Talent.com
serp_jobs.error_messages.no_longer_accepting
RN Care Coordinator (Edgewood PC / IM / Peds) HYBRID Role

RN Care Coordinator (Edgewood PC / IM / Peds) HYBRID Role

St. Elizabeth PhysiciansEdgewood, Kentucky, US
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Job Type

Regular

Scheduled Hours

40

Job Summary

Reports to the RN Manager of Care Coordination, the RN Care Coordinator (OCC) works collaboratively with providers, interdisciplinary staff, and clinical associates, in person and telephonically, at any / all SEP offices to support patients with chronic conditions and / or complex needs according to guidelines established by SEP and other clinical programs such as PCF etc. Facilitates effective communication, coordinates services, address barriers, and provides education and guidance for patients related to current health concerns.

Dimensions

A RN Care Coordinator- Office Care Coordinator works in person and telephonically as a member of the interdisciplinary team. A RN Care Coordinator- Office Care Coordinator understands and adheres to established best practice care management standards of care. A RN Care Coordinator- Office Care Coordinator understands and coordinates care using evidence based clinical guidelines for chronic disease management.

Job Description

Job Title : SEP - RN Care Coordinator PC / IM / Peds- (HYBRID)

Schedule : -1 day WFH doing TCC calls and will be split in person the other 4 days.

Duties And Responsibilites

  • Documents in chart appropriately utilizing care management documentation.
  • Provides patient care through collaborating with patients, providing education and clear direction to the patient and address patient concerns regarding care. The RN engages in critical thinking to meet patient needs.
  • Support Chronic Disease Management and Patient Care Needs :
  • Identify patients with chronic disease, rising risk concerns, social, financial, or educational needs for care management services.
  • Respond to provider referrals and / or identify patients who meet established criteria for care management (e.g. HgA1c >

8, elevated LDL and / or blood pressure, Mental Health Integration referral, complex needs)

  • Evaluate and collaborate with patients and families to determine readiness to change and resources for support.
  • Monitor compliance with plan of care and problem solve barriers to patient self-management.
  • Provide support for patient and family issues, resource needs, and answering general healthcare questions.
  • Do ADL assessment and home safety assessments based on patient interview.
  • Identify and place order for services such as HH when patient has identified need
  • Utilize teach back method for pts who have no medical necessity to justify home health.
  • Assess need and provide basic diabetic teaching (glucose meter testing, etc.)
  • Assess need and obtain required order for patient to receive disease management teaching or counseling (MD referral required for billing)
  • Document RN Care Coordinator interventions in Epic within care management documentation.
  • Refer non-nursing functions, such as assisting patients with completion of Medicaid, disability, pharmacy program or other eligibility applications, and scheduling appointments to designated resources in the region.
  • Coordinate with care managers in other settings as appropriate.
  • Carry out assessments and make decisions on his or her own before seeking the support of a supervisor.
  • Assist providers, patients, and families with Advance Care Planning
  • Explain results from screening based on protocol and guidelines.
  • The RN is expected to perform medication reconciliation for each patient on their panel.
  • Provides ongoing management for chronic conditions, working with patients to meet healthcare goals per cadence expectations.
  • Patient Education :
  • Provide education and pre-printed, SEP approved educational materials as needed, or at provider or patient request
  • Work collaboratively with patients to assess needs and develop a patient education plan of care.
  • Answer clinical questions related to patients chronic health conditions.
  • Provide group education for established patients.
  • Must understand professional boundaries and appropriately refer diagnostic questions to MD.
  • Refer patients appropriately when needs for mental health, pharmacy, social work, respiratory therapy etc. are identified.
  • Work telephonically with patients as needed.
  • Ensures complete and accurate information in the Electronic Health Record.
  • Coordinate referrals to community resources (e.g. home health, Durable Medical Equipment, support groups)
  • Forward written physician orders for treatment
  • Assess patient for additional needs, develop nursing plan of care and contact physician for order-dependent items.
  • Coordinate scheduling of appointments when support is needed for a multitude of disciplines.
  • Maintains adequate level of resources for care coordination.
  • OSHA and HIPAA compliance.
  • Assists with completion of patient requests in a timely manner.
  • Timely and accurate complete charting of all patient information.
  • Other duties and responsibilities as assigned are complete in a timely and accurate manner.
  • Maintain good working relationships communications with all interdisciplinary team members, management, and utilization review staff for coordination of care and care transitions.
  • Work with providers, interdisciplinary staff, and office staff to identify appropriate patient population for advance care planning.
  • Work directly with patient to educate, provide resources, and manage their disease processes.
  • Manage and perform home visits with patients as needed if a component of care management expectations.
  • Attend meetings as required.
  • In office support for nursing tasks such as : PPD, IRIS Exams, CGM starts, etc.
  • Collaborative communication with office staff to be available for warm hand offs and immediate patient needs.
  • Assessment of medication affordability and assisting patients with identified needs.

