Care Coordinator

4 weeks ago


Edmond, Oklahoma, United States The Wilshire Skilled Nursing & Therapy Full time

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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