Talent.com
serp_jobs.error_messages.no_longer_accepting
Care Coordinator PRN Level 3

Care Coordinator PRN Level 3

Wellstar Health SystemRoswell, Georgia, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.part_time
job_description.job_card.job_description

locationsNorth Fulton Hospital

time typePart time

posted onPosted 30+ Days Ago

job requisition idJR-13213

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful : to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Job Summary :

The Care Coordinator is responsible for coordination of care across the continuum during the patient's acute, chronic and long-term stages of illness for a defined patient population. This includes utilization management, transitional care planning, psychosocial and functional status assessment, patient advocacy, education for the patient / family, and monitoring quality indicators to demonstrate outcomes resulting from the service provided. Collaborates with all team members to provide a comprehensive assessment of the patient's plan of care, goal / outcome attainment and continued care needs.

It is expected that all RN Clinical Nurses are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association. As a member of the patient services team, it is expected that the individual upholds the voice of the patient, System policies and procedures while supporting service excellence goals and providing and unwavering focus on exceeding the expectations of our patients and consumers.

Core Responsibilities and Essential Functions :

Assessment

  • Initiates assessment for necessity and appropriateness of health services by the application of established screening criteria (e.g. Interqual)
  • 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 Disposition Planning
  • Implements Discharge planning and provides resource information in a timely and efficient manner.
  • Identifies and documents barriers for timely disposition
  • Collaborates with other members of the health care team in planning care appropriate for age
  • Provides education / counseling to patient / family in understanding, accepting and following medical recommendations of his / her conditions
  • Provides assistance with Advance Directives for customers throughout WellStar Health System.
  • Understands eligibility processes and criteria for both private and public local, state and federal resources
  • Responds to referrals from hospital staff, physician offices, community and family to provide resource information, counseling and education to the community
  • Provides 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
  • Allows for any cultural or religious beliefs in providing service and continuity of care
  • Always partners with the patient and significant others (as appropriate) using such appropriate method for setting and purpose (e.g., interdisciplinary rounds, keeping the patient and significant others updated and making the patient’s goals the focus of the plan of care.)
  • Exemplary Practice and Outcomes
  • Participates in the development of protocols and procedures when called upon or through self-initiation in collaboration with care managers and other members of the health care team to achieve best practice outcomes (i.e. decrease in re-admission rates, avoidable days, adverse events, etc.)
  • Resources and Support Utilization Management
  • Initiates assessment for necessity and appropriateness of health services by the application of established screening criteria (e.g. Interqual)
  • Timely identification and referral for alternative level of care
  • Responsible for timely and accurate certification of hospital admission
  • Provides required information to payors
  • Monitors and evaluates patient / client’s ongoing plan of care and facilitates modification utilizing established screening criteria to determine level of care with documentation in the computerized Utilization Management module
  • Monitors and evaluates the appropriateness of managed care denials and collaborates with attending physician and managed care representative and Medical Director or VP Medical Affairs
  • Monitors for compliance of Medicare / Medicaid regulations (e.g. order for patient type for billing, appropriate billing)
  • Negotiates and refers for services outside of patient’s health care plan
  • Evaluates and negotiates patient’s needs based on quality, cost and necessity
  • Participates and supports performance improvement inclusive of all stakeholders, research and research utilization to promote safe, quality patient care including initiating and / or leading such activities as well as, promoting an inter / intra-disciplinary process and actively supports / participates in shared governance at all levels in the system
  • Teamwork and Collaboration and Evidence Based Practice Research Documentation
  • Initial psychosocial / functional assessment completed and documented in medical record
  • Complete chart notes accurately and timely per Departmental protocol
  • Ensure all records are up-to-date and legible.
  • Complete all Electronic Medical Record software screens
  • Ensure timely and accurate documentation of clinical reviews and insurance updates as required by payor
  • Accounts for and indicates all services delivered in Electronic Medical Record
  • Participates in data collection, poses relevant clinical questions to advanced evidence-based practice. Consults appropriate experts and uses appropriate resources and evidence to address practice questions
  • Evidence Based Practice and Research Professional Development and Initiative
  • Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education
  • Serves as a preceptor and / or or mentor for other professional and / or students, to ensure that there is a current and future qualified workforce

