RN Care Coordinator

3 weeks ago


Rancho Cordova, California, United States Unavailable Full time
Job Summary

We are seeking a skilled RN Care Coordinator to join our team at Dignity Health Medical Foundation. As a key member of our Care Coordination team, you will play a vital role in improving the quality of care and clinical outcomes for members with complex care needs.

Responsibilities
  • Coordinate care and collaborate with multiple disciplinary team members across the continuum of care.
  • Evaluate and identify knowledge gaps of disease process and treatments, and determine appropriate resources or services required to meet an individual's health needs.
  • Provide education/coaching on disease self-management for health promotion and maintenance, and monitor patient's progress.
  • Promote quality, cost-effective outcomes with the goal of improved care coordination amongst providers and increased involvement of the individual, family, and/or caregiver in the decision-making process to reduce hospitalizations, readmissions, and ER visits.
Requirements
  • Two (2) years clinical experience as a RN in acute, ambulatory care, home health, skilled nursing facility, medical group, or health plan setting required.
  • Current CA Registered Nurse (R.N.) license.
  • Excellent customer service and presentation skills are a must.
  • Strong interpersonal and written communication skills are essential.
  • Demonstrated ability to apply analytical and problem-solving skills.
  • Ability to demonstrate leadership skills to delegate and provide direction/guidance to multidisciplinary team.
  • Ability to work independently as needed with a high degree of detail orientation.
  • Ability to work efficiently in a fast-paced environment with changing priorities.
  • Knowledge of regulatory and accreditation standards (URAC, NCQA) and complex case management (CMSA).
  • Knowledge of community resources.
  • Knowledge of capitation/HMO insurance payers and government healthcare plans and audits.


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