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Senior Care Coordination Specialist

2 months ago


Madison, Wisconsin, United States Oakwood Village Full time

Join Our Team at Oakwood Village

Oakwood Village is seeking dedicated professionals to become part of our Prairie Ridge senior living community as a Care Coordinator.

Role Overview:
The Care Coordinator plays a vital role in delivering both direct and indirect nursing services to residents transitioning into and out of our facility. This position reports directly to the Director of Resident Care Services within our Skilled Nursing department.

Work Schedule:
This is a full-time, exempt position operating during standard business hours, Monday through Friday.

Why Choose Oakwood Village?
We offer competitive compensation and benefits, including:

  • 403B Retirement Plan
  • Paid Time Off for eligible staff
  • Dental, Vision, and Life Insurance for qualifying employees
  • Medical benefits for those working 60 hours or more bi-weekly
  • Continuing Education and Tuition Reimbursement Programs

Key Responsibilities:
The Care Coordinator's duties include, but are not limited to:

  • Facilitating the admission process, conducting assessments, and orienting residents upon their arrival.
  • Coordinating care plans in compliance with regulatory standards.
  • Ensuring that essential resources are accessible to residents and that care is delivered to high standards.
  • Collaborating with nursing staff on clinical admission tasks and maintaining accurate electronic medical records.
  • Conducting daily rounds and engaging with nursing staff and social services to review clinical records and care plans.
  • Monitoring resident adjustment and treatment responses, reporting findings to the interdisciplinary team as necessary.
  • Initiating discharge planning upon admission and coordinating care plans with the interdisciplinary team.
  • Organizing discharge care conferences within 72 hours of admission.
  • Facilitating resident and family education and coordinating follow-up care in collaboration with nursing staff and social services.
  • Participating in telehealth visits and coordinating schedules with the Unit Secretary and Social Services.
  • Collecting and analyzing outcome data, including readmission rates, to ensure quality care standards are met.
  • Conducting comprehensive chart reviews for readmitted patients and assisting with staff education.
  • Coordinating education on disease management and medication management at discharge.
  • Facilitating community reintegration with social services and healthcare partners.
  • Acting as a liaison among patients, physicians, and family members regarding care transitions.
  • Engaging in ongoing education and participating in staff orientation and development programs.
  • Performing additional duties as assigned, including responding to emergencies and assisting as a floor nurse when directed.

Decision-Making:
This role requires independent decision-making regarding resident care assignments, daily activities, and documentation.

Collaboration:
Significant interaction with various departments, healthcare providers, residents, and their families is essential.

Essential Knowledge and Skills:
Candidates should possess:

  • Knowledge of current nursing practices and applicable regulations.
  • Ability to provide skilled nursing care and communicate effectively.
  • Capacity to meet the physical, sensory, and cognitive demands of the role.

Qualifications:
Applicants must have:

  • Graduation from an accredited nursing program and valid RN licensure in Wisconsin.
  • A valid Wisconsin driver's license.
  • Preferred experience in Long Term Care or as a Nurse Care Coordinator.
  • Familiarity with Wisconsin regulations and Medicare requirements is advantageous.
  • Ability to work collaboratively in a team-oriented environment.
  • Strong independent judgment and decision-making skills.