    • Required Skills And Knowledge

  • Ability to manage and prioritize multiple tasks.
  • Knowledge of electronic Health Records (EPIC)
  • Knowledge of Excel, Word, Outlook and PowerPoint and the ability to learn other computer skills as needed.
  • Good organizational skills.
  • Work professionally with doctors, hospital administration and management, SEP associates and the public.
  • Organized, neat and self-motivated.
  • Warm personality with concern for others.
  • Excellent verbal and written communication skills.
  • Excellent interpersonal skills.
  • Ability to affect change.
  • Ability to perform critical analysis.
  • Self-directed
  • Work well telephonically as well as face to face.
  • Can work autonomously.
  • Be familiar with motivational interviewing with patients.
  • Positive attitude
  • Quest for learning and excellence.

    • Other Required Skills And Knowledge

    Previous Quality Assurance experience preferred

    Education

  • Degree in nursing (ADN or higher)
  • Current Drivers License in good standing and reliable and insured transportation

    • Licenses And Certifications

  • Kentucky Registered Nurse (RN) Compact License (or any RN compact license) required.
  • Care Management Certification preferred.

    • Years Of Experience

  • Minimum of 3 years nursing experience or current care management position held within SEP Clinical Transformation.
  • Demonstrated knowledge of anatomy and physiology, pharmacology, etc.
  • Ambulatory and / or care management experience.

    • FLSA Status

    Non-Exempt

    Right Career. Right Here. If you have a passion for taking care of the community and are interested in Healthcare, you will take pride in the level of care we provide at St. Elizabeth. We take care of patients and each other.

    serp_jobs.job_alerts.create_a_job

    Rn Care Coordinator • Edgewood, Kentucky, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Registered Nurse (RN)

    Registered Nurse (RN)

    The Laurels of MilfordMILFORD, Ohio, United States
    serp_jobs.job_card.full_time
    Do you work for Agency? Are you Tired of inconsistent Schedules and last minute Cancellations? Come Join our Team at the Laurels of Milford where you can pick up any additional hours you desire.Are...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Care Management Coordinator (RN or LPN) (CINCINNATI)

    Care Management Coordinator (RN or LPN) (CINCINNATI)

    The Laurels of MilfordCincinnati Airport, OH, US
    serp_jobs.job_card.full_time
    Sign on bonus available! Are you an experienced MDS nurse? Are you organized, efficient, and able to manage your own work with autonomy? MDS nursing at The Laurels of Milford may be just what you'r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    MAP Care Coordinator

    MAP Care Coordinator

    The Crossroads CenterCincinnati, OH, US
    serp_jobs.job_card.full_time
    Make a meaningful difference by providing essential case management services to women in Ohio facing substance use challenges—many of whom are pregnant or living with persistent mental health...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Admissions Coordinator

    Admissions Coordinator

    CarespringLoveland, OH, US
    serp_jobs.job_card.full_time
    Carespring Admissions Coordinator.Per Year Plus bonus opportunities!.We need an Admissions Coordinator to join the Carespring Team in Loveland, OH. You'll represent Carespring facilities externally ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Long Term Acute Care (RN) - $1,940 per week

    Travel Long Term Acute Care (RN) - $1,940 per week

    Core Medical GroupHyde Park, OH, US
    serp_jobs.job_card.permanent +1
    Core Medical Group is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Cincinnati, Ohio.Job Description & Requirements Specialty : Long Term Acute Care Discipline : RN Start...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Care Coordinator

    Care Coordinator

    Best Point Education & Behavioral HealthCincinnati, OH, US
    serp_jobs.job_card.full_time
    Location : In-person, Hamilton County, Ohio.Must have a Bachelor’s degree in Social Work, Counseling, or a related field from an accredited institution. Minimum of one (1) year clinical experie...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Wellness Coordinator

    Wellness Coordinator

    StoryPointHamilton, OH, US
    serp_jobs.job_card.full_time
    The Wellness Coordinator is responsible for directing and managing all Wellness (Nursing) employees providing clinical resident care services, by delivering a 1440 experience, optimizing performanc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Registered Nurse (RN)

