Care Coordinator RN KHC
2 weeks ago
Facility: Kennestone Hospital Job Summary: The Care Coordinator RN (CC RN) is responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patient and family to assure care needs are met. The CC RN plans effectively to meet the patient's needs, manage the length of stay and promote efficient utilization of resources. Overall, the role integrates and coordinates care facilitation, care progression and transitional care planning functions. Specific functions within this role include: Psychosocial and functional status assessment, transitional care planning, clinical care progression, facilitate patient/family care conferences, participate in interdisciplinary rounds, and patient/family education Collaborates effectively with the utilization review nurse, patient's physicians and the interdisciplinary care team to provide a comprehensive assessment of the patient's medical care needs, psychosocial needs, any social determinants of health needs, goals/outcome attainment and continued care needs Assures that the patient is progressing towards their discharge goal and assists to alleviate barriers Seeks consultation from appropriate disciplines/departments as required to proactively identify and resolve delays to expedite care and facilitate discharge. May have other duties assigned Core Responsibilities and Essential Functions: Assessment - Based on preliminary screening of patients, initiates assessment of patients chronic disease management needs and psychosocial risk factors and availability of resources to assist upon discharge. - Partners with the PAS, financial counselor and/or UM nurse to assess insurance and coverage requirements for all payers to ensure adherence to those requirements. - Collaborates with the patient and family, along with the physician(s) and other members of the care team to fully establish and support both the patients care progression and discharge plans - Meets with physicians and care team routinely to collaborate on timely and efficient patient management. Care Progression - Collaborates with physicians and care team to facilitate communication regarding patients care progression to ensure timely and efficient delivery of care. - Proactively identifies delays/obstacles in diagnostic or treatments within the plan of care which can lead to discharge delays. - Identities and discusses with physician the medical necessity for inpatient testing that may be more appropriate in the outpatient setting. - Actively works to resolve barriers to discharge and engages/escalates barriers to discharge to the appropriate leader for efficient resolution Disposition Planning - Manages all aspects of discharge planning for assigned patients. - Implements discharge planning timely and provides resources in an efficient manner. - Meets with patient/family to assess needs and develop an individualized discharge plan in collaboration with physicians. - Identifies and documents barriers for timely disposition. - Ensures/maintains discharge plan consensus with patient/family, physicians, care teams and payers. - Responds to referrals for patients post-acute needs from physicians and the care team. - Participates in Interdisciplinary Rounds with the patients care team to confirm estimated date of discharge and make recommendations for best level of care transition at discharge. - Initiates/facilitates post-acute referrals through departmental processes for timely transition to the next level of care. - Refer appropriate cases for social work intervention based on departmental protocol. - Allows for any cultural or religious beliefs in providing service and continuity of care. Documentation - Initial clinical/psychosocial assessment completed and documented in medical record. - Ensure all records are up-to-date and documentation is clear and concise. - Ensure timely and accurate documentation in progress notes of interactions with patient/family, physicians, care team, and community partners as it pertains to the patients discharge plan. - Accounts for and indicates all services arranged/delivered in electronic medical record. - Track avoidable days and report trends that lead to undesired outcomes. Professional Development and Initiative - Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education. - Supports department-based goals which contribute to the success of the organization. - Serves as a preceptor and/or mentor for student interns (if appropriate) Required Minimum Education: Associate's Degree in Nursing from an accredited school of nursing with a Georgia RN License Required Required Minimum License(s) and Certification(s): All certifications are required upon hire unless otherwise stated. Reg Nurse (Single State) or RN - Multi-state Compact Basic Life Support or BLS - Instructor Additional License(s) and Certification(s): Required Minimum Experience: Minimum 1 year nursing experience in the acute care setting. Required Required Minimum Skills: Excellent written and verbal communication skill. Must possess maturity, self-confidence, objectivity, and positive attitude. Self-directed with the ability to function well under stress, handle change, and function in a fast-paced environment Strong assessment, interview, organizational and problem-solving skills. Knowledge regarding local, state and federal regulations required. Knowledge of community and state-wide resources and programs. Ability to work collaboratively with physicians, members of the care team, and the patient/family to assist with progression of care through their transition to the next level of care.
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Care Coordinator RN Sr KHC
4 weeks ago
Marietta, Georgia, United States WellStar Health System Full timeJob SummaryThe Care Coordinator RN Sr is a key member of the healthcare team, responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patients and families to ensure their care needs are met. This role requires strong clinical expertise to partner with physicians and care teams to drive optimal and...
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Care Coordinator RN Sr KHC
4 weeks ago
Marietta, Georgia, United States Wellstar Health System Full timeJob SummaryThe Senior Care Coordinator RN is responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patients and families to ensure care needs are met. This role requires strong clinical expertise to partner with physicians and care teams to drive optimal and efficient treatment plans, streamline...
