SUMMARY

As a Care Facilitator, your analysis of and attention to the care plan are key contributors to ensuring patient needs are met and delivery of care is optimal.

STATUS: Full Time

LOCATION: Unity Hospital

DEPARTMENT: Care Management

SCHEDULE: Monday - Friday, Days (8:00am - 4:30pm)

***Evening / Weekend availability might be needed in near future***

ATTRIBUTES

• If not already attained, in active pursuit of a BSN from an accredited school, and/or comparable clinical experience
• Minimum five (5) to eight (8) years clinical experience; case management/utilization management/discharge planning experience preferred
• Patient focused, organized and excellent communication skills

RESPONSIBILITIES

• Evaluation & Care Management. Conduct clinical reviews utilizing objective criteria to assign patient to the appropriate level of care; identify clinical resources required to achieve optimal patient outcomes and appropriate reimbursement; monitor resource utilization, perform continued stay reviews and assist with managing the length of stay of patients; refer cases to the Review Physician Advisor to validate level of care; communicate clinical information to payors
• Documentation. Document level of care and medical necessity in the Care Management database to support the clinical review process
• Leadership & Communication. Work with Care Management Leadership to identify problems, recommend solutions and work toward resolution; utilize data, trends and reports to proactively identify opportunities to improve processes and practice; function as a resource to healthcare team for payor requirements, ensuring optimal use of patient healthcare benefits; foster relationships with payors and facilitate communication between hospital and payor as appropriate

EDUCATION LICENSES/CERTIFICATIONS BLS - Basic Life Support - American Heart Association (AHA); RN - Registered Nurse - New York State Education Department (NYSED) Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran PHYSICAL REQUIREMENTS : M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.