    Registered Nurse (RN)

    The Laurels of Milford CareersMILFORD, OH, USA
    serp_jobs.job_card.full_time
    Do you work for Agency? Are you Tired of inconsistent Schedules and last minute Cancellations? Come Join our Team at the Laurels of Milford where you can pick up any additional hours you desire.Are...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Lead RN - Primary Care

    Lead RN - Primary Care

    Monument HealthMilan, IN, US
    serp_jobs.job_card.full_time
    Current Employees : \n\nIf you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.Primary...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    Care Coordinator

    Care Coordinator

    NewPath Child & Family SolutionsCincinnati, OH, USA
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Welcome! Are you ready to begin a NewPath?.At NewPath, we do more to make a difference -more for each child, each client, and our community. Our dedicated team does what it takes, day and night, to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Patient Coordinator - ASC, Blue Ash

    Patient Coordinator - ASC, Blue Ash

    Cincinnati Eye InstituteBlue Ash, OH, US
    serp_jobs.job_card.full_time
    This position is located at Blue Ash, OH.This employee will also perform the necessary administrative responsibilities needed to create a smooth check-in / out experience for patients.ESSENTIAL DUTIE...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Care Review Clinician, PA (RN)

    Care Review Clinician, PA (RN)

    Molina HealthcareBerry, KY, US
    serp_jobs.job_card.full_time
    JOB DESCRIPTION\n\nJob Summary\n\nMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Registered Nurse (RN) - IP Skilled Nursing

    Registered Nurse (RN) - IP Skilled Nursing

    St. Elizabeth HealthcareBatavia, OH, USA
    serp_jobs.job_card.full_time
    Engage with us for your next career opportunity.The licensed registered nurse is a professional nurse who is responsible and accountable for providing evidence-based clinical care to designated pat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Per Diem / PRN Nurse RN - Float ICU - Intensive Care Unit - $65 per hour

    Per Diem / PRN Nurse RN - Float ICU - Intensive Care Unit - $65 per hour

    CommonSpirit Health at HomeHyde Park, OH, US
    serp_jobs.job_card.full_time
    CommonSpirit Health at Home is seeking a per diem / prn nurse RN Float ICU - Intensive Care Unit for a per diem / prn nursing job in Cincinnati, Ohio. Job Description & Requirements Specialty : ICU -...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    RN - Registered Nurse

    RN - Registered Nurse

    Harrison Trail Health CampusHarrison, OH, USA
    serp_jobs.job_card.full_time
    Our RNs love Trilogy for the stability, meaningful work, and great team.If you're looking to grow as an RN, Trilogy is where you belong!. Hi! We're glad you're thinking about joining us.Trilogy is a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    RN - Registered Nurse

    RN - Registered Nurse

    RidgeWood Health CampusLawrenceburg, IN, USA
    serp_jobs.job_card.full_time
    Our RNs love Trilogy for the stability, meaningful work, and great team.If you're looking to grow as an RN, Trilogy is where you belong!. Hi! We're glad you're thinking about joining us.Trilogy is a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Care Review Clinician (RN)

    Care Review Clinician (RN)

    Molina HealthcareAlexandria, KY, US
    serp_jobs.job_card.full_time
    JOB DESCRIPTION\n\nJob Summary\n\nProvides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with establishe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Patient Coordinator

    Patient Coordinator

    Aspen DentalSouth Lebanon, OH, US
    serp_jobs.job_card.full_time
    Patient Experience Coordinator.At Aspen Dental, we put you first, offering the security and job stability that comes with working with a world-class dental service organization (DSO).Our best-in-cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Locum CRNA

    Locum CRNA

    Palm Careers LLCCincinnati, OH, US
    serp_jobs.job_card.full_time
    Immediate Locum CRNA Needed in Greater Cincinnati - Outpatient ASC.Start : ASAP, Quick credentialing (7-14 days) Term : 13 weeks minimum with possibility to extend Rate : Inquire for a quote; we maxim...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    MDS Assessment Coordinator (CINCINNATI)

    MDS Assessment Coordinator (CINCINNATI)

    The Laurels of MilfordCincinnati Airport, OH, US
    serp_jobs.job_card.full_time
    Sign on bonus available! Are you an experienced MDS nurse? Are you organized, efficient, and able to manage your own work with autonomy? MDS nursing at The Laurels of Milford may be just what you'r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days