To perform this job, an individual must perform each essential function satisfactorily with or without reasonable accommodation.

·Consults with nursing staff and multidisciplinary team regularly to evaluate patients’ status and appropriateness of medical care, including admission, length of stay, transfer, and discharge.

·Monitors patient and family satisfaction as part of the multidisciplinary team.Responds to questions and complaints from patients, family members, and payors regarding care.

·Participates in discharge planning including coordinating patient transfers to other facilities and coordinating community resources.Provides discharge education and resource referrals to patients.

·Performs chart review to identify actual or potential issues with service delivery, patient outcomes, and satisfaction, compliance, cost, and reimbursement.

·Works as an advocate for the physical and emotional well-being of the patient protecting the patient’s rights.

·Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health errors addressing opportunities for performance improvement.

·Consistently maintains level of performance and required documentation to support regulatory standards for both acute and post-acute setting.

·Performs other duties as assigned.

 Core Competencies:

·Values Every Voice. Seeks to understand different perspectives and cultures; contributes to a work climate where the contributions of all individuals are valued and supported.

·Shows Courage. Faces difficult issues and supports others who do the same; is willing to campion an idea or position despite dissent or political risk; provides direct and actionable feedback.

·Leans Into New Ideas. Learns quickly when facing new situations; experiments to find new solutions and extracts lessons learned from failures and mistakes.

·Instills Trust. Follows through on commitments and keeps confidences; is seen as direct and truthful, shows consistency between words and actions.

·Plans and aligns. Sets objectives to align with broader organizational goals; breaks down objectives into appropriate initiatives and actions; anticipates and adjusts effective contingency plans.

·Builds Effective Teams. Establishes common objectives and a shared mindset; creates a feeling of belonging and strong team morale; fosters open dialogue and collaboration among the team.

·Business Insight. Uses knowledge of business drivers to guide actions; keeps up with current and possible future practices and trends in the with the competition and in the marketplace.

 ACKNOWLEDGEMENT:

·This description is designed to indicate the general nature and level of work for this position.It is not intended to describe minor duties or other responsibilities that may be periodically assigned.

·You agree to conduct your job responsibilities in accordance with the standards set out in the Hospital policies, Company’s Code of Business Conduct, its policies and procedures, applicable federal and state laws, and applicable professional standards.

Qualifications:

Education:

·Bachelor’s degree in nursing or related field

·Registered Nurse Licensure to practice in the state of Kentucky OR a current Registered Nurse Licensure with a multistate compact status OR Current Social Work Licensure

·Case Management Certification Preferred

Experience:

·Three (3) years hospital patient care experience preferred.

·Experience with criteria for Medicare, Medicaid, HMO, and private insurance coverage required.

Required Skills:

Certifications:

·Current American Heart Association BLS certification or obtained within 90 days after hire date.

·Requires critical thinking skills, decisive judgement, and the ability to work with minimal supervision.

·Must be able to work in a stressful environment and take appropriate action.

Language Skills

Able to communicate effectively in English, both verbally and in writing