Job Description

The Continuum of Care Coordinator (CCC) 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.



Qualifications

Education:

Bachelor's degree in Nursing or Social Work preferred.

A current, unencumbered Nursing or Social Work license is desired.

 

Experience:

Required minimum of two years of strong clinical/healthcare experience.

Current working knowledge of discharge planning, utilization management, case management and disease management.

Understanding of pre-acute and post-acute venues of care and post-acute community resources, physician office routines, and transitional procedures for pre-and post-acute care.

Knowledge of Medicare and ACO practice management preferred.

Prior experience as a Care Navigator for high-risk patient populations preferred.

 

Application Instructions

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