Care Coach RN Case Manager

11 hours ago


Wichita Falls, Texas, United States Optum Full time
Care Coach RN Case Manager Job Summary

We are seeking a skilled and compassionate Care Coach RN Case Manager to join our team. As a Care Coach RN Case Manager, you will play a vital role in coordinating care and providing ongoing nursing assessment of patients and their families. Your expertise will help ensure that patients receive the best possible care and support throughout their healthcare journey.

Key Responsibilities:
  • Coordinate care and provide initial and ongoing nursing assessment of patients and their families
  • Develop and implement individualized plans of care, taking into account patient needs and preferences
  • Collaborate with interdisciplinary teams to ensure seamless care coordination
  • Conduct medical home visits and urgent/acute visits as needed
  • Assess for caregiver burnout and provide community resources when appropriate
  • Implement wound care and dressing changes, as well as phlebotomy services
  • Conduct advanced care discussions with patients and their families, and document their wishes in the electronic medical record
  • Provide ongoing evaluation of patient and family/caregiver response to care, and recommend alterations to the plan as necessary
  • Ensure continual assessment of patient and family needs from admission to Care Coach Connect throughout the course of care
Requirements:
  • 3+ years of experience in a physician's office, clinical, hospice, or hospital setting
  • Proficient computer skills, including Microsoft Word, Excel, Access, and Outlook
  • Excellent nursing skills and ability to work independently
  • Reliable transportation for daily travel to various locations as assigned
  • Hospice and Palliative Care Nursing certification
  • 2+ years of hospice experience
  • Knowledge of palliative and hospice medicine
  • Experience related to advanced care planning and discussions with patients regarding end-of-life wishes
  • Experience with community-based nursing
  • Bilingual (English/Spanish) language proficiency

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and compassionate RN with a passion for care coordination, we encourage you to apply for this exciting opportunity.



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