Employment Type : Full-Time
We are seeking a full-time RN Care Coordinator to join our Integrated Care Team. Responsible for coordinating care across the continuum of care (inpatient/outpatient/community) to assure appropriate utilization of resources. Coordinates discharge/transition plan from inpatient or ED. Collaborates with the patient, family, health team members, and community resources to ensure safe, quality and cost effective care.
The Care Coordinator assists patients to reach optimal function and health by establishing goals based on the patient’s needs or problems. Explores patient’s understanding and knowledge of current health status. Educates patients on medications, disease conditions and self-management skills. Uses assessment skills and risk assessment tools to identify patients with actual or potential health care needs that would require care coordination.
Applies the process of assessment, planning, implementation, monitoring, evaluation and coordination of care to meet the patient’s health care need at all levels of transition. Willingness to cross train to all areas of care management.