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Position: Patient Care Coordinator (Hospital Liaison)
Location: Bradenton, FL
Date of Vacancy: 12/15/17
Closing Date: Until filled
Job Summary:
* Perform comprehensive patient assessments upon entry to service, identifying discharge needs and potential barriers. * Develop and implement individualized patient plan of care with a focus on disease management and patient empowerment. *Assist patient and family with navigation of their health care system. * Assist patient and family to access available community resources as appropriate. * Maintain contact with the patients assigned PCP Patient Care Coordinator. * Participates as an active member of the patients’ in-patient care team collaborating with patient, family, providers, site staff and other care partners. * Identifies and reduces barriers to care utilizing organization and community resources as appropriate. * Document all encounters and patient related discussions, telephonic or in-person, in the patient medical record per organization standards. * Maintains accurate records regarding case load, stratification, and frequency of contact. * Develop a listing of community resources and programs and how to access the same. * Reviews scheduled discharges, new admissions and any case requiring intervention. * Collaborates with Hospitalist and PCP staff prior to patient discharge ensuring follow up appointment is scheduled and communicated to the patient and family and any other care needs are communicated to the PCP staff. * Notify MCR Health Services pharmacy of pending discharges, communicating medication management needs. * Participates in departmental and other meetings as assigned. * Provides coverage for Care Coordinator colleagues assigned. * Promotes use of EMR patient portal. * Supports the goals and mission of MCRHS, Inc. * Adheres to all safety policies and procedures. * Maintains a clean, clutter free and well organized workspace. * Participates in community functions as appropriate and promotes the concepts of “Patients First” and “PCMH”. * Performs and embraces all other duties as assigned. * Maintains a caseload consistent with program guidelines. * Maintains accurate travel documentation. * Performs other duties as assigned.
Requirements:
  • RN with a minimum 5 years of clinical experience in both inpatient and ambulatory care settings preferred
  • Minimum 4 years’ experience in Care Coordination, Case Management, or related area
  • Experience in Chronic Care Management desirable
  • Experience in complex discharge planning preferred
  • Proficient in Microsoft Office products, EPM, and EHR software preferred.
  • Possession of a current Florida State driver’s license and a registered, insured vehicle as periodic travel may be required to effectively service clients.
  • Ability to function autonomously while keeping team members and leaders informed
  • Must be able to work a flexible schedule. MCR Health Services is a drug free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test.

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