Nurse Care Coordinator

7 days ago


Gwynn Oak, United States LifeBridge Health Full time
Job Summary
Raise the standard of patient care as a Nurse Care Coordinator at LifeBridge Health, a leading healthcare provider in Maryland. As a key member of our interdisciplinary teams, you will play a vital role in managing individualized patient-centered care, leveraging the Nursing Process and Primary Nursing principles.

About the Role
This dynamic position involves providing care coordination and management for patient populations, with a focus on improving health outcomes, reducing healthcare costs, and enhancing care coordination. You will be responsible for accepting care management referrals, maintaining an assigned caseload (50-75 patients), and utilizing evidence-based medicine, data analytics, and innovation to implement care management principles. Additionally, you will work closely with primary care teams to coordinate care, obtain desired health outcomes, improve self-care abilities, decrease cost of care, and provide exceptional patient care.

Responsibilities
- Performs comprehensive needs assessments, determining available benefits and resources
- Develops and implements plans of care for assigned patients, including performance goals, monitoring, follow-up, and outreach activities
- Coordinates referrals and transitions of care from one provider to another or from one care-setting to another
- Facilitates timely access to appointments and services required by patients
- Educates patients and families/caregivers on disease management and self-care skills
- Evaluates the effectiveness of care plans with IDT Essential Job Functions

Requirements
- Seasoned professional knowledge; 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)
- 3-5 years demonstrated proficiency in acute care nursing, knowledge, and skills
- Preferably with care management experience from acute care settings 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

About LifeBridge Health
We strive to CARE BRAVELY for over 1 million patients annually. Our team of 13,000 professionals provides compassionate care through our hospitals, community physician enterprise, home care, and business partners. With a strong commitment to population health management, we aim to improve the lives of those we serve.

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