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RN Care Coordinator
2 months ago
Job Summary:
As a RN Care Coordinator at LifeBridge Health, you will play a critical role in managing individualized patient-centered care through the use of the Nursing Process and Primary Nursing principles. Your primary responsibility will be to provide care coordination and management for patient populations, with the ultimate goal of improving health outcomes, reducing healthcare costs, and enhancing care coordination.
Key Responsibilities:
- Accept care management referrals and maintain an assigned caseload
- Utilize evidence-based medicine, data analytics, and innovation in implementing care management principles
- Apply critical thinking and leadership skills in working with the team to meet patients' and families' needs
- Coordinate care to obtain desired health outcomes, improve self-care abilities, decrease cost of care, and provide exceptional patient care
- Guide the team in utilizing evidence-based medicine, data analytics, and innovation in implementing care management principles
- Apply critical thinking and leadership skills in managing the team to meet patients' and families' needs
- Understand and apply principles of population health management to identify patients with uncontrolled chronic conditions and/or rising risk indicators and adjust patient assignments accordingly
- Interface with providers, nurses, and community resources to expedite medically appropriate and cost-effective care
- Perform standardized comprehensive needs assessments, determine available benefits and resources, and develop and implement plans of care for assigned patients
- Coordinate referrals and transitions of care from one provider to another or from one care-setting to another
- Facilitate and/or procure timely access to appointments and services required by patients
- Evaluate the effectiveness of care plans with the Interdisciplinary Team
Requirements:
- Seasoned professional knowledge and a Graduate of an Accredited School of Nursing
- Bachelor's Degree required, Master's Degree preferred
- Current/Valid Registered Nurse License in the State of Maryland (or Compact State as applicable)
- Case/Care management certified or knowledge of national care management standards and community resources a plus
- 3-5 years demonstrated proficiency in acute care nursing, knowledge, and skills
- Preferably with care management experience from an acute care setting or health insurance and other payer entities
- High-level verbal and communication skills and organizational skills a must
- Strong analytical, data management, and computer skills
- Competency in electronic medical records desirable
- Previous ambulatory and population health experience helpful
