RN Care Coordinator - Care Transformation - FT - Day

About the role

The Care Coordinator serves in an expanded nursing role to collaborate with patients and their health care team including Primary Care Providers, specialists, and hospitals to provide a model of care that ensures the delivery of quality, efficient and cost-effective healthcare services across the continuum.

Responsibilities

• Collaborates with specialty, primary care, social work staff, and other care team members to ensure optimal care coordination for the patient.
• Serves as the point of contact for their patient population, or the care team to coordinate/manage health needs.
• Initiates communication with patients upon learning they have been identified as high risk / targeted population.
• Pulls data from multiple systems and merge together to create a complete performance picture related to targeted populations.
• Implements interventions based on data and established guidelines.
• Makes sure to monitor data for trends and individual outliers.
• Analyzes data for process improvement opportunities to impact patient outcomes.
• Optimizes patient care transitions by:
• Collaborates with inpatient teams to support discharge plans
• Coordinates post-hospitalization care and discharge planning
• Affirms collaboration with primary care, social work & PCP care manager, other care team members, and community supports to ensure optimal care coordination for the patient
• Guides patients through the health care system
• Facilitates interaction and communication with health care staff providers.
• Provides disease/treatment specific education to both patients and families
• Oversees scheduled appointment(s)
• Oversees patient testing and admissions
• Reviews patient records
• Efficiently documents medical information using the appropriate forms and/or electronic applications
• Collects and tracks data related to targeted populations

Requirements

• Demonstrates prudent professional and clinical judgement, effective problem solving skills, critical thinking, excellent organizational and interpersonal skills, creativity, flexibility, and the ability to multi-task.
• Demonstrates ability to be self-directed and purposeful in seeking the necessary knowledge and skills to enhance professionalism in order to provide high-quality care.
• Demonstrates ability to function effectively in a fluid, dynamic, and rapidly changing environment.
• Demonstrates customer focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, patients, and families with diverse opinions, values, and religious and cultural ideals.
• Demonstrates ability to work autonomously and be directly accountable for practice.
• Demonstrates leadership qualities including time management, verbal and written communication skills, listening skills, priority setting, and work organization.

Qualifications

• Bachelor's Degree of Science in Nursing (BSN) Required.
• 2 years Nursing experience in an acute or ambulatory setting.
• Case/care management experience.

Preferred Skills And Abilities

• Demonstrates ability to be self-directed and purposeful in seeking the necessary knowledge and skills to enhance professionalism in order to provide high-quality care.
• Demonstrates ability to function effectively in a fluid, dynamic, and rapidly changing environment.
• Demonstrates customer focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, patients, and families with diverse opinions, values, and religious and cultural ideals.
• Demonstrates ability to work autonomously and be directly accountable for practice.
• Demonstrates leadership qualities including time management, verbal and written communication skills, listening skills, priority setting, and work organization.

Benefits

Stormont-Vail HealthCare offers a comprehensive benefits package including health insurance, dental insurance, vision insurance, life insurance, disability insurance, and paid time off.

Pay

The salary range for this position is $40,000 - $60,000 per year, depending on experience and qualifications.

Schedule

The schedule for this position is First Shift (Days - Less than 12 hours per shift).