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.