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Care Coordinator RN
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Marietta, Georgia, United States Wellstar Health System Full timeJob SummaryThe Care Coordinator RN is a vital role within our healthcare team, responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patients and families to ensure their care needs are met. This position requires strong assessment, interview, organizational, and problem-solving skills, as well as the...
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Care Coordinator RN
3 weeks ago
Marietta, Georgia, United States Wellstar Health System Full timeCare Manager Job DescriptionWellStar Kennestone Hospital is seeking a skilled Care Manager to join our team. As a Care Manager, you will play a critical role in ensuring the seamless transition of patients from one level of care to another.Key Responsibilities:Assess transitional care needs and coordinate care across the continuumEngage with patients and...
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Care Coordinator RN
3 weeks ago
Marietta, Georgia, United States Wellstar Health System Full timeCare Manager Job DescriptionWellStar Kennestone Hospital is seeking a skilled Care Manager to join our team. As a Care Manager, you will play a critical role in ensuring the seamless transition of patients from one level of care to another.Key Responsibilities:Assess transitional care needs and coordinate care across the continuumEngage with patients and...
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Nurse Care Coordinator
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Marietta, Georgia, United States AMN Healthcare Full time{"title": "Care Coordinator RN", "description": "Care Coordinator RN Job SummaryWe are seeking a skilled Care Coordinator RN to join our team at AMN Healthcare. As a Care Coordinator RN, you will be responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patients and families to ensure their care needs are...
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Marietta, Georgia, United States Wellstar Health System Full timeCare Coordination Opportunity at Wellstar Health SystemWe are seeking a skilled Care Coordinator to join our team at Wellstar Kennestone Hospital. As a Care Coordinator, you will play a vital role in coordinating care across the continuum for our patients, ensuring seamless transitions and optimal outcomes.Job SummaryThe Care Coordinator is responsible...
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RN Care Coordinator
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Care Coordinator
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Registered Nurse
4 weeks ago
Marietta, United States Wellstar Health System Full timeFacility: Kennestone HospitalWellStar Kennestone Hospital has an opportunity for a Registered Nurse (RN) - Care CoordinatorFull Time - Day ShiftJob SummaryThe Care Coordinator RN (CC RN) is responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patient and family to assure care needs are met. The CC RN...
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Marietta, Georgia, United States Chapters Health System Full timeJob Title: RN, Care CoordinatorJob Summary:Chapters Health System is seeking a skilled RN, Care Coordinator to join our team. As a key member of our interdisciplinary team, you will play a vital role in providing palliative and supportive care to patients and their families.Responsibilities:Assess and identify patient/family needs, utilizing the nursing...
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Marietta, Georgia, United States Empire Care Centers Full timeEmpire Care Centers - RN Staff Development Coordinator/Infection ControlWe are seeking a dedicated and compassionate RN Staff Development Coordinator/Infection Control to join our team at Empire Care Centers. As a key member of our nursing staff, you will play a vital role in ensuring the highest quality of care for our residents.Responsibilities:Develop and...
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Marietta, United States WellStar Kennestone Hospital Full timeJob Title: Care Coordinator Social Worker Job Specialty: Care Management Job Duration: 13 weeks Shift: Day, 5x8 Mon-Fri, with weekend and holiday rotation Guaranteed Hours: N/A Experience: Minimum 1 year of experience in healthcare in an acute care setting, related field, skilled care environment, or community or educational internship in care coordination....
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Marietta, United States Wellstar Health System Full timeFacility: Kennestone HospitalWellStar Kennestone Hospital has an opportunity for a Sr. Registered Nurse (RN) - Care CoordinatorFull Time - Day ShiftJob SummaryThe Care Coordinator RN Sr. (RN Sr) is responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patient and family to assure care needs are met the...
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Senior Registered Nurse
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Marietta, United States WellStar Health System Full timeFacility: Kennestone HospitalWellStar Kennestone Hospital has an opportunity for a Sr. Registered Nurse (RN) - Care CoordinatorFull Time - Day ShiftJob SummaryThe Care Coordinator RN Sr. (RN Sr) is responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patient and family to assure care needs are met the...
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Care Coordinator
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Marietta, Ohio, United States Integrated Services for Behavioral Health Full timeJob SummaryWe are seeking a highly skilled and compassionate Care Coordinator to join our team at Integrated Services for Behavioral Health. As a Care Coordinator, you will play a vital role in providing exceptional care to children, youth, and families with significant behavioral health needs.Key ResponsibilitiesDevelop and implement individualized care...
