Care Coordinator

1 week ago

lowell, United States Tufts Medicine Care at Home Full time

We’re saving lives, building careers, and reimagining healthcare. The great history of Home Health Foundation is now the future of Tufts Medicine Care at Home.  

Tufts Medicine Care at Home is a proud member of Tufts Medicine, a health system that is rethinking how academic and community centers, local and national businesses, and technology and service innovators can all work together. So that clinicians can deliver expert care where it’s needed most and so that we can bring wellness back to health care, one person at a time. 

Our Home Health RNs tell us they love the ability to work autonomously, to build strong rapport with their patients and families, and the flexibility in managing their schedules. Come join our growing health system.

Utilizing the nursing process, the Home Health Registered Nurse will manage and deliver comprehensive home health services, including
assessments, interventions, and supportive care to clients within their place of residence. include telephone triage, problem solving, patient/caregiver advocacy and support, with emphasis of avoiding hospitalization. member of the health care team, this position must interact courteously and effectively with patients and their families as well as with coworkers
from all Agency departments, community resources, and with patients' physicians in order to facilitate safe and efficient patient care
while maintaining their own safety in the home and the community at large.

Hours: Per-Diem
Required: One ajor holiday and One weekend day per month

One (1) year of acute medical/surgical nursing experience. 
Assesses patients' physical, psychosocial needs in a sensitive, caring manner following established Standards of Nursing Practice and VNA procedures.
~ Establishes realistic goals and develops plans of treatment in cooperation with the patient, family and members of the health care team.
~ Adapts to new and unusual situations without affecting work performance negatively.
~ Collaborates with patient /family and other health care providers and/or community resources with planning of care and discharge.
~ Completes physicians' orders, levels of care, and OASIS on all patients assigned, in accordance with patient care policies.
~ Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care.
~ Effectively manages assigned caseload, within the team model of care delivery.
~ Establishes a daily work plan based upon patient/family priorities of service and total area needs.
~ Promptly triages patient visits, messages, and phone calls according to priority and urgency.
~ Demonstrates excellent physical assessment and care planning skills.
~ Demonstrates current knowledge of pharmacology and medication administration and reconciliation.
~ Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care.
~ Effectively manages assigned caseload, within the team model of care delivery.
~ Establishes a daily work plan based upon patient/family priorities of service and total area needs.
~ Promptly triages patient visits, messages, and phone calls according to priority and urgency.
~ Coordinates care and discharge planning with other team members during case conferences.
~ Acquires and maintains an expert working knowledge of all third part payers and regulatory bodies and agency policies on issues related to documentation and care provided.
~ Communicates and collaborates with all disciplines in the home care setting on a regular basis or immediately if there are any critical needs or crisis interventions needed.


403(b) retirement with company match
~ Tuition reimbursement
~ Fleet Car Program


Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

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