What are the responsibilities and job description for the Care Coordinator RN remote work: Baton Rouge or New Orleans position at eQ Brand?
Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based on contract requirements).
Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review.
Completes prior authorizations as appropriate in a timely manner.
Conducts an initial survey to recommend appropriate (home health assessment) for the recipient, unless this has already been done during the current fiscal year
Conducts a home and/or PPEC visit as needed or if contract requirement
Schedules and convenes initial face-to-face meeting in the recipient’s home and/or PPEC comprised of the recipient (if able) and the parent or legal guardian.
Assesses, plans, implements, monitors and evaluates the options and services required to meet the recipient’s health care needs.
Documents recipient’s assessment findings, actions, and outcomes.
Documents all communication, interventions and follow up tasks in the Care Coordination System within one (1) business day of each intervention and/or encounter.
Identifies patient care issues and makes recommendations on patient care issues.
Collaborates with the parent or legal guardian and healthcare team to arrange for identified home care needs.
Responsible for maintaining regular monthly contact (telephonically or face-to-face) with the recipient and the recipient’s parent or legal guardian.for purpose of updating Plan of Care (POC), resolving issues and identifying additional issues
As part of the multidisciplinary team, regularly meets with the team and contributes to the development of a comprehensive plan of care based on the needs of the recipient and recipient’s parent or legal guardian.
Evaluates and modifies recipient’s the plan of care as needed. Regularly communicates changes to the recipient’s parent or legal guardian, healthcare team, and other agencies involved in the recipient’s care.
Monitors assigned caseload eligibility status on a monthly basis, based on their status in MMIS.
Completes a Staffing Tool (Freedom of Choice) any time a parent or legal guardian expresses the desire to reconsider a recipient’s placement into a Skilled Nursing Facility
Follow guidelines for additional required calls and visits for Skilled Nursing Facility (SNF) transitions to community settings for six (6) months.
Functions as a resource to the community.
Manages daily workload associated with quality review process, including facilitation of case assignments and follows up to ensure that all cases requiring additional assistance or care coordination are completed within timelines required by contract.
Prioritizes and addresses requests and assignments in a professional manner to develop cooperative relationships to ensure that customer confidentiality is assured.
Provides courteous and prompt service to all internal and external customers at all times.
Attends staff meetings and continuing education sessions and will assist with learning opportunities as needed.
Participates in special projects, as needed.
Assists with the implementation of quality improvement initiatives.
Keep a pulse on the job market with advanced job matching technology.
If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution.
Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right.
Surveys & Data Sets
What is the career path for a Care Coordinator RN remote work: Baton Rouge or New Orleans?
Sign up to receive alerts about other jobs on the Care Coordinator RN remote work: Baton Rouge or New Orleans career path by checking the boxes next to the positions that interest you.
Sign up to receive alerts about other jobs with skills like those required for the Care Coordinator RN remote work: Baton Rouge or New Orleans.
Click the checkbox next to the jobs that you are interested in.
Not the job you're looking for? Here are some other Care Coordinator RN remote work: Baton Rouge or New Orleans jobs in the Baton Rouge, LA area that may be a better fit.
We don't have any other Care Coordinator RN remote work: Baton Rouge or New Orleans jobs in the Baton Rouge, LA area right now.
Demo
Tampa, FL
Full Time