RN Care Coordinator

1 week ago

Baltimore Maryland, Baltimore County, MD, United States LifeBridge Health Full time
RN Care Coordinator - Grace Medical Center
  • Baltimore, MD
  • GRACE MEDICAL CENTER
  • FAM H&W CENTER
  • Full-time - Day shift - 8:30am-5:00pm
  • RN Other
  • 82244
  • $38.20-$59.21 Experience based
  • Posted: November 11, 2024
Apply Now Save Job Saved

Summary

JOB SUMMARY:

Manages individualized patient centered goal directed Nursing Care through use of the Nursing Process and the principles of Primary Nursing in accordance with Departmental and hospital policies and procedures. Provides care coordination/management for patient populations, including but not limited to MDPCP identified patients, with the ultimate goal of improved health, reduced health care costs, and better coordination of care. The RN Care Coordinator accepts care management referrals; maintains assigned caseload (50-75). The RN Care Coordinator utilizes evidence-based medicine, data analytics and innovation in implementing care management principles, and applies critical thinking skills and leadership skills in working with the team to meet patients and their families’ needs. The RN Care Coordinator is assigned to manage a panel of patients, and working together with primary care Interdisciplinary Teams (IDT), is responsible for coordinating care to obtain desired health outcomes, improve self-care abilities, decrease cost of care, and provide extraordinary patient care in the process. The RN Care Coordinator guides the Team in utilizing evidence-based medicine, data analytics and innovation in implementing care management principles, and applies critical thinking and leadership skills in managing the Team to meet patients and their families’ needs. The RN Care Coordinator understands and applies principles of population health management to identify patients with uncontrolled chronic conditions and/or rising risk indicators and adjusts patient assignments accordingly.

The RN Care Coordinator works predominantly within Practice Groups to deal with the increasing complicated chronic disease patient with multiple co-morbid conditions, highest acuity and most complex of needs. The RN Care Coordinator interfaces with providers within the practice groups, nurses, all departments within the hospital facilities, and community resources to expedite medically appropriate cost-effective care. The responsibilities as the primary RN Care Coordinator includes but are not limited to: performance of standardized comprehensive needs assessment, determination of available benefits and resources; and development and implementation of a plan of care for assigned patients that includes performance goals, monitoring, follow-up and outreach activities. Patients assigned to RN Care Coordinator can include but are not limited to: complex patients whose critical event or diagnosis require extensive use of resources, and who need help navigating the system to facilitate appropriate delivery of care and services; transitional care management focused on evaluating and coordinating post-hospitalization needs of patients at risk for rehospitalization, and high risk, high cost patients who frequently use emergency department services or have frequent hospitalizations.

The Plan of Care is created based on the results of the comprehensive needs assessment performed by the RN Care Coordinator through extensive medical record review, face to face and/or telephonic encounters with assigned patients and families where appropriate. Performance goals are focused on resolution of critical events, control of chronic disease, decrease avoidable admissions and readmissions; safe care transitions, improvement in self-management skills while providing extraordinary patient experience.

  • Outreach and health promotion services.
  • Comprehensive assessment with required documentation.
  • Coordination of referrals and transitions of care from one provider to another or from one care-setting to another.
  • Medication reconciliation and adherence.
  • Facilitation and/or procuring timely access to appointments and services required by patient.
  • Patient and Family/Caregiver education.
  • Evaluation of effectiveness of care plan 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)
  • Case/Care management certified or knowledge of national care management standards and community resources a plus.
  • 3-5 years demonstrated proficiency in acute care nursing, knowledge and skills.
    • Preferably with care management experience from acute care setting 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.
  • Previous ambulatory and population health experience helpful.

Additional Information

As one of the largest health care providers in Maryland, with 13,000 team members, We strive to CARE BRAVELY for over 1 million patients annually. LifeBridge Health includes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland. Share: Apply Now

  • Renal Care Coordinator

    1 week ago

    Baltimore, Maryland, 21202, Baltimore, MD, United States LifeBridge Health Full time

    Renal Care Coordinator - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER BALTO ST. HEMODIAL Full-time w/Weekend Commitment - Day shift - 5:00am-5:30pm Allied Health 85960 ...

