Graduate from a Registered Professional Nursing Program
2 years of experience required
The Care Management Admissions Coordinator is responsible for coordinating medical care, and matching patient needs and preference with judicious use of healthcare resources. This professional educates physicians regarding InterQual criteria, documentation of patient acuity and treatment plan and the related expectations of CMS, JCAHO, NYS DOH and other regulatory bodies. The Care Management Admissions Coordinator works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs.
RN or BSW required. BSN or LMSW preferred.
Two (2) years acute care case management/ payor UM experience required.
Ability to function autonomously maintaining a high level of clinical and professional accountability.
Demonstrates ability in self-starting, self-directing and clear decision making behaviors.
Demonstrates skill in creative problem solving, facilitation, collaboration, coordination and critical thinking.
Expert interpersonal skills.
Functions as a team player.
Committed to promoting excellence in Customer Service.
Remains determined to achieve goals despite frequent obstacles.
Tackles difficult problems and takes personal responsibility for reaching solutions.
Applies rules or procedures flexibly, depending on the individual situation, to accomplish tasks or activities more effectively.
Responds effectively to changing circumstances.
Remains focused when faced with competing demands.
Computer literacy and data analysis skills are required.
Maintains current RN licensure if applicable.
Certification in appropriate professional affiliation strongly preferred (CCM).