Required Minimum Education :

Bachelor's Degree in nursing (BSN) from an accredited school of nursing Preferred or

MSW from an Accredited School of Social Work Required and

Licensure : RN with a Georgia License or LMSW,

  • However to encourage the application of qualified applicants, the Care Coordination department will consider unlicensed MSW applicants with a goal to obtain licensure. Required
  • Unlicensed MSW Applicants Requirements : Employees who are hired without having their license must take the licensure exam within their first six months of employment. If a passing grade is not received on the exam, the employee must retake the exam and obtain a passing grade by their one year employment anniversary. Any employee who has not obtained their license by their one year anniversary will be subject to dismissal.

    Required

    Required Minimum License(s) and Certification(s) :

    Lic Clinical Social Worker GA 1.00 Required

    Lic Master Social Worker GA 1.00 Required

    Reg Nurse (Single State) 1.00 Required

    RN - Multi-state Compact 1.00 Required

    Basic Life Support 2.00 Required

    Additional Licenses and Certifications :

    Required Minimum Experience :

    Minimum 3 years Three to Five years Clinical Practice / Experience Preferred

    Required Minimum Skills :

    Knowledge of Case Management process.

    Excellent organizational and professional communication skills.

    Knowledgeable in utilizing screening criteria in review of clinical data with respect to patients / clients needs for health care.

    Ability to effect change performs critical analysis, promote client / family autonomy and plan and organize effectively for the continuum of care.

    Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.

    serp_jobs.job_alerts.create_a_job

    Care Coordinator Prn • Roswell, Georgia, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Family Nurse Practitioner- FNP

    Family Nurse Practitioner- FNP

    JobotSandy Springs, GA, US
    serp_jobs.job_card.full_time
    NEW Urgent Care Needing Full Time Nurse Practitioners.Opportunity to Move Into Leadership.This Jobot Job is hosted by : Adam Cejnowski. Are you a fit? Easy Apply now by clicking the "Apply Now&q...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Licensed Practical Nurse (LPN) - Woodstock Autonomic Disorder Center

    Licensed Practical Nurse (LPN) - Woodstock Autonomic Disorder Center

    Wellstar Health Systems, Inc.Marietta, GA, US
    serp_jobs.job_card.full_time
    How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    MA / LPN

    MA / LPN

    Cumming Pediatric GroupCumming, GA, US
    serp_jobs.job_card.full_time
    Full time position Monday thru Friday 8am-5 / 5 : 30pm.We hold flu clinics 2 Saturdays a month 8am-12pm starting at the end of September running through the first weekend of December.We close for lunch...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Care Coordinator

    Care Coordinator

    VirtualVocationsMarietta, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Care Coordinator in the Mountain Time Zone.Key Responsibilities Engage and enroll patients through telephonic outreach, serving as their primary contact Develop and im...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    California Licensed Bilingual Family Nurse Practitioner

    California Licensed Bilingual Family Nurse Practitioner

    VirtualVocationsMarietta, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Bilingual Family Nurse Practitioner (CA Licensed, Spanish Speaking).Key Responsibilities Provide virtual preventive care for underserved patients using internal care de...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Primary Care Opportunities in and around MetroAtlanta GA

    Primary Care Opportunities in and around MetroAtlanta GA

    Piedmont HealthcareAtlanta, GA, US
    serp_jobs.job_card.permanent
    Are you looking to work at a Nationally recognized Best Places to Work? Here at Piedmont Healthcare we are seeking a Board-Certified Family Medicine & Internal Medicine Physicians throughout Ge...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Peachtree Corners Primary Care | Atlanta, GA | Fully Outpatient, No Call

    Peachtree Corners Primary Care | Atlanta, GA | Fully Outpatient, No Call

    Jackson Physician SearchAtlanta, US
    serp_jobs.job_card.full_time
    Join a prominent organization that has cared for Georgians for over 50 years.This group is a regional resource for innovation that improves care delivery and outcomes. By embracing leading-edge tech...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    California Licensed Palliative Care Specialist

    California Licensed Palliative Care Specialist

    VirtualVocationsMarietta, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Palliative Care / Hospice Clinical Specialist to provide program support and coordinate care for members enrolled in Palliative Care / Hospice. Key Responsibilities Coordina...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Kentucky Licensed Family Nurse Practitioner

