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RN, Care Coordinator
3 months ago
When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success
SIGN ON BONUS
Benefits DAY 1
Role
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.
Qualifications
- Current license as RN in the state where the employee will be working
- 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
- Reliable transportation to meet visit schedule
- 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 manage the emotional stress of working with and caring for terminally ill patients and their families
- Ability to physically access patient rooms, other areas of the Hospice House/Hospital/ALF, etc., and any home (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) within any part of the service area
- 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. Employees hired prior to 12/31/2022 must obtain certificate prior to 10/1/2023
Provides reassurance on the phone to patients and families. Assists in finding solutions to their questions and/or recognizes the need for an in person visit. Coordinates in person visit when needed/or requested.Assists the patient and family to achieve the desired comfort levels.Utilizes appropriate support/expert resources or personnel to resolve complex or difficult situations.Documents patient/family contact information in the EMR and communicates with the Interdisciplinary Group (IDG).Completes clinical admissions for all Company services including, but not limited to:
- Explains services to potential patients/families and addresses questions regarding patient fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner
- Identifies admission objections, concerns or other entry barriers and provides responses
- 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
- Obtains Physician orders
- 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.
- Communicates frequently with Admissions to ensure timely follow-up. When assignment is complete, informs Admissions and prepares for next assignment.
- Provides all necessary clinical communication timely using SBAR.
- Discusses any potential needs with after-hours staff.
- Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations.
- Obtains medical record information for the referral.
- Develops strong relationships with case managers, physicians, etc. at facilities.
- Works with Professional Relations Representatives (PRRs) to provide education on all available services.
- Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge.
- Satisfactorily complete competency requirements for this position.
- 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.
- Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
- Use resources in a fiscally responsible manner.
- Promote the Company through participation in community and professional organizations.
- Participate proactively in improving performance at the organizational, departmental and individual levels.
- Improve own professional knowledge and skill level.
- Advance electronic media skills.
- Support Company research and educational activities.
- Share expertise with co-workers both formally and informally.
- 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.
- Attends patient deaths; prepares body for transport; oversees disposal of medications.
- Provides appropriate bereavement interventions to the family and caregiver in conjunction with psychosocial staff.
- Presents concise and pertinent oral and written reports to IDG; respects and encourages input from all disciplines.
- Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others.
- Supervises patient care given by other nursing team members (i.e., LPNs, Hospice Aides, and contract nurses).
- Performs other duties as assigned.
While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel.
Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance.
Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs.
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.
