Clinical Program Coordinator Registered Nurse

Department :

01150 Center for Senior Health - Geriatrics

Status : Full time

Benefits Eligible : Yes

Hou rs Per Week : 40

Schedule Details / Additional Information :

Full time days

Pay Range

$33.05 - $49.60

Major Responsibilities :

• Develops and implements patient screening and clinical assessment tools in partnership with physicians program staff and leadership.
• Develops and implements plan for program quality improvement in collaboration with internal quality departments. Establishes quality indicators for benchmarking patient data to evaluate program success and demonstrate excellence in clinical care and service. Identifies performance improvement issues and makes recommendations for change.
• Evaluates program outcomes; compiles and presents data to leadership on specific indicators to measure the provision of care quality and effectiveness. Ensures reliable research and statistical techniques are used to analyze data to plan and evaluate program success.
• Participates in the planning and implementation of standards of care and standards of service in collaboration with clinical providers from a variety of departments and interdisciplinary teams.
• Coordinates referrals to the program by obtaining insurance information prior authorization and confirmation of payer source on behalf of the patient. Works closely with payers to estimate benefits discuss treatment plans diagnosis medication information and other related health information to obtain appropriate referrals and authorization.
• Maintains and facilitates communication based on documentation staffing processes and verbal exchange of program team members with patients referral sources reimbursement sources and other involved entities. Maintains direct dealings with lawyers paralegals and physicians when handling issues associated with workers compensation cases.
• Collaborates with case management and other clinical staff to manage the continuity of care across facilities and multiple providers to ensure smooth transitions between care settings including obtaining medical records from referral sources. Meets with interdisciplinary staff regularly to review patient cases and treatment plans.
• Acts as liaison between clinical program staff patients and other healthcare professionals assists and provides guidance with patient care planning and patient scheduling. Develops strong relationships with physicians community organizations / leaders to enhance program recognition and growth. Responds to community education and outreach needs. Works closely with business and market development to coordinate community events.
• Identifies growth opportunities and program development needs collaborates with program leadership and physicians to develop these areas. Establishes referral mechanisms with new providers to increase patient volumes utilizing research based information trends professional promotion ideas etc.
• Maintains knowledge and expertise in understanding payer mix and funding resources related to interdisciplinary care provided in a program setting in collaboration with the coding and billing departments.

Licensure Registration and / or Certification Required :

Education Required :

Experience Required :

Knowledge Skills & Abilities Required :

Physical Requirements and Working Conditions :

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our CommitmenttoYou :

Advocate Health offers a comprehensive suite of Total Rewards : benefits and well-being programs competitive compensation generous retirement offerings programs that invest in your career development and so much more so you can live fully at and away from work including :

Compensation

Benefits and more

About Advocate Health

Advocate Health is the third-largest nonprofit integrated health system in the United States created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas Georgia and Alabama; and Aurora Health Care in Wisconsin Advocate Health is a national leader in clinical innovation health outcomes consumer experience and value-based care. Headquartered in Charlotte North Carolina Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology neurosciences oncology pediatrics and rehabilitation as well as organ transplants burn treatments and specialized musculoskeletal programs. Advocate Health employs 155000 teammates across 69 hospitals and over 1000 care locations and offers one of the nations largest graduate medical education programs with over 2000 residents and fellows across more than 200 programs. Committed to providing equitable care for all Advocate Health provides more than $6 billion in annual community benefits.

Required Experience :

IC

Key Skills

EMR Systems,Hospital Experience,Acute Care,ICU Experience,Hospice Care,Workers' Compensation Law,Home Care,Nursing,Catheterization,Critical Care Experience,Medication Administration,Tube Feeding

Employment Type : Full-Time

Experience : years

Vacancy : 1

Monthly Salary Salary : 33 - 49