RN Care Coordinator

4 days ago


West Chester, United States Carespring Full time

We need an RN Care Coordinator to join our team at The Advanced Therapy Center at Chesterwood Village in West Chester, Ohio.

$35 to $40 Per Hour

You'll collaborate with skilled residents, families, and the Interdisciplinary Team (nursing, therapy, social services, and case management) to coordinate care and services delivered during skilled stays (upon admission up to 30-days post-discharge).

You'll complete admission assessments with residents/family within 48 hours of admission in order to facilitate resource management, treatment plan formulation, and discharge planning. You'll also effectively communicate with residents, families, and the Interdisciplinary Team to promote patient-centered care and improve clinical outcomes.

You'll Be Responsible For:

  • Developingindividualized plans of care & communicatingthem to the appropriate stakeholders
  • Identifying the social, emotional, physical, mental, & financial needs of each resident
  • Coordinating&communicatingwith nursing staff regardingclinical needs during the skilled stay
  • Collaboratingwith therapy to identify therapy goals
  • Communicatingexpected length of stay withresidents/families to assist with discharge planning
  • Collaboratingwith social services to meet the resident's psychosocial & socioeconomic needs during the skilled stay and upon discharge (including arranging for follow up community services, home health referrals, and alternative placements)
  • Collaboratingwith Case Management to complete accurate & timely documentation to support on-going skilled need
  • Ensuringhigh quality care is provided as efficiently & cost-effectively as possible during the skilled stay
  • Facilitatingcontinuity of careby coordinating the transition from skilled stay to post-discharge& ensuring the resident needs are met to prevent rehospitalization
  • Attendingdaily clinical rounds, twice-weekly UR (Utilization Review) meetings, and Care Conferences to collaborate with the Interdisciplinary Team (nursing, social services, therapy, and case management) on skilled stay & post-discharge needs
  • Practicingprofessional nursing & promotingpatient advocacy in accordance with the ANA (The American Nurses Association) Code of Ethics for Nurses


You'll Need To Have:
  • An active, unencumbered Ohio RN license (BSN preferred)
  • At least 5 years of skilled nursing experience in a long-term care setting
  • General knowledge ofMedicare Part A & Managed Care insurance plans in the skilled nursing setting
  • General knowledge of how the Interdisciplinary Team functions individually & with each other in skilled nursing facilities (nursing, therapy, social services, and case management)
  • An active American Heart Association BLS/CPR certification (with in-person skills portion
  • The ability to work Monday-Friday 8:00am-4:30pm with anOn-Site Weekend Rotation once every 5 weekends (will take off a weekday before/after the on-site weekend rotation)
We're Proud To Offer You:
  • Paid Time Off
  • Paid Training
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Disability Insurance
  • 401K with Employer Match
  • Flexible Schedule
  • Education Scholarships
  • Continuing Education Credits
  • Employee Discounts


Exceptional Care&Quality Serviceare the hallmarks ofChesterwood's in-house teamof talented and experiencedlicensed therapists, nurses and caregivers.

Chesterwoodis an EOE/M/F/D/V and Smoke-Free Workplace.
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