Care Coordinator (RN) - Burn ICU, IMU, Gumenick Suites
Core
Coordinate patient care transitions from acute hospitalization to post-discharge settings, ensuring quality, efficiency, and cost-effectiveness while managing payer reimbursement and compliance.
Role type
Senior RN Care Coordinator
Builds
Patient discharge plans and care transitions
Domain
Healthcare / Acute Care / Insurance Utilization Management
Deliverable
client delivery
Required skills
Acute care nursing, Payer reimbursement management, Discharge planning, Quality improvement compliance, Risk management, Multi-disciplinary collaboration, Medical necessity assessment, Community agency liaison
Preferred skills
Academic healthcare experience, Utilization Management experience, Specialty patient population experience, Master's in Nursing
Technologies
CMS guidelines, QIO series, Medical necessity criteria
Responsibilities
Facilitate effective hospitalization transitions with physicians, Collaborate with multi-disciplinary teams to meet patient needs, Resolve psychosocial issues with social workers, Maintain compliance with QIO and CMS guidelines, Assess medical necessity and assist in denial/appeals processes, Participate in patient safety initiatives
Seniority
Senior, hands-on IC
