Complex Care Coordinator, RN, SW, MSW, or LPN

1 week ago

Columbus, Ohio, United States Bluestone Physician Services Full time
Position Overview

Join Bluestone Physician Services as a Complex Care Coordinator, where you will play a pivotal role in managing acute and post-acute care transitions for our patients enrolled in value-based care programs. This position emphasizes the importance of building strong, collaborative relationships with healthcare providers to ensure that patients receive optimal care and appropriate placement throughout their healthcare journey.

About Us:
Bluestone Physician Services is dedicated to delivering exceptional healthcare outcomes for individuals living with complex, chronic conditions and disabilities. Our innovative care model extends beyond traditional primary care, as our multidisciplinary teams work closely with patients, their families, and other healthcare professionals to provide tailored, proactive, and preventative care.

Our evidence-based approach focuses on quality management and data-driven decisions, allowing our teams to effectively manage chronic conditions, address social determinants of health, and facilitate smooth transitions between inpatient and outpatient settings. Our commitment to excellence has resulted in significantly reduced emergency room visits, hospitalizations, and readmissions.

Key Responsibilities:

  • Collaborate with hospitals, rehabilitation facilities, and skilled nursing facilities to oversee patient inpatient stays and discharge planning.
  • Coordinate patient arrangements for both admissions and discharges.
  • Communicate effectively with internal and external stakeholders to uphold Bluestone's mission and ensure patient well-being.
  • Work towards minimizing unnecessary emergency department visits and reducing overall healthcare costs.
  • Enhance care coordination for a diverse and complex geriatric population.
  • Utilize partnerships to foster collaboration among acute and post-acute care settings.
  • Ensure patients receive appropriate care at the right time and place.
  • Be knowledgeable about community resources that support aging in place.
  • Proactively engage with healthcare providers to identify high-risk patients.

Qualifications:

  • Registered Nurse, Social Worker, or LPN with a four-year degree or equivalent experience.
  • 3-5 years of experience in value-based care, population health, case management, care coordination, or discharge planning is highly preferred.
  • A valid driver's license is required.

Skills and Abilities:

  • Ability to work independently and demonstrate strong customer service skills.
  • Excellent relationship-building and communication skills.
  • Proficient technical skills with experience in electronic health records preferred.
  • Alignment with Bluestone's mission and operational philosophies.
  • Willingness to travel occasionally within the service area as needed.
  • Proficient in reading, writing, speaking, and understanding the English language.

Benefits:

  • Comprehensive health, dental, and vision insurance.
  • Company-paid life insurance and short- and long-term disability coverage.
  • Health Savings Account with employer contributions.
  • Flexible Spending Account (FSA).
  • Retirement plan with matching contributions.
  • Paid holidays and generous paid time off.
  • Mileage reimbursement for field employees.
  • Company-provided technology and supplies.
  • Regular business hours to support work-life balance.

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