Registered Nurse Care Coordinator – PorterCare AH System
All the benefits and perks you need for you and your family :
- Benefits from Day One
- Paid Days Off from Day One
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
Schedule : Full Time
Shift : Monday - Friday Day Shift
Location : – covering Adams, Arapahoe, Jefferson, Denver, Douglas, Elbert and Elizabeth Counties.
The role you’ll contribute :
The Connected Care Coordinator will function as the key patient advocate and educator for coordination of post-acute care services within AdventHealth (AH) owned hospitals. This person will assist in assessing patients for post-acute care, coordinating the clinical transition to home health and hospice as clinically indicated and into the appropriate post-acute setting. The Coordinator is responsible for maintaining relationships with physicians, post-acute providers, therapists, patients and families. This Coordinator will be assigned a specific hospital or specialty and is responsible for collaboration with care management, the physicians, and the clinicians to develop a discharge plan requiring post-acute services across AdventHealth continuum of care.
The value you’ll bring to the team :
Responsible for conducting a systematic post-acute assessment of the physical, psychosocial and functional aspects of the patient and his / her family and their impact on the outcome potential to determine appropriateness for the Home Health and Hospice care setting.Inform and educate the patient and family about these post-acute settings, balancing the patient / family requests with what is required to provide safe, reliable, ongoing care for the patient.Identify patient / family problems or needs ensuring communication to physician, care management and the clinical team.Assist with coordination of home health care referrals within assigned hospital(s).May conduct bedside assessment to determine appropriateness of home or hospice care admission and educates patient / family regarding discharge plan and home care and hospice service expectations.After receiving Referral, assist with Intake process including pre-registration requirements for HHC admission.Maintains comprehensive working knowledge of managed care along with community resources.Completes and submits all documentation in a timely manner according to department policy.Responsible for reviewing the discharge plan with Care Management and the clinical transition team from inpatient to post-acute care ensuring systematic handoff between care providers.May participates in MDR, care conferences and coordination with Case Management.Strictly adhere to mandated federal, state, local regulatory and statutory requirements as well as AH policies and procedures for referral processing.Develop a presence inside the Hospital medical community, confer with health care providers, promote educational opportunities as they present, and attend meetings as assigned.Attends in-service training and mandatory company meetingsPerform other duties as assigned by management.Collaborate with Care Management on patient readmission assessments.The expertise and experiences you’ll need to succeed :
Minimum qualifications :
Associate in Nursing or aboveMinimum two years of post-acute (e.g., home health and / or skilled nursing facility and / or hospice clinical experience) or Care Management in a facility experienceExperience working with the public and exceptional customer service skillsKnowledge of medical terminology and the post-acute referral processRegistered NurseAHA Basic Life Support certificationValid Colorado driver’s license, automobile insurance, safe driving record and reliable transportationPreferred qualifications :
Bachelor’s degree in medical related fieldBachelors of NursingThis facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Category : Case Management
Organization : AdventHealth Hospice
Schedule : Full-time
Shift : 1 - Day
Req ID : 25010030