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Northeast Georgia Health System, Inc.: Transitional Care Coordinator – Prn – Gainesville

Northeast Georgia Health System, Inc.

This is a Full-time position in Gainesville, GA posted April 30, 2021.

Improving the health of our community in all we doNortheast Georgia Health System (NGHS)is a non-profit community health system on a mission of improving the health of our community in all we do.

Our team cares for more than 1 million people across the region through four hospitals and a variety of outpatient locations.

Northeast Georgia Medical Center (NGMC) has campuses in Gainesville, Braselton, Winder and Dahlonega with a total of more than 700 beds and more than 1,100 medical staff members representing more than 50 specialties.

NGHS also encompasses Northeast Georgia Physicians Group, a multi-specialty group with more than 65 locations, and The Heart Center of Northeast Georgia Medical Center, a cardiology practice with more than 15 locations.NGHSTransitional Care Coordinator GainesvillePRNJob Summary: Performs a wide range of support services for the Case Management Staff.

Assists the RN Case Manager/Social Worker with discharge planning, continuum placement, communication with insurance companies and gathering of data.

Works collaboratively with the Physician and other members of the health care team supports patient care monitoring, coordination and facilitation of patient care.

Promotes quality outcomes, team accountability, productivity, and becomes a link between the RN Case Manager/Social Worker, the patient, the provider, the payer, and community resources.

Demonstrates good communication skills, judgment, and maturity with patients, staff, and personnel.

Interacts with patients in the neonate, infant, child, adolescent, adult, and geriatric age groups.

Performs clinical duties in accordance with population specific guidelines and adheres to National Patient Safety Goals as outlined in policy and procedures.

Provides cross coverage in all settings as required, including weekend rotation.Minimum Job Qualifications:Current Georgia LPN licensure preferred.Two years of healthcare experience required.Preferred Education requirements:Licensed Practical Nurse with active Georgia licensure, or Associates Degree in Health or Human Services.

Job Specific and Unique Knowledge, Skills and Abilities Good verbal, written and interpersonal skills.Computer knowledge and ability to collect data.Demonstrates the ability to ‘think outside of the box’ and consistently creates now, and effective solutions to today’s problems and opportunities.

Consistently demonstrations a ‘sense of urgency’ in her/her work, while mindful of the pillars and financial stewardship opportunities.Essential Tasks and Responsibilities Supports a collaborative practice environment utilizing a team approach to ensure coordination of services and enhance continuity of patient care.

Actively supports Case Management/Social Worker role.

Documents activities in patient record in a consistent and timely manger to include progress toward goals, discharge planning and continuum placement.

Responds to all referrals on the same day received as evidenced by documentation in the medical record.

Maintains detailed knowledge of community resources, PPS’s and HMO’s to facilitate appropriate patient outcomes.

Preforms all tasks in a timely manner and assists in monitoring length of stay.

Reviews patient’s medical records for appropriate documentation as requested.

Assertively seeks nursing home placement once the need is identified through timely form completion, faxing, and expedient communication with all parties involved.

Obtains post-acute authorizations as required.Arranges appropriate discharge services for patients per physician orders including but not limited to: Hospice, DME.

And Home Health Services, indigent medications from pharmacy, transportation home, follow-up appointments, etc.Completes transfer forms for patients moving within and outside the continuum of care, i.E., 4W, TCC, or other hospital.Prepares DMA-6 from medical record for patients going to SNF.

Involves synthesizing information from the medical record and completing the appropriate forms.

Provides the requested information to nursing homes and third-party review agencies and provides follow-up for successful patient placement.Arranges DME and/or home health services for patients per physician orders.Arranges post-acute transportation in accordance with medical necessity; payor benefits; indigent process, e.G.

taxi/Lyft.Actively supports a customer service-oriented environment to continually enhance customer satisfaction.

Cooperatively works with Case Manager or Social Worker, nursing and physician to achieve optimal outcomes in the execution of treatment/discharge plans.

Communicates directly with Case Managers and Social Workers to ensure collaborative practice.

Provides patient/family information as directed by the Case Manager or Social Worker regarding their financial responsibility of inpatient and post-hospital services.Works all scheduled shifts, including weekend rotation, and remote coverage.Actively works as a team collaborator, promotes a positive work culture, and contributes to staff engagement.

Participates in offering opportunities for growth and supports redirecting negative talk.

Other duties as assigned.Since first opening its doors in Gainesville in 1951, Northeast Georgia Medical Center has added hospital campuses in Braselton, Barrow and Dahlonega and become Georgia’s most awarded hospital.

Some recognitions include being named to these lists:America’s 50 Best Hospitals Healthgrades100 Top Hospitals Truven Health Analytics100 Hospitals with Great Heart Programs Beckers Hospital ReviewAmerica’s Top Quality Providers CarechexAtlanta’s Top 150 Workplaces Atlanta Journal-ConstitutionHealthcare’s Most Wired Hospitals and Health Systems Hospitals & Health Networks magazineNGMC has also been recognized in recent years as Georgia’s #1 Hospital for overall hospital care, overall surgical care, heart care, orthopedic surgery, women’s care and more.