RN, CARE COORDINATOR

It's inspiring to work with a company where people truly BELIEVE in what they're doing!

When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer service in our communities every day.

Our employees make all the difference in our success!

Role :

The RN, Care Coordinator is responsible for assessing and identifying patient / family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient / family unit.

Qualifications :

• Current license as RN in the state where the employee will be working
• Minimum one (1) year of in-patient nursing or hospice experience for external candidates; for internal applicants, minimum of 6-months of LPN experience with hospice / home health within an affiliate
• Previous experience working with an EMR / EHR (Electronic Medical / Health Record) system
• Mobile Driver - Valid driver's license and automobile insurance per Company policy
• Reliable transportation to meet visit schedule
• Ability to use equipment with visual and auditory mechanisms
• Ability to effectively communicate in English (verbal and written)
• Flexible schedule to meet the needs of Hospice House patients
• Ability to manage the emotional stress of working with and caring for terminally ill patients and their families
• Ability to physically access patient rooms, other areas of the Hospice House / Hospital / ALF, etc., and any home (i.e.

navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) within any part of the service area

• Ability to perform the essential functions and physical requirements (including, but not limited to : lifting patients and / or equipment, bending, pushing / pulling, kneeling) of the job with or without reasonable accommodation
• Active BLS for healthcare professionals from the American Heart Association or Red Cross. Employees hired prior to 12 / 31 / 2022 must obtain certificate prior to 10 / 1 / 2023

Some locations may require :

Provides reassurance on the phone to patients and families. Assists in finding solutions to their questions and / or recognizes the need for an in person visit.

Coordinates in person visit when needed / or requested.

• Assists the patient and family to achieve the desired comfort levels.
• Utilizes appropriate support / expert resources or personnel to resolve complex or difficult situations.
• Documents patient / family contact information in the EMR and communicates with the Interdisciplinary Group (IDG).
• Completes clinical admissions for all Company services including, but not limited to :
• Explains services to potential patients / families and addresses questions regarding patient fears, physical limitations, while putting the patient / family at ease;

presents services in an empathetic and compassionate manner

• Identifies admission objections, concerns or other entry barriers and provides responses
• Educates patient / family on admission requirements and addresses immediate needs
• Completes informed consents and initial assessment according to regulations and Company policy
• Provides information to Physicians and initiates Plan of Care to address patient's immediate needs
• Initiates skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort
• Obtains Physician orders
• Completes documentation per Company policy
• Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.
• Communicates frequently with Admissions to ensure timely follow-up. When assignment is complete, informs Admissions and prepares for next assignment.
• Provides all necessary clinical communication timely using SBAR.
• Discusses any potential needs with after-hours staff.
• Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations.
• Obtains medical record information for the referral.
• Develops strong relationships with case managers, physicians, etc. at facilities.
• Works with Professional Relations Representatives (PRRs) to provide education on all available services.
• Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge.

Competencies :

Satisfactorily complete competency requirements for this position.

Responsibilities of all employees :

• Represent the Company professionally at all times through care delivered and / or services provided to all clients.
• Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
• Comply with Company policies, procedures and standard practices.
• Observe the Company's health, safety and security practices.
• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
• Use resources in a fiscally responsible manner.
• Promote the Company through participation in community and professional organizations.
• Participate proactively in improving performance at the organizational, departmental and individual levels.
• Improve own professional knowledge and skill level.
• Advance electronic media skills.
• Support Company research and educational activities.
• Share expertise with co-workers both formally and informally.
• Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.

Job Responsibilities :

• Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up.
• Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient's evolving needs.
• Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process and safety practices.
• Reports changes in the patient's condition to appropriate members of the IDG or other health professionals.
• Participates with the IDG to evaluate hospice referrals / admissions for level of care appropriateness.
• Attends patient deaths; prepares body for transport; oversees disposal of medications.
• Provides appropriate bereavement interventions to the family and caregiver in conjunction with psychosocial staff.
• Presents concise and pertinent oral and written reports to IDG; respects and encourages input from all disciplines.
• Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others.
• Supervises patient care given by other nursing team members (i.e., LPNs, Hospice Aides, and contract nurses).
• Performs other duties as assigned.

Physical Demands for Post Offer / Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.) :

While performing the duties of this job, the following abilities are required : see; hear; talk; walk; use hands to finger, handle or feel.

Frequently required to : stand; sit; reach with hands / arms; lift; bend; balance.

Occasionally required to : pull; push; stoop / crouch; kneel; climb stairs.

This position requires consent to drug and / or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.