Care Coordinator
4 weeks ago
Job Title: Care Coordinator
Job Summary: We are seeking a skilled Care Coordinator to join our team at The Wilshire Skilled Nursing & Therapy. As a Care Coordinator, you will play a vital role in ensuring the seamless transition of patients from one care setting to another.
Responsibilities:
- Identify BPCI-A patients and track their transition.
- Establish an expected length of stay to diagnosis based on the care pathway.
- Validate post-acute facility placement.
- Help inform the team to implicitly round on patients routinely to validate the care plan and pathway success.
- Assist/support medical issues within the changing continuum.
- Maintain high-quality post-acute effectiveness, efficiency, and quality.
- Be the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns.
- Track and support patients when they obtain services outside the practice, such as Emergency Departments, Hospitals, and other healthcare facilities.
- Follow-up with patients within a few days of an emergency room visit or hospital discharge.
- Work collaboratively with other team members to provide care management services for high-risk patients.
- Provide relevant self-management support for patients with chronic illnesses as identified by clinical teams.
- Manage referrals, when needed, to appropriate agencies required to assist the client in achieving the goals and objectives identified in their care plan.
- Work with patients both in person and over the phone to remind and review their plan of care and progress towards their goals.
- Act as a liaison between the Intake Team and the facility.
- Assist with data collection and generation of patient registry reports.
- Create reports based on customer surveys and admission data.
Requirements:
- Current and unencumbered Licensed Practical Nurse (LPN) License preferred.
- Strong written and verbal communication skills.
- Medication Reconciliation.
- Proven data analysis skills.
- Resourcefulness in problem-solving.
- Proven organizational skills.
Benefits:
- Competitive pay relative to experience.
- Medical, Dental, and Vision Insurance.
- 401(k) with Company Match.
- Employee Assistance Program.
- Wage Advances via OnShift Wallet.
- Education Funds and Scholarships.
- Nurse Aide Training and Certification.
- Career Ladders - CNA, RN, and Beyond.
- Clinical Hours For College Students.
- CPR and IV Certifications.
- Employee Stock Ownership Plan (ESOP).
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