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RN Care Coordinator

2 months ago

Cincinnati, Ohio, United States The Christ Hospital Full time

Job Overview

The RN Care Coordinator plays a pivotal role in ensuring seamless continuity of care throughout the healthcare spectrum. This position serves as a guide and advocate for patients, aiming to enhance health outcomes in collaboration with primary care providers. The Care Coordinator is tasked with overseeing high-risk patients who may have multiple health issues or are at increased risk for hospital admissions or readmissions. Responsibilities include crafting and monitoring health promotion strategies, disease management plans, care coordination, and utilization oversight.

Key Responsibilities

Care Coordination - Collaborate with clinical teams to optimize care management.


• Identify specific patient groups that would benefit from enhanced care management.


• Implement pre-visit planning to ensure comprehensive care delivery prior to patient visits.


• Utilize precise, evidence-based reminders to enhance patient care.


• Coordinate care services for selected patients, working closely with families and healthcare providers to achieve optimal outcomes.


• Follow up with patients post-hospitalization to arrange appointments, provide medication education, and clarify after-visit summaries.


• Collaborate with the Care Team to ensure smooth transitions for patients treated in various healthcare settings.


• Engage patients in activities that promote health improvement.


• Educate patients on self-management strategies to empower them in controlling their health.


• Provide health education and counseling to patients and their families.


• Identify obstacles hindering patients from achieving optimal health and collaborate with the Care Team to devise solutions.

Clinical Quality Assurance


• Work closely with healthcare providers to ensure clinical quality remains a priority throughout patient care.


• Participate in quality improvement initiatives and assist in implementing best clinical practices.


• Network with professional colleagues and community organizations to develop effective practices.


• Coordinate with physician leadership to strategize care for high-risk patient populations.


• Monitor resource utilization and collaborate with patients and care teams to promote efficient care.


• Lead the development of office workflows in partnership with physicians to establish care standards.


• Inspire the healthcare team by modeling effective nursing practices and delivering exceptional support.


• Ensure adherence to safe practices and report any concerns.

Commitment to Patient-Centered Care


• Strive for excellence in healthcare delivery, focusing on patient and family engagement.


• Foster a positive and respectful environment for both patients and colleagues.


• Ensure a seamless patient experience by coordinating care with the healthcare team.

Technology Utilization:


• Maintain complete and accurate documentation in medical records.


• Utilize electronic tools effectively to provide evidence-based care.


• Design workflows that leverage population management software and electronic medical records.


• Collect and analyze data related to patient outcomes.


• Engage in performance improvement projects to enhance the use of electronic medical records.

Additional Duties:


• Perform other responsibilities as assigned.

Qualifications

Required Knowledge and Skills:

Candidates should possess specialized knowledge and skills necessary for this role.

Education: Registered Nurse.

Experience: Minimum of 3 years in a relevant field.

Essential Skills:

• Ability to work autonomously.

• Strong problem-solving and critical thinking abilities.

• Capacity to prioritize tasks and manage multiple responsibilities.

• Proficiency in basic computer functions.

• Effective communication skills, both written and verbal.

• Ability to collaborate effectively within a team environment.

• Respect and sensitivity towards cultural differences among patients and colleagues.

• Understanding and support of organizational goals and values.

Licenses & Certifications:

Must hold a current Registered Nurse license in the state of Ohio.