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RN Care Coordinator

2 months ago


Dubuque, Iowa, United States Access Dubuque Full time
About the Role

We are seeking a skilled RN Care Coordinator to join our team at Access Dubuque. As a RN Care Coordinator, you will play a vital role in coordinating the clinical care of individuals, ensuring seamless transitions across the healthcare continuum.

Key Responsibilities
  • Screen and assess adult Medical/Surgical in-patient and observation patients to identify needs and make referrals to appropriate multi-disciplinary services.
  • Prioritize patients for care coordination based on defined criteria.
  • Monitor and coordinate an interdisciplinary plan of care in partnership with the individual and their support services for needs and services across the health care continuum.
  • Partner with the Social Work team for the development and implementation of an effective discharge plan for complex care patients.
  • Participate with the interdisciplinary team in daily rounds, planning delivery and evaluation of patient-focused care for prioritized patients.
  • Document the case management plan to include clinical needs, barriers to quality care, effective utilization of resources and pursues denials of payment and referrals in a timely, legible manner.
  • Integrate with ambulatory care management team, especially with high risk, chronically ill patients.
  • Collaborate with patients, caregivers, internal/external healthcare providers, agencies and payers to assist in planning and executing a safe discharge.
  • Collaborate with Utilization Management team on continued stay review.
  • Educate patients and families regarding available options for care through the continuum.
  • Advocate for both the patient and the payer to facilitate positive outcomes for the patient, healthcare team and the payer.
Requirements
  • Graduate of accredited nursing program (Must obtain BSN within 5 years of hire)
  • Bachelor of Arts/Science degree in health care related field or Bachelor of Science in Nursing degree.
  • Two years of clinical experience in focused areas working with multidisciplinary teams.
  • Current licensure in good standing to practice as a Registered Nurse in Iowa.
  • Certification in Case Management.