Care Coordinator RN

3 weeks ago


Westerville, Ohio, United States Central Ohio Primary Care Full time
Job Title: Care Coordinator RN

Central Ohio Primary Care is seeking a skilled Care Coordinator RN to join its Case Management team. As a key member of the care team, you will play a vital role in evaluating patient eligibility for hospice services and coordinating admissions to hospice programs.

Key Responsibilities:
  • Evaluate patient eligibility for hospice services and coordinate admissions to hospice programs.
  • Manage the care for high-risk, chronically, and acutely ill patients by collaborating with the Care Coordination team to monitor care and treatment of patients.
  • Coordinate patient/family/caregiver participation in plan of care and self-management.
  • Coordinate patient education to achieve plan of care using evidence-based methods.
  • Perform Face-to-Face visits as necessary, including home, office, and skilled rehab facility settings.
  • Provide ongoing feedback to patient primary care team through regular communication.
  • Work in collaboration with inpatient and ambulatory healthcare staff, as well as community resources as necessary to facilitate continuity of care.
  • Facilitate referrals to other disciplines and internal health and community-based programs as appropriate to improve patient outcome.
Requirements:
  • 5 or more years of clinical and case management experience in a hospital, home health/hospice, or managed care setting.
  • Active Ohio RN license.
  • CCM certification; Bachelor's degree in nursing preferred.
Skills and Abilities:
  • Must be able to perform any clinical or clerical duty as assigned skillfully.
  • Must demonstrate the ability to handle stressful situations appropriately.
  • Must be able to work flexible hours as needed.
  • Must demonstrate ability to manage case load and document progress in a timely way as outlined by the care program assigned to each patient.
  • Must maintain patient confidentiality.
  • Must demonstrate a proficient driving record and up to date auto insurance as travel to visit patients is necessary.

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