**Description** _**Summary:**_The Registered Nurse Clinical Care Coordinator is responsible for evaluating,coordinating, processing, screening, and documentation of patient entry intothe CHRISTUS Health System. The Registered Nurse Clinical Care Coordinatorwill collaborate with relevant providers and partners to determine theappropriate patient class and level of care of patients entering the CHRISTUSHealth system to ensure the appropriate utilization of resources and maximizeappropriate reimbursement opportunities. They will utilize problem-solving andcustomer service skills to determine the best course of action for thepatient, the physician, and the hospital by working closely with facilityHouse Supervisors, referring physicians, ED, and inpatient staff to ensure theeffective and efficient admissionplacement of every patient. This rolerequires the full understanding and active participation in fulfilling theMission of CHRISTUS Health. It is expected that the associate demonstratesbehavior consistent with the Core Values. The associate shall support CHRISTUSHealth's strategic plan and the goals and direction of their PerformanceImprovement Plan (PIP). _**Responsibilities:**_• Meets expectations of the applicable OneCHRISTUS Competencies: Leader ofSelf, Leader of Others, or Leader of Leaders. • Reviews clinical information for patients upon entry into the health systemto determine appropriate placement and patient class to maximize appropriatehospital reimbursement and positively manage length of stay. • Coordinates with onsite partner providers (LTACH, Inpt Rehab) to reviewrequests for facility services and ensure appropriate use of outpatienthospital resources for (their patients) including scheduling coordination andappropriate escort by sending provider. • Review all ED patients identified by the treating physician as requiringadmission to the hospital to ensure appropriate patient class and resourceutilization. • Educates hospital and ED providers on levels of care, resource utilization,payor practices, and documentation. Escalates to Physician Advisor or CMO whendiscrepancies are present. • Performs the initial clinical medical necessity review utilizing evidence-based criteria and enters into the medical record for the receiving CM team. • Provide after-hour and weekend support to the entire hospital from a CareManagement standpoint to include facilitating discharges after business hoursand responding to physician support needs and inquiries. • Review all post-surgical patients who are placed in a bed to confirmappropriate patient classadmission status and work with physicians to correctpatient class when errors are identified to maximize hospital reimbursementand resource utilization. • Responsible for 247 ongoing management of patients in Observation status toinclude repeated review of clinical and opportunities for conversion toinpatient status. • Works closely to coordinate and collaborate with the ED Case Managerregarding patient class, discharge planning from ED, and avoidance ofreadmissions. • Ensures the details of incoming communications from payors are entered intothe medical record (certifications, authorizations) and escalated whenindicated (receipt of denials, deadline for clinical receipt, etc.). _**Requirements:**_**EducationSkills** * Graduate of an accredited school of nursing is required. **Experience** * Minimum of two (2) years' experience in Case Management andor Utilization Management is required. **Licenses, Registrations, or Certifications** * RN License in the state of employment required. * BLS is required.**_Work Schedule:_ **11p-7a M-F**_Work Type:_ **Full Time **EEO is the law - click below for more information:**We endeavor to make this site accessible to any and all users. If you wouldlike to contact us regarding the accessibility of our website or needassistance completing the application process, please contact us at (844)257-6925.