RN Continuum of Care Coordinator

5 days ago


Greenville, South Carolina, United States Prisma Health Full time

Inspire Health. Serve with Compassion. Be the Difference.

Job Summary

As a RN Continuum of Care Manager at Prisma Health, you will play a vital role in managing targeted patient populations to achieve efficient and effective care delivery. You will coordinate, facilitate, monitor, and evaluate interventions to achieve desired outcomes, working as part of an interdisciplinary team to guide and track individuals across time and delivery sites.

Key Responsibilities

1. Identify, evaluate, and enroll high-risk members of specified populations.

2. Perform complete assessments of patients' current health status, including barriers to achieving optimal health, and available resources.

3. Develop and implement care plans in collaboration with other care team members to address gaps in care.

4. Facilitate and monitor the implementation of care plans, ensuring continuity of care through defined, evidence-based methods.

Accountabilities

1. Facilitate Patient-Centered Care by identifying and addressing barriers to care.

2. Develop and implement care plans that promote improved clinical outcomes and patient satisfaction.

3. Collaborate with other care team members to ensure seamless care transitions and efficient use of resources.

Requirements

1. Bachelor's degree in Nursing.

2. 3 years of total nursing experience, with at least 1 year of Care Management/Case Coordination experience.

3. South Carolina recognized R.N. License.

4. Ability to obtain case management certification (CCM) within 2 years of hire or eligibility to sit for the certification exam.

Work Environment

Day shift, Greenville Memorial Med Campus, 7002 Value-Based Care and Network Services, 70028455 Care Transformation.



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