Healthcare Rehabilitation Services Coordinator

2 weeks ago

Madison, Wisconsin, United States Oakwood Village Full time

Join Our Team at Oakwood Village

Oakwood Village is seeking dedicated individuals 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 care to residents during their admission and discharge processes. This position reports directly to the Director of Resident Care Services within our Skilled Nursing department.

Position Details:
This is a full-time, exempt position that operates during standard business hours, Monday through Friday.

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

  • 403B Retirement Plan
  • Paid Time Off for eligible staff
  • Dental, Vision, and Life Insurance for staff working 37.5 hours or more
  • Medical benefits for those working 60 hours or more
  • Continuing Education and Tuition Reimbursement Program

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 accordance with regulatory standards.
  • Ensuring the availability of essential resources for patients and delivering high-quality patient care.
  • Collaborating with nursing staff on clinical admission tasks and assessments documented in electronic medical records.
  • Conducting daily rounds on units, reviewing clinical records, and resident care plans.
  • Maintaining communication with residents to monitor their adjustment and response to treatment, 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 post-discharge.
  • Participating in telehealth visits and collaborating with Unit Secretary and Social Services for scheduling.
  • Collecting and analyzing outcome data, including readmission rates, to ensure compliance with quality measures.
  • Conducting comprehensive chart reviews for readmitted or transferred patients and assisting with staff education.
  • Coordinating education on disease management and medication at discharge.
  • Facilitating community reintegration with Social Services and primary care follow-up.
  • Acting as a liaison between patients, physicians, and families regarding care transitions.
  • Engaging in ongoing education and participating in staff orientation and development.
  • Performing additional duties as assigned, including emergency response and floor nursing as directed.

Decision-Making:
This role involves 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:
Successful candidates will possess:

  • Knowledge of current nursing practices and relevant regulations.
  • Ability to provide skilled nursing care and effective communication.
  • Capability to meet the physical, sensory, and cognitive demands of the role.

Qualifications:
Applicants should have:

  • A degree from an accredited nursing program and valid licensure as a registered nurse 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.
  • The ability to foster teamwork and make sound independent decisions.

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