RN Care Coordinator

5 hours ago

Midland, Texas, United States Quad Full time
Job Title: RN Care Coordinator

QuadMed is seeking a highly skilled RN Care Coordinator to join our team. As a RN Care Coordinator, you will play a critical role in providing patient education, facilitating services, and ensuring effective care coordination.

Key Responsibilities:
  • Implement the Patient Centered Medical Home Model philosophy into the patient experience.
  • Conduct education and referrals utilizing regulatory guidelines within the state.
  • Electronic Medical Record (EMR) Tracking and Documentation.
  • Documents and tracks activity related to referrals in the EMR timely.
  • Runs, monitors and appropriately manages the referral reports.
  • Provides updates to providers and clinical staff as needed.
  • Acts as a program resource for patients and internal partners including scheduling appointments, referring patients to appropriate resources and assisting patients in all aspects of the referral process.
  • Facilitates the sending and receiving of information to service/referral providers and provides follow-up for patient results.
  • Provides case management by being a patient advocate, resource and contact for patients and families in care coordination and referrals.
  • Conducts staff education and coaching to ensure they are aware of all the program resources and updates available to their patients.
  • Phone Triage to include outlining the Chronic Condition Management program to patients and directing them to the appropriate provider.
  • Properly document all phone patient encounters in the EMR.
  • Establishes proactive outreach opportunities to increase patient health and outcomes and assist in future planning of programs.
  • Distributes program marketing and referral information to providers and assists them in selecting best practice options for their patients.
  • Organizes enrollment and tracking of new membership as the program grows through new QuadMed locations and providers.
  • Assists with wellness programming as needed.
  • Provides outreach to patients discharged from area hospitals or surgery centers when made aware of the event to provide follow-up assistance and/or to inquire on patient's status and assistance needs.
  • Manage role relationship and includes Supervisor in role facilitation and effectiveness.
  • Perform clerical support duties including faxing, scanning and data entry (i.e. lab values.) in partnership with care coordination.
  • Aid in administering and tracking contract performance guarantees with the Legal, Sales, Account Management and Operations departments.
  • Acknowledges and adheres to patient's rights on confidentiality issues, maintains patient confidentiality at all times and follows HIPAA guidelines and regulations.
  • Performs duties in accordance with the Nursing Code of Ethics and other guiding principles of nursing.
Requirements:
  • RN or LPN degree/diploma from an accredited college or university.
  • Minimum five (5) years outpatient care experience.
  • Minimum two (2) years' experience in case management, or able to demonstrate.
  • Experience promoting wellness programming is a plus.
  • Requires a current and valid license in the state of the position or a compact state license.
  • Current CPR (BLS) certification or must be obtained within 60 days of hire.
  • PALS a plus.
  • Excellent communication skills; both written and verbal, with proven organizational and facilitation ability.
  • Strong team player with ability to be a self-starter professional who can work independently and proactively toward program improvement.
  • Must be proficient in Microsoft Office including Word, Outlook, and Excel.
  • Proven ability to work successfully with diverse populations and demonstrated commitment to promote and enhance diversity and inclusion.
About QuadMed:

QuadMed is a leading provider of value-driven health and wellness services in the workplace. We empower employees and their families to live healthier, happier lives by breaking down cost, access, and quality barriers. Our mission is to provide exceptional care and support to our patients, and we are committed to creating a place of belonging for our employees.

We offer excellent benefits to eligible employees, including 401(k), holidays, vacations, and more. QuadMed and Quad are proud to be an equal opportunity employer and values diversity. We are committed to creating a space where employees do not need to sacrifice who they are to exist and grow in our workplace.

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