RN Care Coordinator -Part Time- In Person
On-site · Philadelphia, Pennsylvania, United States
Job Summary
RN Care Coordinator will lead assessment, care planning, and coordination within the PPHP Model of Care to meet the comprehensive needs of residents. Responsibilities include risk stratification, collaboration with transitional care and interdisciplinary teams to reduce readmissions, comprehensive assessments of barriers to care, development and documentation of integrated care plans, referrals/consultations, and tracking outcomes to achieve defined goals. The role requires strong nursing expertise in managing complex cases, experience with Medicare/Medicaid, proficient EMR/documentation in gEHRimed, and ability to train and ensure follow-up related to the Model of Care for ISNP program participants.
Required Qualifications
- Current unrestricted RN license for the state in which the Nurse Care Coordinator is practicing
- Minimum of 3 years clinical care experience
- Skilled Nursing Facility/Long Term Care experience preferred
- Case management experience preferred
- Strong nursing expertise in managing complex cases with minimal supervision
- Knowledge of current standard medical practices and experience with Medicare/Medicaid
- Ability to work with and communicate on a professional level with the interdisciplinary team
- Excellent independent critical thinking/problem-solving skills
- Excellent oral and written interpersonal communication, organizational, multi-tasking, and teamwork skills
- Proficiency in nursing/medical databases and Microsoft programs
- Positive and enthusiastic attitude
- Valid driver’s license and car insurance with reliable transportation
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