Care Coordination Specialist (1.0 FTE, Days)
1.0 FTE, Day Shift
Job Title : Care Coordination Specialist
Job Family : Patient Services
Bargaining Unit Non-Union
Reports To Mgr - Care Coordination
FLSA Status Exempt
Job Code 200857
This paragraph summarizes the general nature, level and purpose of the job.
The Care Coordination Specialist serves as an advocate and single point of contact for assigned patients and families coming to Stanford Children¿s Health for destination services. The Care Coordination Specialist is responsible for assisting patients and families pre-admission with all non-clinical aspects of the anticipated care at Stanford Children¿s Health including transportation, equipment, housing, and other required resources. Evaluates and identifies barriers to medical treatment, ensure access to appropriate resources, improve patient experience, and resolve issues that could impact care progression. Serves as the liaison between the clinical staff and family by orienting and educating related to treatment plan, coordinating referrals, and ensuring all resources for appropriate care are in place. Generates new resources and referral options for patients and families based on needs.
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.
Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.
Must perform all duties and responsibilities in accordance with the hospital’s policies and procedures, including its Service Standards and its Code of Conduct.
* Acts as non-clinical liaison for patients coming to Stanford Children¿s Health for destination services during pre-admission, assuring care continuity by acting as a single point of contact. Works closely with transfer center, authorization, financial counseling, scheduling, and clinical teams, including the referring interdisciplinary team, to ensure that non-clinical needs are met.
* Coordinates transportation, equipment, housing, and other required resources for a smooth care progression.
* Orients and educates patients and families, in conjunction with other care providers, related to treatments, procedures, medications, and continuing care requirements.
* Coordinates with patient financial services to ensure authorizations and letters of agreement are in place for patients coming to Stanford Children¿s Health for destination services. Follows up post-discharge to overturn denials. Works with insurers to troubleshoot and supply any data as needed.
* Conducts assessments on patient finance and authorization to make recommendations on appropriate referrals or other resources.
* Communicates utilization review, discharge planning, psychosocial considerations, financial needs, and other related information to appropriate care providers and community agencies.
* Maintains database related to discharge planning, utilization review, housing, transportation, patient care funds, community referrals, and quality indicators in the medical record. Provides reports as needed.
* Evaluates outcomes of care with interdisciplinary team to decrease hospital readmissions. Based on results, develops and implements of new programs, operating protocols, and communication initiatives related to care coordination. Participates in goal setting and process improvement to advance desired care team outcomes.
* Forwards admission, concurrent and retrospective reviews under the direction of the Case Manager, reviews daily admission data and checks inpatient insurance benefits, authorized days and other related needs.
* Availability by phone required for after-hours coordination needs for designated patient population.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Education Required: Bachelor's degree in a related field
Experience: 3 Years of directly related experience
Licensure/Certification: None required
Knowledge, Skills, & Abilities
These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.
* Ability to assist Care Team in assessing and addressing physical, psychological, social and resource needs of the patient and family/caregiver and provide appropriate support as needed.
* Ability to interact in a respectful, professional manner in accordance with hospital policies and procedures.
* Ability to be a resource for all employees in assigned area of specialization.
* Ability to integrate patient care with other members of the interdisciplinary health care team in assigned area of responsibility to ensure quality care.
* Ability to communicate with direct care providers and community agencies appropriate for follow up
* Respect for cultural diversity, religion and experience and an understanding of human developmental needs.
* Knowledge of computer systems and software used in functional area.
* Knowledge of current practices and standards relating to patient care and the responsibility and accountability for the outcome of your practice.
* Knowledge of basic ethics and patient privacy rights.
* Knowledge of medical terminology as pertains to your job.
Equal Opportunity Employer