Registered Nurse (RN) Patient Care Coordinator | Avera at Home Referral Center

What You Will Do

• Serves as home care expert and resource to referral sources and/or agency staff regarding patient care, treatments and services that can be provided in the home/hospice setting including skilled and nonskilled services or other programs.
• Provides clinical assessment and assists referral sources with identification of appropriate services in the post-acute home care setting including education regarding admission criteria.
• Obtains physician orders, face to face, for home care/hospice services prior to each patient’s admission to home care.
• Clinically coordinates the home care/hospice plan as ordered by the physician.
• Documents each patient’s home care plan and coordination activities according to standards established by Avera.
• Facilitates communication between entities and assigned hospital/agency staff, identifying and reporting processes in the system where communication and/or continuity of care can be improved.
• Maintains knowledge of Federal and State regulations as well as Agency policies and procedures.

Essential Qualifications

• The individual must be able to work the hours specified.
• To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.

Required Education, License/Certification, Or Work Experience

• Registered Nurse (RN) - Board of Nursing
• An active license in the state of practice

Preferred Education, License/Certification, Or Work Experience

• 1-3 years home health/hospice related experience

Expectations and Standards

• Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
• Promote Avera’s values of compassion, hospitality, and stewardship.
• Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits

• PTO available day 1 for eligible hires.
• Up to 5% employer matching contribution for retirement.
• Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law.