Job Details

Continuum of Care Coordinator - Case Management

Company name
Community Health Systems, Inc.

Location
Tucson, AZ

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Continuum of Care Coordinator - Case Management

Community Health Systems

Tucson

AZ

Job #723209064

Description:

This is a full-time position working the day shift at Northwest Medical Center

Position Purpose:

The Continuum of Care Coordinator (CCC) is responsible for improving a patient's level of wellness, reducing unnecessary readmissions and ensuring appropriate utilization of in-network healthcare resources. The CCC will collaborate with Leadership and Case Management to review trends. Works in a medical setting with physician practices, hospital teams, PAC providers and the ACO to manage the full continuum of care in the provider network. Establish and maintain a Post-Acute Preferred Provider network in conjunction with CHS/ACO regulations and bylaws. Review patient care concerns and identify resolution of issues to meet patient care needs. Review Readmissions Rates and Readmission Retention rates of Post-Acute Providers and initiate discussions with those providers to seek improvements in performance. Review PAC utilization to include ALOS, RUG levels, ED visits, and multiple PAC transfers.

Qualifications

Position Qualifications:

Education:

Required

: Degree in Nursing or Social Work

Preferred

: Bachelor's degree

Experience:

Required

: Two (2) years of strong clinical healthcare experience. Current working knowledge of discharge planning, utilization management, case management, and disease management. Understanding of pre-acute and post- acute venues of care and post-acute community resources, physician office routines, and transitional procedures for pre and post-acute care.

Preferred:

Supervisor or project leadership. Knowledge of Medicare, and ACO practice management. Prior experience as a Care Navigator for high-risk patient populations.

Skills:

Demonstrated ability to communicate effectively in person and via telephone with patients, families/caregivers, physician office staff, and Post-Acute providers using appropriate dialogue and customer service competencies. Can aggregate and evaluate patient level data focusing on medical, psychosocial, and the education needs utilizing established post-acute criteria. Ability to perform multiple activities, meet deadlines, solve problems, utilize resources, make independent decisions, and work well in a team-based environment

Licenses/Certifications:

Required:

Current Arizona RN license or compact state license OR Social Work Licensure (LCSW) and American Heart Association BLS.

Job:

Case Management / Utilization Review

Organization:

Northwest Medical Center Tucson

Location:

AZ-Tucson

Requisition ID:

1841701

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment.

Updated 08/29/2018

Company info

Community Health Systems, Inc.
Website : http://www.chs.net

Company Profile
Community Health Systems is founded with the first purchase of a hospital in May 1985. The second hospital purchase took place soon thereafter in January 1986. 1991: The company issues its initial public offering. June 1996: An affiliate of Forstmann Little & Co. acquires the company in a $1.1 billion leveraged buyout. Month 1997: Wayne T. Smith is recruited as President and Chief Executive Officer, adding Chairman of the Board Responsibilities in 2001. His appointment as CEO begins a period of exponential growth through acquisitions and improved operations. June 2000: Community Health Systems, Inc. is taken public for the second time on the New York Stock Exchange trading under the symbol CYH with an initial offering price of $13 per share. July 2007: Community Health Systems, Inc. completes the acquisition of Triad Hospitals, Inc. adding more than 50 hospitals and nearly doubling the size of the organization. The acquisition includes subsidiary Quorum Health Resources, LLC (QHR), a hospital management and consulting company with approximately 150 independent community hospital clients. January 2014: Community Health Systems, Inc. completes the acquisition of Health Management Associates, Inc., adding approximately 70 hospitals to the organization.

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