BPCI RN Field Coordinator is responsible for overseeing and facilitating all BPCI goals within the post acute arena. The primary focus will be around the quality and performance of the skilled nursing network. In addition, the RN Field Coordinator will work in tandem with the Program Manager, BPCI RN Coordinator, and the Transitional Care Specialists to ensure proper transitions from the acute care hospital to post acute organizations across a 90 day episode.
JOB DUTIES AND RESPONSIBILITIES:
- Participates in utilization management meetings at the SNF or acute rehab level. Assess for gaps and potential for performance improvement opportunities and reports them back to post acute task force committee.
- Serves as a liaison between the SNF and the BPCI leadership teams to convey information regarding SNF performance and compliance with BPCI goals
- Identify SNF care management changes to improve performance and efficiency of the facility
- Assure the SNFs are following recommended LOS
- Assists with clinical pathway development at the SNF level in conjunction with the administrative SNF teams and BPCI post acute committee team.
- Follow-up on transitional care plan progress with patient and post-acute providers.
- Provide assessment of readmissions to determine cause and develop mitigation plan.
- Document weekly SNF utilization meeting updates in care management platform.
- Collect monthly and quarterly SNF LOS and readmission rates and report to Program Manager
- Report SNF LOS and SNF readmission rates, readmission root cause analysis outcomes and interventions to post acute committee
- Work collaboratively with the chief of geriatrics and senior care administrator on improving SNF outcomes; meet monthly with that team for strategic interventions
- Onboard elective patients: Complete initial patient meeting within 24 hours of admission; provide copy of BPCI brochure and Medicare Letter (compliance required) to patient/family.
- Work with hospital?s case management department to ensure safe discharge to appropriate next site of care; including assessment and coordination of post-discharge needs (e.g., DME).
- Communicate anticipated goals of care between hospital, skilled nursing , and PCP providers
- Facilitate scheduling of effective transitional care services.
- Develop working relationships with hospital interdisciplinary team members including, but not limited to Case Managers, Discharge planners, Social Workers, Coding Supervisors etc.
- Update and monitor Caradigm daily; identify high-risk patients and ensure appropriate documentation/follow up.
- Have a working knowledge of program?s bundled DRGs; Understand optimized next site of care (NSOC)
- Educate and facilitate transition of patients to Preferred Provider Networks in the Post Acute Care setting (PAC)
- Maintains confidentiality of all materials handled within the Network/ Entity as well as the proper release of information.
- Complies with Network and departmental policies regarding issues of employee, patient and environmental safety and follows appropriate reporting requirements.
- Demonstrates/models the Network?s Service Excellence Standards of Performance in interactions with all customers (internal and external).
- Demonstrates Performance Improvement in the following areas as appropriate: Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety.
- Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices.
- Complies with Network and departmental policies regarding attendance and dress code.
- Demonstrates competency in the assessment, range of treatment, knowledge growth and development and communication appropriate to the age of the patient treated.
Coordination of activities that will ensure effective operations, costing, productivity, billing and staffing. Ability to work well under stressful situations. Ability to prioritize work in an environment of constant change while meeting the needs of the assigned projects.
PHYSICIAL AND SENSORY REQUIREMENTS:
Sitting for up to six hours per day, for two hours at a time. Standing for up to four hour per day. Walking for up to three hours per day, ten minutes at a time. Continually uses fingers and hands to manipulate objects. Occasionally lift, carry or push objects up to 75 pounds. Occasionally uses upper extremities to lift up to twenty pounds; sometimes heavier. Very often stoops, bends and reaches above shoulder level. Hearing as it relates to normal conversation. Seeing as it relates to general vision, near vision, peripheral vision, and visual monotony.
Ability to work independently, multitask and prioritize workload in a fast-paced environment.
Excellent organizational abilities. Attention to detail and accuracy.
Ability to interact and communicate with individuals at all levels of organization
Client service oriented (both internal and external).
Strong interpersonal skills to handle sensitive situations and confidential information. Position continually requires demonstrated poise, tact, diplomacy, and good judgment.
Positive attitude, ability to influence, high energy.
Proficiency with Microsoft Office Suite including intermediate Word, Excel skills.
Driver?s license and appropriate insurance.
RN License; BSN Preferred
TRAINING AND EXPERIENCE:
3-5 years of healthcare experience
1-2 years of discharge planning experience, transitional care and/or post-acute services
5-7 years of healthcare experience
3 or more years of care coordination experience, transitional care and/or post-acute services
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!