  • RN Care Coordinator

    1 week ago

    Riderwood, Maryland, 21139, Baltimore County, MD, United States LifeBridge Health Full time

    RN Care Coordinator - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER FAM H&W CENTER Full-time - Day shift - 8:30am-5:00pm RN Other 82244 $38.20-$59.21 Experience based ...

  • Community Care Coordinator

    1 week ago

    Baltimore, Maryland, 21202, Baltimore, MD, United States LifeBridge Health Full time

    Community Care Coordinator - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER FAM H&W CENTER Full-time - Day shift - 8:30am-5:00pm Allied Health 83356 $17.00-$26.00...

  • Staff Development Coordinator

    3 weeks ago

    Baltimore, Maryland, 21201, Baltimore County, MD, United States Genesis HealthCare Full time

    Benefits*Nursing Student Loan Debt Repayment and Tuition Assistance*Tuition, Travel, and Wireless Service Discounts*Variable compensation plans*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off*Employee Assistance Program to support mental health*Employee Foundation to financially assist through unforeseen hardships*Diverse, Equitable...

  • Outpatient Wound Care Registered Nurse

    3 weeks ago

    Baltimore, Maryland, 21239, Baltimore, MD, United States MEDSTAR HEALTH Full time

    General Summary of PositionIndependently assesses, plans, implements, and evaluates the care of patients in the Wound Healing Center and HBO. Assists physicians with the development and implementation of wound treatment plans and participates in performance improvement review activities. In collaboration with the patient and family, provides theory-based...

  • Registered Nurse

    6 months ago

    Baltimore, Maryland, 21203, Baltimore, MD, United States Fresenius Medical Care Full time

    About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Our clinic RNs build strong bonds and lasting relationships with...

  • RN Inpatient Case Manager

    1 week ago

    Baltimore, Maryland, 21237, Baltimore County, MD, United States MEDSTAR HEALTH Full time

    Serves as a member of the Case Management Team and applies RN clinical expertise and medical appropriateness to care coordination and discharge planning. Facilitates the delivery of quality, cost effective, patient-centered care from pre-admission through post-discharge timeframe. Ensures the care is designed to meet individualized patient outcomes. Monitors...

  • New Graduate Nurse

    2 weeks ago

    Baltimore, Maryland, 21239, Baltimore, MD, United States MEDSTAR HEALTH Full time

    General Summary of PositionThis position is for a new graduate nurse on the intermediate care (IMC) unit and MedStar Good Samaritan Hospital.Unit HighlightsSpecialties: Respiratory care (BiPap, CPAP), cardiac care, and insulin dripsTeam: Interconnected RNs dedicated to teamwork and supportGrowth: Continuous learning and professional developmentSupport:...

  • Registered Nurse RN Intensive Care Unit ICU

    2 weeks ago

    Baltimore, Maryland, 21239, Baltimore, MD, United States MEDSTAR HEALTH Full time

    Intensive Care Unit at MedStar Union Memorial HospitalWelcome to the Intensive Care Unit (ICU) at MedStar Union Memorial Hospital. Our 24-bed ICU offers specialized, compassionate care for critically ill patients, supported by a highly skilled team of professionals dedicated to making a difference each day. With a nurse-to-patient ratio of 1:1 or 1:2, we...

  • Registered Nurse RN Intensive Care Unit ICU

    2 weeks ago

    Baltimore, Maryland, 21239, Baltimore, MD, United States MEDSTAR HEALTH Full time

    General Summary of PositionIntensive Care Unit at MedStar Union Memorial HospitalWelcome to the Intensive Care Unit (ICU) at MedStar Union Memorial Hospital. Our 24-bed ICU offers specialized, compassionate care for critically ill patients, supported by a highly skilled team of professionals dedicated to making a difference each day. With a nurse-to-patient...

  • Travel Nurse RN

    1 week ago

    Baltimore, Maryland, Baltimore County, MD, United States Fusion Medical Staffing Full time

    Facility DetailsFacility: Please Contact for facility infoJob DetailsStarts: 12/09/2024Assignment Length: 13Shift: DaysCall Off Policy: NoneJob Quantity: 1Type: TravelJob Description Interested in making a positive impact? You’ve come to the right place. At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we’re always...

