Dignity Health @ Mercy Hospital of Folsom is the community hospital serving the Sierra foothills communities of Folsom El Dorado Hills Granite Bay Cameron Park Shingle Springs and Rescue. With 106 licensed acute-care beds our accredited non-profit hospital has been providing exceptional care for more than 35 years. Mercy Hospital of Folsom provides surgical services including minimally-invasive general urological and gynecological surgeries. We also provide comprehensive and award-winning orthopedic services which include surgery inpatient and outpatient rehabilitation and specialty orthopedic care. As a certified Joint Commission Stroke Center Mercy Folsom provides exceptional care to our patients in our Medical Surgical and Intensive Care units as well as our 25-bed Emergency Department. Our Family Birth Center features private and contemporary birthing suites where labor delivery and recovery occur in one room as well as award-winning lactation training and support. Mercy Folsom received Among America’s 250 Best Hospitals recognition and is a Primary Stroke Center.

Responsibilities

The RN Care Coordinator is responsible for assessing planning facilitating and advocating for options and services through a continuum of care from point of contact through discharge on assigned patients.The RN Care Coordinator performs this role in such a manner as to meet the individuals health needs while promoting quality and cost effective outcomes. The positions emphasis will be on care coordination communication and collaboration with nursing physicians departments within the medical center insurers and post acute service providers to pace the care toward optimal outcomes within the appropriate level of care. The RN Care Coordinator will advocate for the patient and family by identifying and valuing patient choice spiritual needs cultural language and socioeconomic barreris to care transitions . In addition the RN Care Coordinator will protect confidentiality while striving to achieve high levels of patient satisfaction. The RN Care Coordinator consistently conducts the utilization review process and the discharge planning process as required by hospital policies standards of practice and Federal and State regulations.

The position shall demonstrate behaviors consistent with the core (Mercy) values in support with Mercy Hospital of Folsom and the Mission and Philosophy of Dignity Health.

• Evaluates the medical necessity of a patients utilization of healthcare services with designated screening criteria upon point of admission and throughout the provision of care in accordance with and in compliance of the Dignity Health Utilization Review Policy.
• Establishes and documents a working DRG on each assigned patient at the time of initial review to estimate a targeted length of stay and anticpate the date of discharge for planning and care coordination purposes.
• Completes and documents a discharge planning assessment on those patients identified as high or moderate risk by the designated screening process, or upon the request of a physician, NP, PA or patient representative.
• Facilitates the development of a multidisciplinary discharge plan, engaging other relevant health team members, the patient or patient representative and post acute care providers in accordance with the patients clinical or psychosocial needs, choices and available resources. The RN Care Coordinator initiates then initiates the plan to facilitate a safe and appropriate care transition.
• Work closely with all departments at the medical center and the post-acute service providers to streamline the patient transition through the health care system and into the community post discharge.

Minimum:

• Current California RN licensure.
• Minimum of three (3) years RN experience in acute care hospital.
• Prior Care Coordination experience in a clinical or insurance setting.
• A Masters Degree in nursing with a concentration in Case Management can serve as a substitute for the experience requirement

Special Skills:

• Excellent customer service and presentation skills are a must.
• Strong interpersonal and written communication skills are essential.
• Demonstrated ability to apply analytical and problem solving skills.
• Demonstrated ability to manage multiple tasks or projects effectively.
• Ability to work independently as needed with a high degree of detail orientation.
• Ability to work efficiently in a fast-paced environment with changing priorities.

Preferred:

• BSN degree or experience equivalent preferred.
• Case Management certification preferred.