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MO-SSM Health Bridgeton McKelvey

Worker Type:

Regular

Job Summary:

Utilizes skilled intervention, clinical best practice knowledge and collaboration with the patient, physician and multidisciplinary treatment team to pace care, achieve quality outcomes and negotiate appropriate reimbursement. Ensures the timely and seamless clinical transition of patients through medically appropriate levels of care.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

• Reviews all patients identified for review to determine the medical necessity and appropriateness of enrollment in the care management program.
• Assesses all assigned patients and integrates family information from social work to collaboratively determine potential, actual and the next level of care needed.
• Holds, interprets, and integrates the patient’s story into the overall multidisciplinary plan of care.
• Coordinates and facilitates access to services and patient care progression using best practice interventions that will produce favorable patient outcomes.
• Collaborates with physicians, nursing, social work, and multiple disciplines, departments, payers, and agencies to eliminate barriers to efficient delivery of care in the appropriate setting.
• Actively participates in clinical performance improvement activities as assigned.
• Builds a network of positive working relationships that advocate for the patient.
• Documents clinical activity in the medical record and supports and coaches accurate clinical documentation by physicians and others.
• Pursues continuing education in area of expertise/leadership.
• Performs other duties as assigned.

EDUCATION

• Graduate of accredited school of nursing

EXPERIENCE

• Two years' registered nurse experience

Work Shift:

Day Shift (United States of America)

Employee

Department:

8751000033 Center for Clinical Excellence

Scheduled Weekly Hours:

40

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.