RN Care Coord – PCCN

RN Care Coord – PCCN Apply! Apply! Position Details

Department: PCCN | Phx Children’s Care Network

Location: Telecommuting

Shift: Mon-Fri, Days, 8am-5pm

Category: Nursing

Posting #: 913715

Employee Type: Full-Time

Position Summary

Care coordination is the deliberate organization of patient care activities and sharing information among all the participants concerned with a patient`s care to achieve safer and more effective care. The goal of care coordination is to facilitate the appropriate and efficient delivery of health care services both within and across systems. Care Coordination is a truly collaborative approach. RN Care Coordinators are excellent problem-solvers who are dedicated for finding the best solution to their patients’ needs. They have strong research abilities that enable them to seek out resources related to each client’s specific life situation. RN Care Coordinators are highly organized and efficient, allowing them to serve as many clients as possible without sacrificing personalized attention and enjoy taking initiative to improve their patients’ quality of life. This position advocates, guides, and intervenes on behalf of the patient population PCCN serves in coordination with the PCP to support patients/families in understanding and navigating various health care systems. Patient/family needs are identified through needs assessments and needs are met through completing tasks in the Pediatric Care Constellation (PCC) system. This position works closely with the rest of the Integrated Care Coordination team to coordinate, problem solve, troubleshoot barriers to care and meet the needs of patients and families. This position works independently, receiving supervision of work activities from the Manager of Integrated Care Coordination.

Position Duties

• Care Management Activities
• Completed needs assessments with patient/families to identify assistance needed
• Identifies and coordinates referrals/prior authorizations for specialty medications, DME, home health, etc.
• Assists with the facilitation and positive outcome of prior authorizations. Support families understanding of denials, including next steps.
• Works closely with Care Navigators and Social Service staff to ensure all patient/family needs are addressed; mental health, community resources, appointments, etc.
• Escalates unresolved barriers to the Manager of Integrated Care Coordination and Chief Medical Officer
• Maintains timely, complete, and accurate documentation in compliance with PCCN policies and procedures.
• Supports initiatives to improve quality performance against pre-defined gap in care, cost of
• Work closely with provider offices and support staff, in a professional manner, to facilitate patient/family needs being met
• Multi-tasks communications through email, telephone, IM, text, and Vocera
• Ability to utilize multiple computer monitors with various applications open simultaneously to ensure the highest levels of efficiency
• May facilitate set up of multi-provider Care Conference on behalf of patient/families

• Collaboration
• Cultivates and maintains effective interaction/communication with all stakeholders.
• Utilizes all available tools to ensure timely, effective, and appropriate communications
• Serves as a clinical resource and subject matter expert for the team
• Complete Nurse Consults timely, as requested by teammates; outreach to families to determine the type of assistance they are requesting.
• Escalate issues and required support to Manager, Integrated Care Coordination and Chief Medical Officer (when appropriate)

• Transitions in Care
• Calls patients/families transitioning home from a hospital or ED stay within specified time frame to monitor and support execution of the discharge summary. Identify and assess additional needs that support the goal of reducing the likelihood of re-admission or future avoidable admissions.
• Identifies additional needs patients/families may have that may not be documented within the discharge summary
• Supports medication compliance, prior authorization, and treatment adherence. Assist patient/family to work through medication barriers, such as issues with the orders, pharmacy, or insurance.
• Provide approved education about new conditions, new medications, disease process, etc. Refers patients/families back to their provider for patient specific treatment plan guidance.
• Facilitate successful return to school and work notes after hospitalization
• Work with school nurses, as needed, to ensure medication or treatment is successful if ordered during the school day.

• Education
• Maintains professional competency by regularly participating in a variety of educational programs and in-services, reviewing relevant professional publications, participating in community based committees related to service line responsibilities, and/or participating in professional societies to ensure ongoing awareness of current methodologies, practices and philosophies as applied to the patient care population.

• Customer Service
• Communicates clearly in both written and verbal communications with all internal and external customers.
• Provides excellent service routinely in interactions with all internal and external customers.
• Responds to email within 24 hours or one business day.

• Performs miscellaneous job related duties as requested.
  
  

Phoenix Children’s Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children’s will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families
  
  

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable
  
  

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Position Qualifications Please review the following qualifications and specify whether you meet each of the requirements listed.

Education Do you meet this requirement?

• Bachelors degree in Nursing.
  
  

Required

Yes No

Experience Do you meet this requirement?

• Previous case management experience with a payer, hospital, or community setting.
  
  

Required

Yes No

• Minimum of two (2) years of broad clinical experience predominantly in pediatric care preferred.
  
  

Required

Yes No

Certifications / Licenses / Registries Do you meet this requirement?

• Current State of Arizona RN license or multi-state license from a compact state or the ability to establish licensure according to Arizona law prior to start date.
  
  

Required

Yes No

• Current BLS certification.
  
  

Required

Yes No

• Case Management Certification
  
  

Preferred

Yes No

Special Skills Do you meet this requirement?

• Excellent verbal, written and interpersonal communication skills.
  
  

Required

Yes No

• Effective critical thinking, decision-making, and demonstration of creativity in problem-solving.
  
  

Required

Yes No

• Computer competency skills such as experience with Excel, Word, and Electronic Medical Records.
  
  

Required

Yes No

• Bilingual (Spanish).
  
  

Preferred

Yes No

Physical Requirements & Occupational Exposure/Risk Potential

• Physical Requirement – Fine Motor Skills (pinching, gripping, etc) – Constantly
• Physical Requirement – Hearing – Constantly
• Physical Requirement – Sitting – Constantly
• Physical Requirement – Standing – Occasionally
• Physical Requirement – Talking – Constantly
• Physical Requirement – Walking – Occasionally
• Physical Requirement – Near Vision – Constantly
• Physical Requirement – Far Vision – Occasionally
• Physical Requirement – Use of keyboard, mouse and/or computer equipment – Constantly
  
  

I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply

I Agree