Case Coordinator Assistant - Inpatients Job Code
30000817
Basic Function
Supports the Case Manager in facilitating and coordinating the transition of
the patient’s plan of care from one healthcare environment to another, or
home, based on their need for continued care.
It includes a systematic process of: assessing appropriateness, including
the level of care and continued stay of the patient during hospitalization;
planning for continuity of health care upon discharge from hospital, and
coordinating needed individual, family, hospital and resources to implement
the discharge plan.
Scope
Incumbent has the responsibility to support the Case Manager to facilitate and
coordinate the assessment, planning, implementation, intervention and
evaluation of the options and services available to meet the patients’
healthcare needs across an episode or continuum of care. Facilitates patient
wellness and autonomy through advocacy, assessment, planning, communicating,
education, and resource management within a multidisciplinary team.
Actively works to eliminate barriers to the delivery of clinical services with
the patient, family and healthcare team and monitors clinical resource
utilization.
Creates a discharge plan appropriate to the patients’ needs and resources.
Based on the individual needs and values of the patient and in collaboration
with all service providers the care manager connects patients with appropriate
healthcare providers and human services and care settings, whilst ensuring
that the care provided is safe, effective, patient centered, timely, efficient
and equitable. This approach achieves optimum value and desired outcomes for
the patient / families, healthcare providers and the organization: reduce
length of hospital stay; and reduce re-admission rate.
Work hours are assigned to meet operational needs. Hours may include on call
and scheduled overtime.
Direction is through the unit manager.
Principal Contacts
Contact with unit personnel, nursing managers, Nursing Shift Coordinator,
Social Workers, Pharmacists, Rehabilitation staff, Clinicians at all levels,
Patient and Family members, Medical Customer Services Network, and other Johns
Hopkins Aramco Healthcare personnel involved in the care of the patient.
Principal Duties
PATIENT CARE:
Complete an initial screening of all assigned patients to identify patient
strengths and needs related to clinical resource utilization and discharge
planning.
Achieves optimum value and desired outcomes for the patient / families,
healthcare providers and the organization: reduce length of hospital stay; and
reduce re-admission rate.
Collaborates with members of the healthcare team to ensure the
multidisciplinary plan of care is developed, followed, and modified as needed.
Identifies variances from the plan of care and promotes resolutions for the
patient, family and carer.
Oversees and coordinates the patient's plan of care and monitors
multidisciplinary patient care activities to develop appropriate care delivery
strategies for identified patients, and make recommendations as required.
Ensures that interventions are aligned with the medical management
initiatives.
Uses established criteria to determine the appropriateness of the admission
and ongoing hospital stay.
Utilizes clinical guidelines and criteria to determine medical necessity of
hospital stay.
Actively works to eliminate barriers to the delivery of clinical services with
the patient, family and healthcare team.
Refers cases not meeting admission or continued stay criteria to the physician
reviewer and appropriate administrative staff as directed.
Functions as an advisor to healthcare team members with clinical, research and
system problems within the specialty area: educating staff about manage care
principles, discharge planning, level of care and the continuum of care
Maintains appropriate documentation in the medical record.
Participates in process improvement activities related to case management
practice and incorporates the research process into clinical practice through
communication, application evaluation, of research findings, as well as
through participation in research activities relevant to area of expertise.
Participates and represents care management in relevant committee meetings
e.g., long stay review, Clinical Guideline Development, Length of stay
reduction work groups, and staff meetings.
Serve as a team leader for groups of case management staff to insure adequate
self-coverage, completion of performance evaluations, adequate identification
of trends and communication to and from administrative staff.
Utilizes and fosters effective communication and positive collegial
relationships among the multidisciplinary healthcare team and with other
departments.
Ensures a safe environment and safe work practices in conformance with safety
regulations.
Principal Duties (cont'd)
PROFESSIONAL EXPECTATIONS
Keep current on Johns Hopkins Aramco Healthcare policies and procedures,
Mission and Vision Statement.
Treats customers (guests, patients, nurses, physicians and other employees)
with courtesy, respect and caring behaviors.
Presents a positive image of JHAH through professional appearance and
behavior.
Maintains confidentiality by choosing the appropriate persons, time and place
for patient related discussions.
Supports unit culture of quality and safety.
Participates in department committees, taskforces or significant interest
groups to identify quality improvement opportunities and to develop new or
revised policies and procedures.
Assumes accountability for own professional growth, maintains currency in Case
Management academia and evidence based practice pertinent to the assigne
Education
3 years International Diploma or Bachelor Degree.
Experience
5 years minimum clinical nursing experience following licensure/registration
in the country of origin, to include 2 years Case Manager experience.
Certifications/Other requirements as applicable
* Current licensure as a professional registered nurse.
* Case Management Certification is desirable or additional years' experience in lieu of formal course; and
* Advanced training/certification in specialty is required.
* Fluent spoken and written English. Spoken Arabic desirable.
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