CARE COORDINATOR RN

Margaret Mary Health; Batesville (IN); On-site; USD 42,000 - 64,000; Full time

Job summary

Margaret Mary Health in Batesville, IN seeks a Care Coordinator to work with chronically ill patients and families. The role collaborates with clinic and hospital staff, emphasizes timely access to care, and promotes preventative care while reducing ED visits and readmissions.

Education on care plans and community resources is provided to patients and families. The position focuses on care coordination, patient advocacy, and ongoing communication with care teams to ensure culturally and

Qualifications

• Demonstrates professional, effective written and verbal communication.
• Displays a positive attitude with respectful customer service.
• Maintains patient confidentiality and HIPAA compliance at all times.
• Actively advocates for patients and resolves concerns with empathy.
• Continues self-education to improve quality of care and professional skills.
• Communicates clearly both verbally and in writing.

Responsibilities

• Uses only approved abbreviations and follows patient safety goals.
• Verifies patient identities before treatments and documents in EHR.
• Clarifies physician orders and uses standing orders when indicated.
• Communicates with MDs and other providers as warranted by condition.
• Reports sentinel events or adverse drug reactions as needed.
• Reassesses patients after interventions and updates the care plan in EHR.
• Attends Care Coordinator training webinars and meetings.
• Identifies high-risk patients and develops coordinated care plans with families.
• Facilitates access to appropriate medical and specialty providers.
• Educates patients and families about community resources.

Skills

Communication skills

Patient advocacy

HIPAA knowledge

Team collaboration

Empathy

Job description

Location/Department: Physician's Center - Primary Care

80 hours per pay period - benefit eligible

Job Summary

The Care Coordinator works in collaboration & continuous partnership with chronically ill or “high-risk” patients & their families, clinic/hospital providers & staff, & community healthcare resources in a team approach to: promote timely access to appropriate care; increase utilization of preventative care; reduce ED utilization & hospital readmissions; increase comprehension through culturally – & linguistically – appropriate education; create & promote adherence to a care plan, developed in coordination with the patient & the patient/family; increase continuity of care by managing relationships with tertiary care providers, transitions-in-care & referrals; increase patients’ ability for self-management & shared decision-making; provide medication reconciliation; connect patients to relevant community resources; with a goal of enhancing patient & family health & well-being, increasing patient satisfaction & reducing costs.

Supervisory Responsibilities

None

Duties/Responsibilities

• Uses only approved abbreviations.
• Understands patient safety goals & actions taken.
• Uses 2 patient identifiers before giving treatments, demonstrates process.
• Understands read back of verbal orders/critical lab values & can state process.
• Understands procedure to clarify physician orders.
• Uses standing orders when indicated.
• Accurately calls report to MD as warranted by condition; reports to other providers as needed.
• Reports sentinel events or adverse drug reactions or incidents as warranted.
• Uses final verification before invasive procedures & can verbalize correct process & documents in EHR.
• Reassesses patient in response to changes in condition after intervention as needed & documents in EHR.
• Attend all Care Coordinator training webinars & meetings.
• Provide feedback for the improvement of the Care Coordination program.
• Assist with the identification of “high-risk” patients (the chronically ill & those with special health care needs).
• Work with patients to plan & monitor care; assess patient & family’s unmet health & social needs; develop a care plan with the patient, family & providers (emergency plan, medical summary, & ongoing action plan as appropriate); monitor adherence to care plans, evaluate effectiveness, monitor patient progress in a timely way & facilitate changes as needed; create ongoing processes for patients & families to determine level of care coordination support they desire at any given point in time.
• Serve as the contact-point, advocate & informational resource for patient, family, payers & community resources.
• Facilitate patient access to appropriate medical & specialty providers.
• Educate patient & family about relevant community resources.
• Cultivate & support primary care & subspecialty co-management with timely communication, inquiry, follow-up, & integration of information into the care plan regarding transitions-in-care & referrals.
• Facilitate & attend meetings between patient, family, care team, payers & community resources as needed.

Required Skills/Abilities

• Demonstrates professional, appropriate, effective & tactful, written, verbal & nonverbal communication skills.
• Demonstrates a positive attitude & respectful, professional customer service.
• Acknowledges patient’s rights on confidentiality issues, maintains patient confidentiality at all times, & follows HIPAA guidelines & regulations.
• Proactively acts as patient advocate, responding with empathy & respect to resolve patient & family concerns, & recognizes opportunities for improvement to meeting patient concerns.
• Proactively continues to educate self on providing quality care & improving professional skills.
• Effectively communicates both verbal & written.