Transitional Care Coordinator-Seidman Full-Time Days

Position #: 230003UB
Position: Transitional Care Coordinator-Seidman Full-Time Days
UH Facility: University Hospitals
Shift: Days
Status: Full-time
Work Days of Week: M-F, Rot wknd and Holidays

City: Cleveland

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ABOUT US

Your Nursing Talent Can Be The Difference.

Our UH health system cares for more than a million patients a year, one patient at a time. You chose a career in nursing because you wanted to help; to improve lives, including your own; and to have real impact. When it comes to choosing the perfect place to share and grow your talents, you deserve to be among those who share your passion and dedication too. That’s us.

Join Us and Be the difference in Advancing the Science of Health and the Art of Compassion.

We combine the best of evidence-based nursing with personalized care to provide the best healing experience for those we serve. The result is a different level of patient-focused healthcare and a different caliber of opportunity for our nurses.

Equal Opportunity Employer – minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity.

JOB DESCRIPTION

Description

Collaborates with the bedside nurse and clinical team, meets with patient and or family to complete an initial discharge planning assessment within 24 hours of patient admission. Identifies patients and families with complex psychosocial, financial and legal discharge planning needs requiring a Social Work referral. Develops, documents and implements a discharge plan consistent with individual patient needs and with patient and family goals. Develops plans with attention to individual patient and family goals. Discusses estimated length of stay, treatment plan and discharge plan with attending physician and or medical team. Ensures that the Interdisciplinary Care Plan and Discharge Plan are consistent with patient clinical course, continued care needs and covered services. Refers to appropriate alternate site agency based on post discharge needs and patient choice. Provides linkage to community resources and UH network services to facilitate optimal care, and serves as liaison to community agencies. Communicates and collaborates with the work team using a multidisciplinary approach. Provides guidance and consultation to peers and team regarding complex psychosocial and or discharge planning issues or barriers. Participates in Interdisciplinary Team rounding. Coordinates discharge teaching. Collaborates with bedside nurse and members of Interdisciplinary Team to support teaching efforts, with special attention to situations where patient and family education requiring teach back and show back are required. Collaborates with Case Management or Utilization Review to clarify patient status, plan of care, barriers to discharge and discharge readiness.Ensures timely completion of discharge, transfer and or referral forms and discharge order. Coordinates activities to ensure patient appeal rights under Notification of Hospital Discharge Appeal Rights.

This position is located at Seidman Cancer Center and is full-time, 40 hours per week on day shift.

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QUALIFICATIONS

Qualifications

Experience & Knowledge:

1-5 years clinical nursing experience (acute care), required.

2 years of experience in case management/discharge planning in an acute care setting, preferred

Sound clinical knowledge base, required

Experience and knowledge of utilization management, case management, post-acute transitions, and home health preferred

Knowledge of Medicare, Medicaid and commercial payer regulations, preferred

Education:

Graduate of an accredited school of nursing, required

Bachelor’s degree, preferred

Required Credentials, License, and / or Certifications:

RN with current valid Ohio Licensure, required

CM certification, preferred

Special Skills & Equipment Knowledge:

Computer competency

Multi-tasks and prioritizes work

Works autonomously

Communicates effectively with persons of various backgrounds (oral and written)

Maintain clinical competency regarding health care delivery/regulatory requirements.

Teaching skills

Maintains a calm, professional demeanor when dealing with internal and external contacts

LOCATION

Working at University Hospitals

Careers at University Hospitals offers opportunities to provide care locally in the Cleveland area with the power to impact healthcare nationwide. As a leader in our industry, our staff share a commitment to Be the Difference in the lives of our patients and our communities, from Northeast Ohio and beyond. Take a look at this video to discover how we’re building an organization for the future, today. Note: video content was obtained prior to the COVID-19 pandemic.

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Contact Us

To contact University Hospitals Human Resources department, or to request a reasonable accommodation, please call 216-767-8900 or send us an email at employment@uhhospitals.org

Equal Employment Opportunity Statement

It is the policy of University Hospitals to provide equal opportunity to all of our employees and applicants for employment. Decisions concerning employment, transfers and promotions or other conditions of employment are all made upon the basis of the best qualified candidate without regard to race, color, national origin, age, religion, veteran status, disability, gender, sexual orientation, gender identity, or marital status in accordance with Federal and Ohio law. A qualified individual with a disability will be considered for employment on the same basis as non- disabled applicants if he/she can perform the essential functions of the job sought, with or without a reasonable accommodation, and without imposing a direct threat to the health or safety of others or him/herself. EEO is the Law

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