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Please note that this position may require an assessment after completion of the application. Please plan for an additional 20 - 30 minutes to complete this.
First Shift (United States of America)
Nebraska Medicine is seeking a Complex Care Coordinator!
The Complex Care Discharge Coordinator supports care transition nurses and social workers with complex patient discharges. The role reports to the Director of Care Continuum with primary efforts enhancing patient throughput initiatives to support capacity efforts and to ensure optimal transitional care planning. The position is responsible for researching resources, identifying, and optimizing discharge planning. The role will lead the Complex Discharge Committee meetings, provide mentorship and guidance to clinical teams and case management as needed related to complex discharges. Analyzes trends in LOS, census, readmissions, non-qualified hospital days and outcomes.
Why Nebraska Medicine:
- Our shared values reflect who we are and why we're here and include, Innovation, Teamwork, Excellence, Accountability, Courage and Healing.
- Competitive Benefits including retirement match contribution, PTO accrual, tuition reimbursement
- Lead the world in transforming lives to create a healthy future for all individuals and communities through premier educational programs, innovative research, and extraordinary patient care
- Recognized in Forbes Magazine's list of Best-in-State Employers four years straight
- Bachelor's degree in nursing or social work
- Current RN license or Certified Social Worker (CSW) by Nebraska law OR Provisional Certified Master of Social Work (PCMSW) required
- 3 years nursing/social work experience in acute care, behavioral health or post-acute care
- Knowledge of professional guidelines regarding confidentiality of client and staff information required
- Competent in the use of a variety of computer applications, including Microsoft Excel, Word and Power Point required.
- Ability to work independently required.
- Strong analytical skills
- Must demonstrate excellent communication skills both verbally and in writing required.
- Graduate degree from an accredited school of nursing or Master's degree in social work from a Council on Social Work Education (CSWE) accredited university required; LCSW, LICSW or CMSW
- Experience in executing strategic process improvement projects
1. Perform complex discharge duties. (90%)
- 1.1 Early identification of patients with complex care needs
- 1.2 Maintain an overview of all referred complex patients within hospital setting
- 1.3 Enter assessment of patients' needs addressed in electronic medical record as well as web-based data system for multi-disciplinary teams to review in timely man
- 1.4 Provides day to day support and guidance with complex case management and provides insight on process improvement to enhance patient throughput initiatives
- 1.5 Works closely with the Care Transition Team Nurses and Social Workers to ensure timely and appropriate transitions in care occur and alternate solutions and plans to discharge are thoroughly explored
- 1.6 Co-manages with case managers and social workers complex patient care discharges and collaborates with relevant clinical teams both internally and externally
- 1.7 Identifies potential discharge barrier mitigation strategies to ensure care progression and safe care transitions
- 1.8 Collaborates with the patient/family/internal multidisciplinary team (MDT), and external providers to develop management plans for complex patients who continue to return to the service
- 1.9 Monitors ongoing performance of initiatives and develops recommendations/identifies opportunities for performance improvement
- 1.10 Analyzes trends in LOS, census, readmissions, and non-qualified hospital days and the impact on continuum-based utilization and outcome
- 1.11 Coordinates efforts to optimize hospital days, including ineffective admission determinations, discharge planning, utilization of ancillary services and timely placement
2. Follow policies/procedures/regulatory requirements and perform other work assignments. (10%)
- 2.1 Comply with all departmental and organizational policies and procedures in addition to regulatory requirements (such as OSHA, CMS, Joint Commission, etc.) and participate in corporate/departmental safety and quality activities.
- 2.2 Perform other work assignments as required.
Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans' status.