SBC Corporation
Location
New Brunswick, NJ | United States
Job description
Job Summary
The Clinical Episode Coordinator will utilize 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. The Clinical Episode Coordinator will ensure the timely and seamless clinical transition of patients through medically appropriate levels of care.
Essential Job Functions
Serves as a critical component of the value-based operations care management team. He or she will oversee coordination of care for all patients enrolled in one or more value-based programs including CJR, MSSP, HRRP, and all other contracted programs while the patient is in an acute care setting.
For Medicare patients enrolled in Comprehensive Joint Replacement (CJR) lives, the Episode Coordinator s responsibility includes engaging the patient directly at the bedside, providing the beneficiary notification, and working with the patient s interdisciplinary team which includes the patient, family, caregiver, Orthopedic service line coordinator, and clinical care team to coordinate an appropriate and safe discharge plan to a post-acute or home setting.
For Medicare patients enrolled in a Medicare Shared Savings Program (MSSP) and/or Hospital Reduction Readmission Program (HRRP), the Episode Coordinator will participate in interdisciplinary rounds and coordinate with the hospital care team to identify next site of care discharge disposition.
For all other contracted payers under population health, the Episode Coordinator will participate in interdisciplinary rounds and coordinate with the hospital care team to identify next site of care discharge disposition.
Conduct a follow up phone call after the patient has been discharged from an acute care setting to home, to screen patients for safe discharge, and escalate any clinical issues to a Nurse Care Manager as needed for clinical interventions.
Reports directly to the centralized value-based operations care management team ensuring strong alignment and continuity of care for patients to avoid any overlapping outreach.
The Episode Coordinators will be provided with a risk stratification tool and Value Based Care criteria to focus and prioritize efforts.
Essential Job Functions Cont.
Job Qualifications
RWJBarnabas Health is an Equal Opportunity Employer
Job tags
Salary
