Care Coordination RN: Transitions & Education

North Mississippi Health Services; Tupelo (MS); On-site; USD 65,000 - 90,000; Full time

Job summary

North Mississippi Health Services is seeking a Coordinator - Care RN to perform patient assessments, implement care interventions, and coordinate transitions of care to post-acute services. The role involves educating patients and families and collaborating with multiple health care professionals to ensure quality outcomes.

You will document findings, monitor care plans, and participate in performance improvement activities while adhering to policies and procedures.

Responsibilities

• Conducts assessment to determine patient needs and barriers to disease management of continued recovery.
• Implements appropriate interventions to address identified patient needs and maintain regulatory requirements.
• Monitors the effectiveness of the patient’s care plan and intervenes when necessary to address potential. progression delays.
• Arranges appropriate post-acute services and procurement of durable medical equipment.
• Coordinates transition of care as indicated.
• Assess the discharge planning needs of the neonate, pediatric, adolescent, adult and geriatric patient.
• Documents assessment findings and interacts in the clinical record according to establish standards.
• Performs cost/benefit analysis to determine most cost effective care.
• Documents type education received by the patient and/or family members.
• Educates patient and/or family member(s) to the processes and services provided.
• Attend and provide continuing education in-services.
• Participates in performance improvement projects, committees, and teams.
• Communicates patient needs to appropriate sources such as Physicians, medical staff, DME Companies, Home Health and Hospice Staff, and Nursing Home and Rehabilitation Facilities.
• Communicates effectively with adult and geriatric patient.
• Participates on committees and Physician Section meetings as requested/required.
• Participates in QI initiates and other Hospital performance improvement programs.
• Adheres to NMHS/NMMC Policies/Procedures/Guidelines.
• Complies with appropriate Local/State/Federal policies/procedures/guideline/regulations/laws/statues.

Job description

North Mississippi Health Services is seeking a Coordinator - Care RN to perform patient assessments, implement care interventions, and coordinate transitions of care to post-acute services. The role involves educating patients and families and collaborating with multiple health care professionals to ensure quality outcomes.

You will document findings, monitor care plans, and participate in performance improvement activities while adhering to policies and procedures.