    Kentucky Licensed Family Nurse Practitioner

    VirtualVocationsMarietta, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Family Nurse Practitioner for a virtual contract position in Kentucky through December 2025.Key Responsibilities Conduct virtual wellness visits and health assessments ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Illinois Licensed Care Navigator

    Illinois Licensed Care Navigator

    VirtualVocationsMarietta, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Care Navigator (Remote LPN) with an Illinois license.Key Responsibilities : Complete phone consultations with patients enrolled in care management and remote patient mon...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Caregiver / Home Health Aide

    Caregiver / Home Health Aide

    All Ways Caring HomeCareWaleska, GA, United States
    serp_jobs.job_card.full_time
    US-GA-CANTON | US-GA-WOODSTOCK | US-GA-BALL GROUND | US-GA-HOLLY SPRINGS | US-GA-WALESKA.At All Ways Caring HomeCare our Caregivers play a crucial role in providing individualized care that suits t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Licensed Practical Nurse (LPN) - South Cobb Pediatric and Adolescent Center

    Licensed Practical Nurse (LPN) - South Cobb Pediatric and Adolescent Center

    Wellstar Health Systems, Inc.Austell, GA, US
    serp_jobs.job_card.full_time
    How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Licensed Practical Nurse ( LPN ) Cobb Community

    Licensed Practical Nurse ( LPN ) Cobb Community

    A.G. Rhodes CobbMarietta, GA, US
    serp_jobs.job_card.full_time +1
    We are proud to be one of the few Non-profit organizations in Georgia.Our Culture is compassionate, inclusive, empowering, and innovative. We have a high retention rate, and we strive to make sure y...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Outpatient Primary Care Opening- Prime Atlanta Location- $300K+

    Outpatient Primary Care Opening- Prime Atlanta Location- $300K+

    Jackson Physician SearchAtlanta, US
    serp_jobs.job_card.full_time
    This organization has a superb reputation in Atlanta and has been growing steadily for the past 50 years by focusing on hiring the most highly qualified and compassionate primary care physicians.Ou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Pediatric Care Coordinator

    Pediatric Care Coordinator

    VirtualVocationsMarietta, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Pediatric Care Coordinator.Key Responsibilities Receive incoming calls from members regarding benefits, care coordination, and program inquiries Manage an assigned mem...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Licensed Practical Nurse (LPN) FT / PRN

    Licensed Practical Nurse (LPN) FT / PRN

    Advanced Recovery SystemsROSWELL, Georgia, US
    serp_jobs.job_card.full_time
    Are you a compassionate and dedicated.Advanced Recovery Systems (ARS).With our facilities located across various regions of the U. Learn more about ARS and our transformative work at .At Recovery Vi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Care Connector

    Care Connector

    VirtualVocationsLawrenceville, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Care Connector.Key Responsibilities Support daily operations of integrated care management and utilization management programs Process calls from members, providers, a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Primary Care Opportunities in Metro Atlanta

    Primary Care Opportunities in Metro Atlanta

    Piedmont HealthcareAtlanta, US
    serp_jobs.job_card.full_time
    Are you looking to work at a Nationally recognized Best Places to Work? Here at Piedmont Healthcare we are seeking a Board-Certified Family Medicine & Internal Medicine Physicians throughout Georgi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Primary Care Opportunity in Atlanta making $245k + Bonus'

    Primary Care Opportunity in Atlanta making $245k + Bonus'

    OptigyEast Point, GA, US
    serp_jobs.job_card.permanent
    Primary Care Physician Atlanta, GA.COMPENSATION : Salary $245k plus Incentive Bonus.Our Primary Care Physician provides equitable and effective value-based healthcare to local Medicare patient popul...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Licensed Practical Nurse (LPN) | Part Time

    Licensed Practical Nurse (LPN) | Part Time

    Benchmark Human ServicesCumming, GA, United States
    serp_jobs.job_card.part_time
    Join Benchmark Human Services and positively impact the lives of other people! Benchmark is a national leader in providing services to individuals with disabilities and mental illness.We work with ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days