Community Health Systems Continuum of Care Coordinator (RN) - 1.0 FT D in Wilkes Barre, Pennsylvania


The Continuum of Care Coordinator RN (CCC-RN) is responsible for improving patient s level of wellness, reducing unnecessary readmissions and ensuring appropriate utilization of in-network healthcare resources. This is achieved by monitoring the ACO Care Continuum for patients discharged from CHS Hospitals; which includes discussing utilization patterns of Participating and Non-participating resources, including physicians, hospitals and post-acute care providers. The CCC will collaborate with Hospital Leadership and Case Managers to review trends in resource utilization. The CCC will seek to provide assistance to patients who express concerns or additional care needs. The CCC will also seek to understand readmission drivers and opportunities to reduce 30-day readmission penalties . Will require travelin the local market andwithintheACO


Graduate of an accreditedschool of professional nursing. A minimum of five years of strong clinical/healthcare experiencerequired. Current working knowledge of discharge planning, utilizationmanagement, case management and disease management.Current working knowledge of discharge planning, utilization management,case management and disease management. Understanding of pre-acute andpost-acute venues of care and post-acute community resources, physician officeroutines, and transitional procedures for pre-and post-acute care.1-3years supervisory and project leadership experience. Knowledge of Medicare andACO practice management a plus. Prior experience as a Care Navigator forhigh-risk patient populations a plus.Demonstratedability to communicate effectively in person and via telephone with patients,families/caregivers, physicians, physician office staff, and Post-Acuteproviders using appropriate dialogue and customer service competencies.Can aggregate and evaluate patient level datafocusing on medical, psychosocial, and the education needs utilizingestablished post- acute criteria.Ability to perform multiple activities, meetdeadlines, solve problems, utilize resources, make independent decisions, andwork well in a team-based environment.Hands-on individual with great attention todetail, high personal accountability, and strong drive to develop him/herselfwhile learning business model.Strong organizational skills. Excellentwritten and verbal communication skills.Proficient in Microsoft Office products such as Word Excel,PowerPoint, Outlook

Current PA Registered Nurse license

Job: Case Management / Utilization Review

Organization: Wilkes-Barre General Hospital

Location: PA-Wilkes Barre

Requisition ID: 1830893