Care Coordinator RN - Remote Position

eQHealth Solutions; Tampa (FL); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated Care Coordinator RN for a remote position. This role involves performing essential care coordination services for home health recipients, ensuring their healthcare needs are met through thorough assessments and collaboration with healthcare teams. Ideal candidates will possess strong communication skills and a Registered Nurse license, ready to make a significant impact in the lives of those they serve. Join a forward-thinking organization that values teamwork and patient care, and be part of a mission to enhance healthcare delivery in the community.

Qualifications

• Experience in care coordination and home health services.
• Strong assessment and communication skills required.

Responsibilities

• Perform care coordination services for home health recipients.
• Conduct assessments and document findings promptly.
• Collaborate with healthcare teams to develop care plans.

Skills

Care Coordination

Utilization Review

Assessment Skills

Communication Skills

Collaboration

Education

Registered Nurse License

Job description

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Responsibilities include:

1. Performing care coordination services for assigned recipients eligible for home health services, such as Home Health Visits, PPEC, Personal Care Services, and/or Private Duty Nursing Services, based on contract requirements.
2. Using discretion to approve or validate UR or forwarding to a second-level reviewer. Providing first-level utilization review for inpatient and outpatient services requiring authorization, including Prospective, Urgent/Non-urgent, Concurrent, and Retrospective Reviews.
3. Completing prior authorizations promptly.
4. Conducting initial assessments to recommend appropriate home health assessments unless already completed during the current fiscal year.
5. Conducting home and/or PPEC visits as needed or required by contract.
6. Scheduling and leading initial face-to-face meetings in the recipient’s home or PPEC with the recipient (if able) and the parent or legal guardian.
7. Assessing, planning, implementing, monitoring, and evaluating the care options and services needed to meet the recipient’s healthcare needs.
8. Documenting assessment findings, actions, and outcomes.
9. Recording all communication, interventions, and follow-up tasks in the Care Coordination System within one business day.
10. Identifying patient care issues and making appropriate recommendations.
11. Collaborating with the parent or guardian and healthcare team to arrange home care needs.
12. Maintaining regular monthly contact (via phone or face-to-face) with the recipient and guardian to update the Plan of Care, resolve issues, and identify additional needs.
13. Participating in multidisciplinary team meetings to develop comprehensive care plans based on recipient needs.
14. Evaluating and updating the care plan as necessary, communicating changes to all involved parties.
15. Monitoring caseload eligibility status monthly in MMIS.
16. Completing Staffing Tools (Freedom of Choice) when reconsidering a recipient’s placement into a Skilled Nursing Facility.
17. Following guidelines for calls and visits related to SNF transitions to community settings over six months.
18. Serving as a resource to the community.

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Other

Industries

• IT Services and IT Consulting

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