RN Care Coordinator

2 days ago


South Bend, Indiana, United States Mosaik Medical Full time
About Mosaik Medical

Mosaik Medical is a leading healthcare provider that prides itself on innovation and creativity in patient care.

We have a long history of serving patients of all ages, ethnicities, and income levels, regardless of their insurance status.

Our Approach

We take a holistic approach to patient care, incorporating behavioral health, pharmacy, and nutrition support to provide comprehensive care.

Our team is dedicated to serving patients with empathy and compassion, and we strive to improve lives, including our own.

The Role

The RN Care Coordinator will work as part of our clinic care team, providing support to patients and managing care plans using the nursing process.

The goal is to provide individualized education, coaching, and follow-up to improve patients' self-management skills and help them adhere to treatments and maintain their quality of life with chronic diseases and/or complex illnesses.

Responsibilities
  1. Coordinate the care of complex patients using evidence-based practice
  2. Transitional care management (coordinate ER and hospital follow-up as well as care setting transitions)
  3. Perform medication reconciliation for moderate/high-risk patients post-discharge from the inpatient setting
  4. Develop and manage care plans in collaboration with primary care providers and other members of the care team
Requirements
  • Superior nursing process skills
  • Critical thinking and problem-solving skills
  • Excellent written, verbal, telephone, and interpersonal communication skills
  • Familiarity/experience with client interaction on the telephone
  • Knowledge of community resources
  • Basic typing and computer skills and comfort with Microsoft Windows operating system
Preferred Qualifications
  • EHR experience - EPIC experience a plus
  • Fluency in Spanish preferred
  • Involvement with quality improvement processes
  • Knowledge of health insurance plans, standard office policies and procedures, as well as regulatory requirements including CLIA and OSHA standards


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