  • Travel Nurse RN

    1 week ago

    Baltimore, Maryland, Baltimore County, MD, United States Fusion Medical Staffing Full time

    Facility DetailsFacility: Please Contact for facility infoJob DetailsStarts: ASAPAssignment Length: 12Shift: DaysCall Off Policy: Please Contact for InfoJob Quantity: 1Type: TravelJob Description Interested in making a positive impact? You’ve come to the right place. At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and...

  • Registered Nurse ICU RN

    3 weeks ago

    Baltimore, Maryland, 21237, Baltimore County, MD, United States MEDSTAR HEALTH Full time

    General Summary of PositionFranklin Square Medical Center is looking for experienced RN to join our Intensive Care Unit Team!Unit Highlights42 Bed Unit Caring for a wide patient population set including but not limited to medical, respiratory, cardiac, renal failure, GI and surgical patients Opportunity to cross train to Neurological Critical Care Unit...

  • New Graduate Registered Nurse

    2 months ago

    Baltimore, Maryland, 21218, Baltimore, MD, United States MEDSTAR HEALTH Full time

    General Summary of PositionWelcome to the Intermediate Care Unit (IMC) at MedStar Union Memorial Hospital!We are excited to invite passionate and skilled Registered Nurses to join our team. Here, you’ll thrive in a supportive environment that prioritizes your professional development while delivering exceptional patient care.What Makes Our Unit Stand...

  • Home Care RN

    2 months ago

    Catonsville, Maryland, 21228, Baltimore County, MD, United States Charlestown by Erickson Senior Living Part time

    Location:Charlestown by Erickson Senior Living**$2,000 Sign on Bonus**This is position is part-time 32 hours/week - BENEFIT ELIGIBLE!!!!We are hiring a Registered Nurse for Home Care.What we offer:Competitive benefits packages including medical, dental, vision, and PTO in accordance with applicable state law. in accordance with applicable state law for...

  • Registered Nurse

    2 weeks ago

    Baltimore, Maryland, 21237, Baltimore County, MD, United States MEDSTAR HEALTH Full time

    General Summary of PositionMedical/Surgical Unit Highlights48 private rooms75% Med Surg Patients25% Post Surgical PatientsNICHE Certified (Nurses Improving Care for Healthsystem Elders)Fantastic opportunity to learn acute care nursing Franklin Square Medical Center has just been awarded its 4th magnet recertificationAvailable Roles:Full Time Days (three...

  • Registered Nurse

    4 days ago

    Baltimore, Maryland, 21237, Baltimore County, MD, United States MEDSTAR HEALTH Full time

    Float Pool HighlightsFloat Pool Nurses serve Med Surg/Post Surgical, Neuro Med Surg Tele, Renal Med Surg Tele, Tele, IMC, ICU and ED units as long as the nurse has experience in those areas. We offer an additional $10.00/hr float pool bonus and our lucrative MedStar Health benefit package. This is an excellent opportunity for those who need benefits, but...

  • Registered Nurse

    5 days ago

    Baltimore, Maryland, 21237, Baltimore County, MD, United States MEDSTAR HEALTH Full time

    General Summary of PositionFloat Pool HighlightsFloat Pool Nurses serve Med Surg/Post Surgical, Neuro Med Surg Tele, Renal Med Surg Tele, Tele, IMC, ICU and ED units as long as the nurse has experience in those areas. We offer an additional $10.00/hr float pool bonus and our lucrative MedStar Health benefit package. This is an excellent opportunity for those...

  • Registered Nurse

    2 weeks ago

    Baltimore, Maryland, 21237, Baltimore County, MD, United States MEDSTAR HEALTH Full time

    General Summary of PositionAdult Inpatient Psychiatric Unit Highlights29 bed unitInvoluntary and voluntary patientsShort stay crisis stabilization unitStrong partnership with security teamCross-training to work Psychiatric ED and Child & Adolescent Psychiatric UnitsCollaborative and hands-on providers who respect nursesWelcoming, team-oriented group of...

  • Registered Nurse

    1 week ago

    Baltimore, Maryland, 21237, Baltimore County, MD, United States MEDSTAR HEALTH Full time

    General Summary of PositionFloat Pool HighlightsFloat Pool Nurses serve Med Surg/Post Surgical, Neuro Med Surg Tele, Renal Med Surg Tele, Tele, IMC, ICU and ED units as long as the nurse has experience in those areas. We offer an additional $10.00/hr float pool bonus and our lucrative MedStar Health benefit package. This is an excellent opportunity for those...