Clinical Care Coordinator Cogent Healthcare

Position Summary:



The CCC is a registered nurse who collaborates with the hospitalist care team to coordinate and manage the process of patient care from the point of admission through discharge and transfer of care to the primary care provider.



Essential Functions:

- Clinical Care Coordination

- Actively participates in daily standup meeting with hospitalist team to ensure communication and implementation of patient plan of care.

- Collaborates with hospital care team and hospital staff to facilitate the timely implementation of patient care plans, especially at transition points along the continuum of care.

- Meets with patient/family to set expectations for hospital stay, verify primary care provider and determine potential barriers to discharge.

- Collaborates with hospital discharge planning to ensure correct patient status (i.e. observation, inpatient), appropriate and safe discharge plan and disposition.

- Communicates pertinent information regarding patients hospital stay (landmark events) with patients primary care provider as needed.

- Ensures appropriate post-discharge follow-up appointment is arranged with primary care provider.

- Resolves post-discharge homecoming call issues.

- Support and application of established processes for insurance verification.

- Quality Improvement

- Participates in data collection for quality improvement initiatives: PQRI, review of core measure indicators, and collects care-delay information.

- May participate in client and care team meetings to evaluate and plan progress of the hospitalist program.

- Education/Public Relations

- Meets with patient/family on admission to educate on role of hospitalist.

- Continued follow-up with patient/family to provide follow-up PCP appointment and assure needs are being addressed during stay.

- Educates and promotes hospitalist program among hospital staff.





Education, Training, Experience:

- Graduation from an accredited school of nursing; BSN (preferred)
- Licensed to practice as a Registered Nurse (RN) in state for which position exists
- Adult acute care experience
- Case management experience (preferred)
- Utilization management experience (preferred)
- Well-developed communication and influence skills



Confidentiality:

- Maintains strict confidentiality with regard to protected health information and understands and adheres to Cogents HIPAA Privacy and Security Policies and Procedures.

Location:	Great Falls, MT United States