Care Coordinator RN

12 hours ago


Orlando, Florida, United States Orlando Health Full time
Job Summary

Orlando Health seeks a skilled Care Coordinator RN to collaborate with clinical teams in identifying patients who would benefit from care coordination services. The ideal candidate will assess patients' risk factors, provide clinical utilization management, and offer preventive care services.

Key Responsibilities
  • Ensure continuity and consistency of care across the continuum, facilitating comprehensive discharge planning and follow-up care.
  • Develop effective working relationships with Patient and Family Counselors/Social Workers and Utilization Review Nurses to engage patients and families in care planning.
  • Monitor progress towards discharge plans, adjusting as needed to ensure timely and safe patient care.
  • Educate patients and families about evidence-based standards of care, self-management strategies, and health care system navigation.
  • Identify support needs and develop action plans to address them, ensuring patients have access to necessary resources.
  • Contribute to problem-solving within the team through communication, collaboration, and data-driven decision-making.
  • Advocate for patients to optimize their health care needs, including safety, physical, and legal and financial well-being.
  • Refer patients to education and resources on healthcare delivery and reimbursement systems, prescription drug programs, health and wellness programs, and community agencies.
  • Utilize IT resources to facilitate registry reporting, patient population management, and clinical decision support.
  • Participate in clinical outcome measurement to identify strategies promoting population health.
  • Maintain patient safety and adhere to Orlando Health policies and procedures.
Qualifications
  • Education: Completion of an accredited nursing education/training program (effective January 1, 2020: Bachelor of Science in Nursing degree required).
  • Licensure: Current RN license in the State of Florida and BLS/healthcare provider certification.
  • Experience: Three years of direct clinical experience with an emphasis on the population to be served in the assigned area.

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