 100 Best Companies to Work For, Best Workplaces in Health Care, and PEOPLE Companies that Care lists. The system embraces innovation through its venture firm Catalyst by Wellstar, which nurtures early-stage healthcare companies, and maintains academic partnerships with institutions like the Medical College of Georgia for caregiver training. With specialties spanning cardiovascular care, oncology, women's health, pediatrics, musculoskeletal services, and numerous other medical disciplines, Wellstar delivers comprehensive healthcare across all stages of life.