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Care Coordinator RN
2 months ago
We are seeking a skilled Licensed Vocational Nurse to join our team as a Care Coordinator. In this role, you will work under the direct supervision of the Population Health Director of Care Management or Nurse Manager to provide high-quality patient care.
Key Responsibilities- Manage a caseload of 10,000-15,000 patients with identified gaps in care in collaboration with the Health Care Team.
- Work collaboratively with the PCMH Team in the design, implementation, and evaluation of the PMH model as applicable.
- Coordinate preventative/follow-up care for all patients receiving care from participating providers.
- Review patient medical records to identify care gaps and schedule needed preventative services using evidenced-based Physician-approved protocols.
- Foster a team approach by working collaboratively with the member, family, PCP, and other members of the healthcare team to ensure coordination of services.
- Assist Nurse Navigators in performing transition of care outreach to discharged patients to schedule return visits with the PCP per guidelines.
- Employ knowledge of evidenced-based guidelines to effectively communicate the importance of recommended procedures and testing.
- Facilitate a collaborative approach with the care team for identification of and closure of care gaps.
- Utilize educational and behavioral change strategies to promote patient collaboration with the care team.
- Maintain all professional CEUs in compliance with State and Regulatory requirements.
- Maintain confidentiality in all areas at all times.
- LVN License in the state of employment or compact.
