RN Care Coordinator

4 days ago

Santa Maria, California, United States Community Health Centers of the Central Coast Full time
Care Coordinator Job Description

Community Health Centers of the Central Coast is seeking a skilled RN Care Coordinator to join our team. As a key member of our care team, you will play a vital role in ensuring the delivery of high-quality patient care.

Key Responsibilities:

  • Conduct intake assessments, needs assessments, treatment planning, and reassessments to ensure optimal patient outcomes.
  • Provide day-to-day support, supervision, and performance reviews for Hospital Discharge and ER Follow-Up Coordinators and Patient Navigators.
  • Review patient cases with Hospital Discharge and ER Follow-Up Coordinators and Patient Navigators, providing advice, direction, and support as needed.
  • Organize or lead training sessions for Hospital Discharge and ER Follow-Up Coordinators and Patient Navigators.
  • Provide clinical supervision to Hospital Discharge and ER Follow-Up Coordinators and Patient Navigators.
  • Screen clients for eligibility for direct and support services, referring clients to needed services such as mental health, housing, crisis, and employment assistance.
  • Facilitate Care Team meetings with Hospital Discharge and ER Follow-Up Coordinators, Patient Navigators, and healthcare providers to discuss client care plans and share information regarding referral sources.
  • Document client services in medical records.
  • Establish and maintain client referral systems from care coordination systems.
  • Monitor medication management as directed by clinicians and within the scope of practice.
  • Attend and represent the organization at professional conferences, in-service trainings, and meetings as requested or approved by the supervisor.
  • Conduct quality assurance and monitoring activities for service delivery and documentation.
  • Oversee the development of Coordination of Care as identified by regulatory and accrediting agencies.
  • Ensure compliance with administrative, legal, and regulatory requirements of Health Plan contracts and Government and Accrediting agencies.

Requirements:

  • Graduation from an accredited School of Nursing.
  • Associate Degree in Nursing required; BSN preferred.
  • Minimum five (5) years of nursing experience with a minimum of two (2) years in care coordination/case management experience.
  • Knowledgeable about Federally Qualified Health Centers and Value-Based Care.
  • Demonstrates strong interpersonal skills.
  • Demonstrates knowledge of Nursing Practice, TJC, and other local, state, and federal agencies.

Working Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently exposed to moving mechanical parts. The employee is occasionally exposed to risk of electrical shock. The noise level in the work environment is usually moderate.

Must be willing to have a flexible work schedule that may include evenings/weekends, and travel as needed.

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