Care Management- Ortho Care Coordinator -RN
New York
Job Description Job Description Care Management- Ortho Care Coordinator- RN
American Consultants has a full time permanent.position for a Care Coordinator at a facility in New York. Must have a NY RN license.
Education/Skills:
This associate is a Registered Nurse with current NYS Registration.
S/he has, at minimum, a Bachelor of Science in Nursing or a Bachelor's degree in a related field.
S/he also has a minimum of 5 years recent [defined as within the past 8 years] acute care clinical experience [excluding Psychiatric, Acute Rehab, Obstetrics or Newborn].
In addition s/he will have a minimum of 2 years critical care experience preferred.
This RN conducts Documentation Improvement activities by reviewing medical records on a concurrent basis to assess the extent to which clinical documentation accurately reflects the severity of patient illness and the scope and intensity of related.services/procedures.
S/he is required to demonstrate excellent clinical knowledge of disease processes, including, but not limited to, symptomatology, diagnostics and treatment.
S/he is required to demonstrate knowledge of the difference in symptomsvs clinical diagnosis.
S/he is required to demonstrate knowledge of federal, state and commercial/third party regulations related to coding and reimbursement.
S/he works collaboratively with physicians and HIM associates to ensure compliance with coding
and reimbursement guidelines for inpatient admissions.
The RN queries physicians or physician extenders to clarify diagnosis and procedures to support accurate Diagnosis Related Group assignment.
This associate also demonstrates excellent
interpersonal and communication skills and displays a commitment to interdisciplinary teamwork.
S/he is required to demonstrate proficient knowledge in software systems, including, but not limited to, Microsoft suite.