RN, Care Coordinator

2 weeks ago

Ocala FL, United States Chapters Health System Full time

RN, Care Coordinator (Marion County)

When you become part of the Chapters Health Team, you'll realize it's more than a job. We're committed to providing outstanding patient care and a high level of customer service in our communities every day. The RN, Care Coordinator is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit.
Minimum one (1) year of in-patient nursing or hospice experience for external candidates; for internal applicants, minimum of 6-months of LPN experience with hospice/home health within an affiliate
* Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system
* Mobile Driver - Valid driver's license and automobile insurance per Company policy
* Ability to use equipment with visual and auditory mechanisms
* Ability to effectively communicate in English (verbal and written)
* Flexible schedule to meet the needs of Hospice House patients
* Ability to physically access patient rooms, other areas of the Hospice House/Hospital/ALF, etc., Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation
* Active BLS for healthcare professionals from the American Heart Association or Red Cross. Provides reassurance on the phone to patients and families. Documents patient/family contact information in the EMR and communicates with the Interdisciplinary Group (IDG).
* Educates patient/family on admission requirements and addresses immediate needs
* Completes informed consents and initial assessment according to regulations and Company policy
* Provides information to Physicians and initiates Plan of Care to address patient's immediate needs
* Initiates skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort
* Completes documentation per Company policy
* Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.
* Discusses any potential needs with after-hours staff.
* Obtains medical record information for the referral.
* at facilities.
* Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge.
Represent the Company professionally at all times through care delivered and/or services provided to all clients.
* Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
* Comply with Company policies, procedures and standard practices.
* Observe the Company's health, safety and security practices.
* Promote the Company through participation in community and professional organizations.
* Participate proactively in improving performance at the organizational, departmental and individual levels.
* Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.
Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up.
* Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient's evolving needs.
* Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process and safety practices.
* Reports changes in the patient's condition to appropriate members of the IDG or other health professionals.
* Participates with the IDG to evaluate hospice referrals/admissions for level of care appropriateness.
* Provides appropriate bereavement interventions to the family and caregiver in conjunction with psychosocial staff.
* Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; Supervises patient care given by other nursing team members (i.e., LPNs, Hospice Aides, and contract nurses).
* This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

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